ExplanationIn fact, in order to curb corruption in the field of drug circulation, medical authorities and hospitals have developed a fairly strict system of drug procurement, use and supervision within the hospital.
Simultaneously, the vice president of Guangdong Gaozhou People's Hospital? Zhang Qidong
In accordance with the Guangdong Province, the implementation of procurement measures to implement the procurement bidding, get above the provincial, municipal, as well as our Gaozhou administrative departments of the approval, consent, our hospital after the leadership of the discussion to determine the implementation of the new round of drug bidding from the bidding, bidding when we are confidential, can not be leaked.
Explaining that the entire procurement process is carried out online, pharmaceutical distribution companies almost no direct contact with the hospital. And the hospital also expressly prohibit pharmaceutical representatives to enter the department to sell drugs to doctors. The hospital has also implemented a strict monitoring system and penalty provisions when it comes to doctors' use of medicines. Through monthly monitoring of doctors' medication use, doctors with abnormal prescription conditions such as overdose are penalized with a deduction of funds.
During the same period, vice president of Guangdong Gaozhou People's Hospital? Zhang Qidong
Each department, each doctor, each prescription has a limit, each person, including the proportion of drugs in each department I limit him, not allowed to exceed this proportion. We are from last year (2012) January implementation of the new rules and regulations, we are on our doctors, you if you exceed the standard drug top ten, unified ranking publicity, on the top ten you exceed how much, not the top ten you exceed this part, more than two points, according to your proportion of your deductions of your bonuses, deductions of your quality award, we are from 1 to September, a total of *** deducted the doctor's bonuses deducted more than 1.4 million yuan!
Explanation of the reporter in the hospital in May 2012 bonus signing and receiving table to see, some doctors due to irrational use of drugs the highest monthly penalty to 4991 yuan bonus. This time was confirmed to receive kickbacks in the hardest-hit areas such as the respiratory department, the department's doctors in 2012 for several consecutive months because of overdose or abuse of antibiotics were deducted from the bonus, but the hospital still can not monitor his private transactions with pharmaceutical representatives.
During the same period, the director of Guangdong's Gaozhou People's Hospital? Ye Guanrui
Through the hospital or the relevant monitoring department, there are a variety of regulatory means and measures. However, you can't supervise all of them, the surface is relatively large, all kinds of possibilities may happen. If you leave it to our hospitals to regulate, it's really hard to think about it according to what we're doing now. Our doctor, of course, he came to the office, I can go through the monitoring, but he is completely out of the hospital, in the car, on the road, are completely possible to operate.
Interpretation of the development of the early stage, Gaozhou Hospital through the "affordable care" to take the "small profits and high sales" road, drug procurement "second bargaining", so that the hospital breaks through the traditional "medicine to feed the doctor", "to feed the doctor", "to feed the doctor", "to feed the doctor", "to feed the doctor", "to feed the doctor". "Drugs to feed the doctor", to sell drugs at low prices to benefit the people, while in some cases in the realization of the single disease price limit charges, in the people won a good reputation, and therefore was named the country's top 100 hospitals, become a typical grass-roots health care reform. But this path is now considered unsustainable by the current president Ye Guanduan.
Simultaneously, the president of the Guangdong Gaozhou People's Hospital? Ye Guanrui
With our higher demand for health, the low-priced option is not sustainable, either for the development of medicine or for the needs of patients, there are various levels of demand. We may have a higher demand for health, he needs a little more choice.
Explanation of the current Gaozhou model is changing the original practice of suppressing labor costs. Increase the hospitalization rate for major and serious illnesses, and triage common surgeries to outpatient clinics. In the treatment, medication to patients to provide a variety of options, the introduction of laparoscopy and other high-tech, to attract high-end patients at high prices.
Simultaneously, the director of Guangdong Gaozhou People's Hospital? Ye Guanrui
Hospitals if the long-term stay in the traditional surgery, the traditional level of technology, then the hospital did not develop, we are based on the current trend of hospital development, can not keep up the pace, this is certainly backward, backward may also be eliminated.
Explanation However, reform comes with risks. After the exposure of the rebate incident, many people questioned the health care reform is back to the old way, from "affordable supremacy" to give patients a variety of choices of adjustment, will undoubtedly push up the purchase price of medicines, to give the medicine rebate more possibilities to grow. (End)
Xinhua News Agency reporter Huang Guobao? Zheng Tianhong? Huang Jieyuan reported in Guangzhou