This is just one example of the 31 cases of medical crimes investigated and handled by Shaoguan prosecutors over the past five years.
Recently, Shaoguan procuratorial organs of the 2008-2013 investigated and handled by the medical field of job crime cases were analyzed and released "on the city's medical field of job crime cases of thematic research report. 70,000 words of the report responded to the public about the popularity of this type of crime cases of the following questions: medical personnel and medical representatives of the power of the money transactions more than What are the links between medical personnel and pharmaceutical representatives? What kind of "post characteristics" does the job crime have? How high is the percentage of kickbacks received by bribe-takers? ......
The name of the power and money transactions "open the way fee" "thank you fee" "benefit fee" and other most common
Report statistics, 2008-2013 Shaoguan procuratorial organs *** investigation and handling of cases involving job-related crimes in the medical field of 31 people - of which 20 bribery, bribery 4 people, embezzlement 4 people, embezzlement of public funds 3 people; the unit involved in the city's medical and health institutions at all levels of 17, investigated and sanctioned the healthcare Institutions in charge (including deputy) 15 people, department heads (including deputy) 6 people; which belongs to the county level above the important case of 3 people.
The procurement of drugs and medical equipment are two areas where Shaoguan medical institutions are prone to job crime cases. And in these related areas, from the bidding before, after winning the bid, remittance and then to the supply of drugs link, medical personnel and pharmaceutical companies business personnel (i.e., pharmaceutical representatives) of the power and money transactions gradually formed a common path.
Before the bidding, the "opening fee" is unique to the procurement of medical equipment.
In Shaoguan Xinfeng Maternal and Child Health Hospital bidding before the medical equipment business Zou Jie Long and the former President Hu Jinlian had a "close contact": Zou Jie Long in order to make Hu Jinlian to the technical parameters of its products to make purchasing recommendations, gave Hu Jinlian 10,000 yuan "to get through the relationship! ", after the completion of the matter, Hu Jinlian received more than 50,000 yuan of kickbacks Zou Jie Long.
The case appeared in the most of a link is to give "thanks" after winning the bid. In Shen Xuezhong bribery case, Shen Xuezhong in the procurement of medical equipment for medical representatives Gui Liqing, Su Xunwen and others, Gui Liqing, Su Xunwen and others in the product won the bid, to Shen Xuezhong "thank you fee" *** counted 1.12 million yuan. In addition, Shen Xuezhong also in the procurement of drugs has received Zhu Feng and other people's "thank you fee" *** totaling 2 million yuan. 2011, Shen Xuezhong for bribery was sentenced to 13 years in prison, confiscation of 300,000 yuan of property.
In addition, individual pharmaceutical representatives in the supply of hospital drugs, in order to early settlement of the payback or due to hospitals in arrears, will be given to the medical staff kickbacks in exchange for their approval of the settlement of the drug. This is the return of the "benefit fee". Deng Langming, the former director of Shaoguan Red Cross Hospital, received a 50,000 yuan kickback from Peng Yuping, a medical representative, before approving payment to Peng.
And "open the way fee", "thanks", "benefit" different, supply of drugs during the drug to give the prescription commission and prescription clinicians also generate "Associated". The medical representatives involved in the case signed a contract with the hospital during the supply of drugs, by counting the clinicians prescribed drugs and give rebates, so as to obtain more sales profits.
Ratio of kickbacks General drugs 10%-15% medical equipment up to 20%-30%
Whatever the name of the kickbacks, in fact, is a certain percentage of the total amount of purchases of the bribe given. The report analyzes, give kickbacks have become some of the pharmaceutical representatives of the usual sales tactics, and in a certain range formed a kind of industry "unspoken rules", just when to give, give how much is different.
The report shows that, from the research cases, the general medicine "kickback" for 10% -15%, medical equipment up to 20% -30%.
Like Shaoguan Xinfeng Maternal and Child Health Hospital, the former director of the Office of Hu Guowen bribery case, medical representatives Tu Yufeng in order to fight for the hospital's business, to Hu Guowen's drug kickbacks increased to 20 percent.
According to statistics, over the past five years, Shaoguan investigated and handled cases in the medical field involving ***12.381 million yuan, through the handling of the case **** to recover economic losses of 12.5219 million yuan. All of these cases belong to the economic category of job crime cases, including bribery, bribery and embezzlement cases related to commercial bribery accounted for 90% of the total number of cases, the crime is highly concentrated.
The relevant person in charge of the procuratorial organs pointed out that the medical field cases show the obvious nature of commercial bribery, and medical and health institutions in the daily operation of the independent purchase and sale of medicines and medical equipment, consumables, commercial activities related, especially in the medicine is both the buyer and the seller, is more susceptible to the corrosive effect of criminal acts of bribery.
So, in these health care institutions involved in the case, who is the pharmaceutical representatives in the eyes of the "target" object?
The report shows that job-related crimes have more obvious job characteristics and are concentrated in key positions. According to statistics, over the past five years, *** investigation and punishment of a number of medical and health institutions of the president and vice president, pharmacy and financial departments of the director and deputy director of 21 people, accounting for 67.7% of the total number of cases, these people hold the right to recommend the right to purchase medicine, the right to choose and the right to approve the financial situation, has become the focus of bribery to attract the corrosion of the object.
Shaoguan Renhua County People's Hospital, for example, in 2006-2010, from the procurement proposals, to determine the purchase to the final payment, by the former president of the Shen Xuezhong say, of course, Shen Xuezhong is a private acceptance of the pharmaceutical representatives kickbacks to make the "decision".
"The medical institutions involved in the case and the pharmaceutical representatives formed a benefit **** the same body." The report writes that corruption in medical institutions often corresponds closely with related pharmaceutical companies, which ultimately realize sales benefits through medical institutions.
Cases occur for a reason Pharmaceutical procurement in-hospital and out-of-hospital supervision are lacking
How do job crimes in the medical field occur? The report analyzes both direct and economic causes.
At present, pharmaceutical procurement is divided into drug procurement and medical equipment procurement, drugs are centralized procurement from the "Guangdong Province Drug Purchasing Platform", selected by the hospital's Pharmaceutical Affairs Committee review; medical equipment, the implementation of government procurement, generally by the hospital procurement leading group to the government to make procurement recommendations.
Despite the fact that the state has promulgated pharmaceutical regulations since 2002 to establish a system for managing the selection and review of medicines, in most of the hospitals where these cases have occurred, the final decision is still made by the head of the hospital or the head of the pharmacy department, with purchasing power centralized in the hands of the individual, thus leaving room for both sides of the bribe to trade in power and money.
In the case of the hospital, in addition to the existence of the above procurement system does not standardize the problem, the supervision mechanism is not sound to the pharmaceutical procurement of the same backdoor operation to create an opportunity: in individual small-scale, fewer departments in the case of the hospital, physician experts, coupled with administrative management system in parallel with the reasons for the composition of the Pharmaceutical Affairs Management Committee (group), procurement leading group in a virtual form, can not play the real Power to monitor the role.
Internal supervision is absent, external supervision is also "not powerful". The report points out that, at present, although medical procurement through the government procurement approval and health administrative department for the record procedures, but this post-procedure is difficult to detect and stop the transaction activities in the bribery behavior. According to the administrative setup, hospitals are managed by the health administrative department and pharmaceutical companies are managed by the drug supervision department, while the pharmaceutical procurement activities, as a combination of hospitals and pharmaceutical companies, have become a regulatory gap.
Pharmaceutical distribution mechanisms and centralized drug purchasing mechanisms are believed to have "raised" and "inflated" drug prices, respectively.
The relevant person in charge of the prosecutor's office believes that hospitals can only add up to 15 percent to the purchase of drugs and sell them to patients, and public hospitals below the county level have also implemented a zero-percent increase in the price of medicines after the health care reform. In this case, the end of the pharmaceutical representatives not only profit and "let profit" bribe space, indicating that the pharmaceutical profits are mainly retained in the circulation before entering the hospital, the biggest beneficiaries of high prices of medicine is the middleman.
Currently, the distribution mechanism of medicine that hospitals can not directly from the manufacturers of goods, must go through commercial distribution to enter the hospital, in the circulation of pharmaceutical products in the field of pharmaceutical companies, and some even the existence of the phenomenon of the agency level by level, the circulation costs an increase in the price of medicine naturally be "raised".
The report argues that the province in 2006 began to implement a centralized bidding and procurement system for drugs to "Guangdong Province Drug Purchasing Platform" as the basis for the government pricing and online bidding, drug wholesalers won the bidding to become a distributor of health care institutions from the online purchasing by the distributor of drugs sent to the medical institutions. But some of the factory price of the drug is not high, after the procurement platform pricing, the winning bid is several times higher than the factory price or even more than ten times, even after taking into account the cost of production, distribution costs and other factors are still too high prices.
Establishment of pharmaceutical procurement "security gate" with a record of bribery shall not participate in the bidding
"Although the medical field of job crime on the surface only affects the future of the individual or the unit operation, but all the kickbacks will be amortized into the cost of health care, by the patient for the kickbacks they received to 'pay the bill'." Procuratorate relevant responsible person bluntly said.
How to prevent job-related crimes in the medical field? The report issued five major "prescriptions": standardize the medical work system, improve the power supervision mechanism, strengthen the clean medical education, strict medical industry management, build multi-party governance synergy.
The report suggests the establishment of a "security gate" system for pharmaceutical procurement. In drug procurement, the relevant pharmaceutical companies and their practitioners should conduct criminal bribery file inquiries, the inquiry shows that there is a criminal bribery record, should be rejected by the company or individual bids. Through the establishment of the "security gate" before the entrance, those who have a record of bribery will be rejected out of the game, prompting the pharmaceutical industry to take the initiative to their own practitioners to carry out strict management.
The report also pointed out that, in order to eradicate the "medical kickbacks corruption" and "expensive and difficult to see a doctor" problem, in addition to solving the various irregularities in the procurement of medicines, but also to eliminate the economic factors inducing the emergence of commercial bribery, in order to achieve Long-term prevention of job-related crimes in the medical field, such as reducing circulation links, controlling circulation costs, improving the procurement mechanism, and setting a reasonable base price.