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    Home > Medical News > Medical World News > Pharmaceutical Bribery VS Credit Evaluation May Affect "Report Letter" and "Academic Service Charges"

    Pharmaceutical Bribery VS Credit Evaluation May Affect "Report Letter" and "Academic Service Charges"

    • Last Update: 2020-10-09
    • Source: Internet
    • Author: User
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    Author . . . On September 16th, the State Health Insurance Administration issued the Guidance on the Establishment of a Credit Evaluation System for Pharmaceutical Prices and Recruitment, which requires all localities to establish and implement a credit evaluation system for pharmaceutical prices and recruitment by the end of 2020, specifically organized and implemented by the centralized procurement agencies of drugs and medical supplies at the provincial levels.
    The Opinion requires pharmaceutical enterprises participating in the centralized procurement of pharmaceutical and medical supplies to make a kept promise to include in the scope of evaluation acts that are contrary to good faith, such as rebates, and to adopt a combination of enterprise reports and platform records to grasp the information of pharmaceutical enterprises' failure of trust.
    , the Supreme People's Court and the State Health Insurance Administration signed a Memorandum of Cooperation on the Exchange and Sharing of Information on Commercial Bribery Cases in the Pharmaceutical Field.
    main content of the project is to establish a regular notification system of commercial bribery cases in the field of medicine, and actively apply judicial results in the field of pharmaceutical prices and recruitment.
    the field of governance of medicine bribery, always to the hospital doctors, always the hospital doctors take red envelopes, academic services as a breakthrough, but over the years the results of continuous governance is not optimistic and reliable.
    In addition to hospital doctors, a number of gray parts of the chain of benefits with gold sales seem to be obscured, who let the largest number of hospital doctors, the most direct contact with patients?" In this paper, we focus on the New Deal and supporting measures, try to analyze the New Deal can really work, what graspers, what needs to be broken? Seize the report letter, the advantages and disadvantages in the New Deal issued some time ago, some places of the big three hospitals are frequently posted report letter, anonymous reporting of pharmaceutical companies to hospital doctors illegal bribery.
    the lack of evidence and the inability of the source to prove it, a situation like this is over in the end.
    At that time, some people thought that "many hospitals frequently appear to report letters, and the current incentive of drug market competition and severe employment status quo can not be separated from the relationship", if this is the case, will be the comprehensive medical reform is willing to see the situation, with gold will not be able to.
    why? Following the health insurance, market supervision, medical and political departments, the industry competition finally to combat the phenomenon of gold to provide no dead end productivity.
    the main body of the report that has the interest in competition will not only have the report on the competition, but also may have the report of cross-species, cross-adaptation.
    We believe that: for the processing departments and medical institutions that accept the report, we should foresee this severity, where the report letter refers, the investigation team or public explanation should refer to which, and the dry finger does not hit will bring unpredictable passive effect to the processing department, the unit involved.
    relevant processing departments, medical institutions will also be from the "more than less than less" attitude to the attitude of the people into a smart blow, one by one, self-correction, because frequent and reported with gold sales incidents related, it is difficult to explain the good things.
    , however, the report letter may also be speculative, structured, need a certain mechanism, a certain platform to meet the needs of complaints, in order to be sustainable and trusted.
    New Deal put forward the breakthrough of "taking a combination of enterprise reporting and platform records to grasp the information of the failure of trust of pharmaceutical enterprises".
    The effective operation of
    Combining Enterprise Reporting with Platform Records" means that: not only the self-reporting of enterprises, but also the real-name reporting of any other subject;
    The ecological relationship between pharmaceutical representatives, medical representatives and hospital doctors has under taken an irreversible and irreconcturable and subtle shift, and the health care sector as a strategic buyer embodies a more united force, which reflects the laws of history and future trends.
    in the interests of ecology, private will have, fraud will be reduced;
    the people's interests as the center of the background, the whole chain of the pharmaceutical industry is a strategic emerging industry, with gold cat greasy will only be less and less, forced to have been abandoned by pharmaceutical companies.
    Regarding the "pharmaceutical price and credit evaluation system", we believe that: pharmaceutical prices correspond to each period, and recruitment credit corresponds to each paragraph of access, in order to make the two cycle to promote each other, we should pay attention to the Pharmaceutical Division, hospital doctors during the operation of the behavior, so that most of the impact of the access link from the normal supervision period, from effective reporting.
    service costs should be unique, recently a well-known Triple A hospital doctors for receiving high-frequency small academic services fees, was made public.
    from this case, we observe two direct problems: first, the cost of a single academic service is not large, and second, the cost of academic services is very high.
    , then, why does the pharmacy have to pay in the name of many times, so that the frequency is too high to look reasonable.
    generally operates in this way, there is a reason.
    in the responsible hospitals and related regulatory authorities, public opinion, are ear-stealing bells.
    we are more concerned about: why is the Department of Medicine to hospitals, doctors must pay, rather than the other way around? If the Drug Division can be completely prohibited from coming to pay the bill, supervision is not a question of the total amount of money, but whether there is a problem of similar behavior.
    if there is a problem with a step-by-step transition to this situation, it is recommended that the transition should be made by prohibiting doctors' fees and by charging hospitals directly.
    not to be vague: the cost of academic services can easily become a carrier of business rebates.
    is because the Pharma Department is "rich" than the hospital doctors, so the Department of Pharmacy through the company's financial or pharmaceutical representatives issued "academic services."
    as long as there is such a fee, it will not be possible to economization in academic activities, drug prices, practice the pharmaceutical business "without gold" will be difficult to obtain medical support.
    It is well known that, after the drug zero-plus policy, the sale of drugs in hospitals without a fee has transformed the hospital pharmacy department from a profit department into a cost department, and if the financial flow of academic services is cut off or shifted, the cost department attribute of the pharmaceutical department will be even heavier.
    this is not bad, but to strengthen the Department of Pharmacy's technical power, procedural rights, the right to speak, you can "one hundred steps to laugh fifty steps."
    , including the New Deal, have been emphasizing how to punish drug departments involved in violations, and it is often difficult for hospital doctors involved in violations to make up their minds to punish them.
    Probably because: First, everyone knows that the hospital doctor's hard work and salary income is disproportionate, the hospital and patients can not leave the doctor's labor;
    solution to the problem is two: one is strict legal and policy requirements, so that the ban, without exception, and the other is the establishment of including academic service fees, all "legitimate" fees should be transparent.
    We believe that economic means are very specific, specifically whether academic service fees can be received by hospitals or doctors, the law is ready to fight.
    hospital doctors have been targeted, although the actual income of hospital doctors, after removing gray income, is highly in direct proportion to the value of technology and the cost of labor.
    the pay distribution system of hospital doctors, especially in the public hospital environment, there is a great lack of market economy penetration.
    under the influence of the New Deal and supporting measures, we expect hospital doctors and medical representatives to be able to adapt to the situation.
    .
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