Hebei Province sends the civilization to be sure the machine enterprise must not take the gold sale!

▍ finishing: Chocolate Gold seller, disqualification Recently, the official website of Hebei Health Commission issued the opinions on further deepening the reform of the medical and health system (hereinafter referred to as the opinions), which explicitly requires that the machinery enterprises shall not carry gold sales According to the opinion, to standardize the management of medical consumables hanging on the net, enterprises should promise to sell without gold Enterprises verified to have price information fraud or sales with money shall be disqualified from online sales, and shall not be sold in Hebei, and shall be recorded in the bad credit records of procurement, the credit records of enterprises and institutions and personal credit records; those who violate laws and regulations shall be dealt with seriously according to laws and regulations At the same time, the enterprise's online sales price shall be determined according to the principle that it shall not be higher than the national minimum online price and the actual minimum price for warehousing in Hebei Province Coincidentally, recently Anhui provincial health and Health Commission also issued the notice on strengthening the ten requirements for the construction of a clean and honest government in the health and health system of the whole province in the new era (hereinafter referred to as the notice) For the purchase and use of consumables, it is expressly forbidden to receive kickbacks According to the notice, it is forbidden to accept "kickbacks" in the following ways: 1 It is strictly prohibited to receive "kickbacks" in the bidding and purchase of drugs and equipment consumables 2 It is strictly prohibited to receive "kickbacks" for drug consumables in the process of diagnosis and treatment services; 3 It is strictly prohibited to receive the "benefit fee" in the payment for the project; 4 It is strictly prohibited to use bank deposits for personal gain of oneself and relatives; 5 It is strictly prohibited to receive "benefit fee" in the health administrative examination and approval; 6 It is strictly prohibited to accept "unified fee"; 7 It is strictly prohibited to accept securities, stocks, consumption cards, gifts, etc in the purchase and sale of medicine, administrative approval, etc; 8 It is strictly prohibited to participate in the entertainment activities of overseas (domestic) tourism or disguised tourism funded by pharmaceutical production and operation enterprises and their agents, as well as the business entertainment places arranged, organized or paid by them At the same time, the notice also clearly requires that the following behaviors are strictly prohibited in the bidding and procurement process: 1 It is strictly forbidden for leading cadres to interfere in the bidding and purchasing work in violation of regulations 2 The procurement personnel shall consciously abide by the avoidance and other relevant regulations, and it is strictly prohibited to disclose information such as technical parameters of bidding in violation of regulations 3 It is strictly prohibited to separate projects, break them into parts, or avoid public bidding in the name of single source procurement, temporary procurement, clinical designation, etc., so as to carry out interest transmission through invitation of bids, negotiation of bids, internal bidding of units, etc 4 It is strictly prohibited to set technical parameters and conditions favorable to specific bidders and conduct "tailor-made" bidding 5 It is strictly prohibited for medical institutions to illegally purchase and trade off the platform Medical institutions shall not purchase pharmaceutical products whose price has not been determined through public bidding, volume purchase, negotiation and price negotiation Receiving kickbacks has always been a common but difficult problem in the industry GSK, a well-known pharmaceutical company, was fined 3 billion yuan in 2014 for bribery of doctors However, in October 2018, GSK announced that it would resume paying lectures, registration fees, travel expenses and other fees to doctors, which will be successively implemented in the United States, Japan, Europe, North America and Asia and other markets As for the recovery of payment to doctors, GSK explained that the practice of not paying doctors in recent years has reduced doctors' understanding of their products and ultimately restricted patients' access to new drugs and vaccines In fact, sales with money, kickbacks, payment to doctors and other behaviors have been tied together by the industry, because many kickbacks occur in various expenses paid by enterprises to doctors However, some insiders said that not all the fees paid to doctors are bribes It's reasonable to invite doctors to explain the use of products and diseases, and pay certain labor and travel expenses to doctors Some of the behaviors that medical equipment representatives are forbidden to contact with doctors are actually choking on food, which hinders doctors' understanding of the efficacy and risks of new drugs Whether it's sales promotion or paying for lectures to doctors, compliance has always been a major trend At the same time, the varieties with too fierce competition will also be partially eliminated Some large-scale machinery enterprises have multiple product lines, which can abandon some "Red Sea" products and focus on core products with high gross profit However, some insiders said that there are still a large number of small-scale equipment enterprises in China, often only one or two types of equipment With the spread of centralized procurement and volume negotiation, their living space is increasingly narrow, and some of them are desperate According to the statistical annual report issued by the State Food and drug administration, as of the end of November 2017, there were 16000 medical device manufacturers nationwide, an increase of 5000 compared with 2016 By the end of November 2018, there are 17000 medical device manufacturers in China, including 7513 enterprises that can produce class I products, 9189 enterprises that can produce class II products and 1997 enterprises that can produce class III products Compared with 2017, there are 1000 more medical device manufacturers According to the official website of the State Food and drug administration, only one-time infusion set (with needle) is a kind of consumables, and there are 607 machinery enterprises in China According to the analysis of the insiders, some medical devices in China have excess capacity and serious homogenization, which has stimulated the savage competition between the equipment enterprises and started to give kickbacks to doctors to boost sales At the same time, in the previous environment of medicine and consumption, doctors' income was dependent on kickbacks, and sunshine income was far less than the benefits brought by kickbacks, which also slowed down the promotion of the reform of doctors' pay, which led to the formation of medical malpractice However, in recent years, various policies have been implemented continuously, and the supervision of machinery enterprises, hospitals and medical personnel has become more and more intense At the end of July this year, the State Council issued the reform plan for the treatment of high-value medical consumables, saying that by the end of 2019, the addition of consumables will be cancelled nationwide, while the price of medical services will be adjusted.