Health Office [2010] No. 59
Provinces, autonomous regions and municipalities directly under the Central Health Department and Bureau, Xinjiang Production and Construction Corps Health Bureau, the Ministry of the units directly under the Ministry of Health, the Ministry's organs of the Department and Bureau:
In order to consolidate the results of the special governance work, purify the social environment of the reform of the medical and health system, is now on the further deepening of the governance of the field of medicine purchases and sales of commercial bribery work to put forward the following requirements:
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One, to further deepen the governance of the field of commercial bribery in the field of medicine purchase and sale of knowledge, and effectively enhance the sense of responsibility and urgency of the work
The governance of commercial bribery in the field of medicine purchase and sale of the inevitable requirements of the implementation of the scientific concept of development of the health system, is to control the cost of medicines, to alleviate the difficulties of the masses to see a doctor, to see a doctor is expensive problem of the actual action, but also the health system is the construction of an important anti-corruption and integrity tasks. Health administrative departments at all levels and all types of medical and health institutions at all levels should fully understand the importance, enormity and long-term nature of the special governance work, to overcome slackness and paralysis, especially in the current critical period of promoting health care reform, the governance of commercial bribery can only be strengthened, can not be weakened. To seriously summarize the experience and results since the special governance work, find problems and deficiencies, clear situation and task, further unify thinking, awareness, confidence, in-depth and sustained governance of commercial bribery in the field of medicine purchasing and marketing work.
Second, continue to carry out extensive publicity and education, firmly establish the prevention of commercial bribery of ideological, moral and disciplinary legal defense
Continue to carry out a variety of forms of publicity and education activities in the majority of health care practitioners in depth, to enhance the relevance and effectiveness of education. To carry out in-depth education on ideals and purposes, professional ethics, humanistic medicine and positive typical education, carry forward the new era of medical and health care professional spirit, set up the correct values, concept of interests, enhance the sense of professional honor and social responsibility, the formation of service, dedication, consciously resisting the commercial bribery of the good morale. To strengthen the education of laws and regulations and party discipline education, in particular, to strengthen the Amendment (VI) to the Criminal Law and the Supreme People's Court, the Supreme People's Procuratorate on the handling of criminal cases of commercial bribery on the application of laws and regulations of the Opinions on a number of issues, guiding the majority of health care practitioners to strengthen the legal awareness, the concept of discipline, and exemplary compliance with the laws, regulations and disciplinary provisions, and consciously resist commercial bribery, in accordance with the law and discipline. Bribery, according to law and discipline and clean practice. To combine the health system and the region investigated and handled a typical case of commercial bribery, in-depth warning education, case statement, alarm bells ringing, give full play to the typical cases of the warning and deterrent effect, and enhance the health care practitioners practicing integrity, honesty and law-abiding conscientiousness.
Three, increase the investigation of commercial bribery in the field of medicine purchase and sale of cases, resolutely punish commercial bribery
Investigation of commercial bribery is an important part of the special work of governance of commercial bribery, but also consolidate and deepen the results of the special governance work is an important guarantee that must always be grasped. Health administrative departments at all levels and all types of medical and health institutions at all levels to further increase the investigation of cases, broaden the case information and reporting channels, and seriously analyze the changes in recent years in the field of medicine purchasing and marketing of commercial bribery behavior patterns, characteristics of typical cases of commercial bribery, found one, investigated and dealt with one, will not be tolerated, and will never be lenient. Acceptance of commercial bribery of the relevant personnel, to be seriously dealt with in accordance with law. For accepting commercial bribery but has not yet violated the criminal law practitioners, by the health administrative department or the unit depending on the circumstances to give notice of criticism, cancellation of the current year's evaluation of excellence, evaluation of title qualification or deferred employment, dismissal, until dismissal, as well as the corresponding party disciplinary and administrative disciplinary sanctions. For acceptance of commercial bribery in larger amounts, for a longer period of time, the circumstances are more serious, according to the "Medical Practitioners Law" and other relevant provisions, depending on the circumstances, be given a warning, ordered to suspend the practice of law, until the revocation of the certificate of practice. Constitutes a crime, should be transferred to the judicial organs in a timely manner, determined to investigate its criminal responsibility according to law.
Health administrations at all levels should strengthen coordination and cooperation with the disciplinary and law enforcement departments such as discipline inspection and supervision, procuratorate, public security, industry and commerce, food and drug supervision, etc., and promptly inform the relevant disciplinary and law enforcement departments of the clues and investigation of commercial bribery cases and the situation of commercial bribery cases, and cooperate with and support the disciplinary and law enforcement departments in the investigation of the bribery of enterprises and individuals, and resolutely punish the bribery of commercial bribery in the field of purchase and sale of medicines. Party. To adhere to the investigation of commercial bribery cases to summarize and analyze the cases exposed the loopholes and weaknesses in the institutional mechanisms and systems, targeted to establish rules and regulations, from the source to prevent the occurrence of corruption, and to play the investigation of the case of the function of the root cause.
Four, strengthen the construction of long-term mechanism, focusing on the prevention and control of commercial bribery long-term mechanism of the implementation of the system
Systems in the prevention and control of commercial bribery has a fundamental and long-term. Each place should be in the past on the basis of long-term mechanism construction, combined with deepening the reform of the medical and health system, seriously analyze the deep-rooted causes of commercial bribery, in-depth promotion of institutional mechanism system innovation, research and development of practical and practical system and regulatory measures. To seriously carry out the clinical path and the pilot work of charging by type of disease, to promote the implementation of the national basic drug system and the pilot reform of public hospitals, the establishment of a perfect power operation monitoring mechanism, and to deepen the governance of the field of medicine purchase and sale of commercial bribery in the construction of long-term mechanism work.
To effectively grasp the long-term mechanism of the implementation of the provisions of the system, improve the implementation of the system. First, the guidance of medical institutions to continue to implement the prescription of drugs by generic name, improper prescription hospital publicity and review, dynamic monitoring of drug consumption and excessive early warning system, and actively explore the implementation of the sunshine drug system, strengthen the management and supervision of the use of medicines, and strictly regulate the behavior of the doctor's prescription. Secondly, we should effectively implement the provisions of the relevant system of centralized procurement of medicines, strengthen the management and supervision of centralized procurement of medicines, and ensure that the centralized procurement of medicines is carried out in a standardized and orderly manner. Thirdly, the division of responsibilities among hospital leaders should be reasonably determined, a sound supervision and control mechanism should be established, and a system of collective discussion and decision-making by the leadership team should be implemented for major decisions involving infrastructure, project bidding, drug procurement and the use of large sums of money. Fourthly, personnel in key departments and key positions that are prone to commercial bribery should be regularly exchanged and rotated, and a system should be formed. Fifth, we should conscientiously implement the "Provisions on Internal Control of Financial Accounting in Medical Institutions", "Interim Measures for the Management of Medical and Healthcare Institutions Accepting Social Donations and Funding", "Provisions on Internal Auditing of Health Systems" and other regulations, strengthen the management of economic operations, establish and improve the unit's internal control system, standardize the workflow, increase the intensity of internal auditing, and establish the control mechanism for the supervision and control of the whole process beforehand, during the incident. Sixth, we must strictly implement the "on the establishment of medical personnel assessment system of medical ethics of the guiding opinions (for trial implementation)", "regular assessment of physicians management", improve the record assessment system, deepen the construction of medical ethics, medical ethics and medical condition and medical staff of the employment, performance pay, promotion, promotion, evaluation, regular assessment, etc. directly linked to give full play to the constraints and incentives of the system.
V. Strengthen the hospital information system drugs, high-value consumables statistical function management, strictly prohibited for commercial purposes of statistics
Health administrative departments at all levels and various types of medical institutions should be combined with the reality of the region's units, research and development of the implementation of the Ministry of Health, "on the strengthening of hospital information systems, drugs, high-value consumables, statistical function management of the notice" (Health Office Medical Development [2007] 163) of the specific measures, take practical and effective measures, to ensure the implementation of the system. Specific measures to take practical and effective measures to strengthen the management of the statistical function of the hospital information system on drugs and high-value consumables, and to avoid counting information on the amount of drugs and high-value consumables used by individual physicians and clinical departments for improper commercial purposes. To hospital departments through the computer network query hospital information authority to implement hierarchical management, the hospital information system about drugs, high-value consumables, such as the use of information to implement a person in charge, encryption management, strict prescription authority and approval procedures, without approval shall not be prescription, is strictly prohibited for the commercial purpose of the prescription. Health administrative departments at all levels should increase the supervision and inspection of medical institutions under their jurisdiction. The failure to implement the unified prescription management requirements of medical institutions, should be ordered to rectify, as soon as possible to establish and improve the relevant management system. For violation of the provisions of the unauthorized prescription or unification for commercial purposes, not only to the parties involved in the strict treatment, but also to seriously investigate the hospital leaders and department heads responsible for the responsibility.
Sixth, the establishment of commercial bribery in the field of medicine purchase and sale of bad record, resolutely combat commercial bribery bribery
Provincial health administrative departments should strictly implement the Ministry of Health, "on the establishment of commercial bribery in the field of medicine purchase and sale of bad record of the provisions of the" (Wei Zhengfa Fa [2007] No. 28), has been established in the provinces (autonomous regions and municipalities) of the system of bad record of commercial bribery, to continue to improve, Standardize the management; not yet established, to actively create conditions to speed up the progress of work, be sure to establish the administrative region within this year, the purchase and sale of medicine in the field of commercial bribery record system.
The local health administrative departments should promptly investigate or grasp the commercial bribery cases reported to the provincial health administrative departments. Provincial health administrative departments of the administrative region of the medicine purchase and sale of commercial bribery in the field of bad record to implement dynamic management, by the law enforcement and disciplinary authorities that there is bribery in the purchase and sale of medicines in the activities of enterprises or individuals, should be included in the local bad record of commercial bribery in a timely manner to be published. Included in the poor record of drug production and management enterprises, the provincial health administrative departments in the centralized procurement of drugs to be resolutely canceled all the products of the qualification, 2 years shall not accept any of its products to participate in the centralized procurement of applications; the province (district, city) medical institutions within 2 years shall not be in any name, in any form of purchase of its medicines, medical equipment and medical supplies, and resolutely crack down on the field of medicine purchase and sale of commercial bribery! Bribery behavior, and strive to promote the construction of integrity system.
Health administrations at all levels should further enhance political sensitivity, strengthen the sense of the overall situation and sense of responsibility, and effectively strengthen the organizational leadership, improve the governance of commercial bribery leadership system and working mechanism, enrich and strengthen the work of the institutions and personnel, take more powerful measures to consolidate and deepen the results of the special governance work, and strive to achieve new results in the governance of the field of medicine purchasing and marketing of commercial bribery work to provide a strong guarantee to deepen the reform of the medical and health system. Deepen the reform of the medical and health system to provide a strong guarantee.