I am a doctor, but as a common people, I say a sentence of our situation. First, as a small doctor, before the rebate is there, but simply very little, a year to the end, at most 2,000 dollars. (If you don't believe me, as for where the big head is, I don't know...Secondly, the red packets from work to now only encountered 2 cases, do not dare to accept, face to face on the send back. At most, and good relations with the patient's family members to eat a meal together. (Unfamiliar not go at all! Simply, nowadays the network is so developed, who knows whether to give you stabbed out, very embarrassing!) Thirdly, in some places, family members give red packets. Third, some local families to give red envelopes, is a local custom, does not lie in how much, the key is the meaning. (If you don't know, you can ask the doctors in Guangdong, but it's not much money at all). Fourth, the most important point, now from the central to local control of the price of drugs and supplies! There is not much profit in it at all, now who gives you kickbacks! Do a good job, take their share of the part, although not rich, but life self-sufficiency is still possible! The personal life experience, do not like do not spray!
We may not have noticed that the year before last, the country has canceled the drug markup, the end of last year, the country has canceled the markup of consumables of the device, while after the national negotiation, the bandwagon purchase, 4 + 7 and other comprehensive measures, the price of medicines and consumables is in a process of continuous decline, and the surgical cost of the diagnostic fee is in a process of continuous improvement, in general, the burden on the patient did not increase, so the purpose of doing is to squeeze out the rebate, so the patient's life will not be affected. The purpose of doing this is to squeeze the space of the rebate, so now the hospital has no rebate!
Doctors rely on the ability to make money, clean! The first thing you need to do is to get your hands on a new doctor, and you'll be able to do that. German doctors receive a penny kickbacks may also be revoked physician qualification, or even jailed, which is also our ideal.
Now actually on the doctor to take kickbacks is the state of acquiescence. In fact, do not want doctors to take kickbacks is very simple, improve the doctor's own diagnosis and treatment fees so that doctors can reach a high level of income, now the hospital does not have this kind of reflect the value of the doctor's own fees, rely on a bare salary doctors even stalls are not as good. The management is not unaware of these reasons, but to consider the doctor's own value of the problem solved, the doctor no longer need to kickbacks to solve the problem of living a good life, so many drugs on the market so much medical equipment will face a significant decline in demand, which in turn caused a large number of pharmaceutical companies went bankrupt, while a large number of hospitals themselves can not make ends meet, social instability, the emergence of new crises, so the health care reform is to call the fierce! In fact, the progress is very slow, the entire health care system is not taken seriously, the doctors continue to be tied to the drugs and devices, to see if they can find the best way.
I'm plain thinking, I'll answer that question.
I'm not a doctor, but I have a lot of contact with doctors, so I'm fairly well informed. Regular public hospitals basically don't get kickbacks from drug dealers, medical devices, and the like anymore, and now that the rules have changed, there's no chance of getting that money.
It is still possible to take the patient's red packet, although the state has been advocating that we do not take the patient's red packet in the past two years, of course, the phenomenon has improved a lot, but this kind of thing is prohibited.
Objectively to evaluate the phenomenon of gray income.
I remember learning medicine in the medical school just entered the oath: health department, life want to trust, abide by the medical ethics, respect for teachers and discipline ......
And the doctor himself also took the salary, regardless of their own salary can meet the needs of the family, but in the eyes of the outside world doctor's salary can not be considered a The first thing you need to do is to get your hands dirty.
Moreover, since we are in this business, we have to have the rules of this business, treating patients is the first priority, "I wish the world is not sick, why not the medicine shelf full of dust" should be remembered the ancestor's legacy, the interests of the doctor can never be the goal of the pursuit.
Theoretically, it really shouldn't be taken, but in reality, everything needs money, and the overall social atmosphere is materialistic. Doctors are human beings and have their own lives to live. The first thing you need to do is to get your hands on some of the most popular products and services in the world, and you'll be able to do that.
No one can guarantee that every doctor will adhere to the medical ethics. In fact, objectively speaking, a little bit of red packet if you can stimulate the enthusiasm of the doctor, but also can make the doctor better into the operation treatment, is also a good result.
I'm afraid of the insatiable greed of the doctor, how much money can not satisfy his greed, received the money also do not properly see the patient, such a doctor will not only harm the patient, but also sooner or later by the money harm.
Which industry in the country does not have kickbacks and bribes? For drug rebates, especially domestic drugs (including proprietary Chinese medicines and Chinese medicine injections) drug rebates, in the manufacturers to do drug pricing has been reserved for this part of the cost of expenditure: generally speaking, the so-called channel development costs + salesman commission + billing commission that is, rebates, at least accounted for more than 45% of the winning price of the drug, which can be given directly to the doctor's billing commission of about 15-20% or so, and some of the Some varieties are even higher. Therefore, if the doctor does not take this part of the billing commission, basically into the salesman's purse, doctors and patients will not benefit! Therefore, the drugs (including consumables, instruments and equipment) rebate doctors take not to take, on the mercifully wise.
The so-called "rebate", roughly defined as: the product supplier according to a certain percentage of the purchase price of the product back to the seller's funds. This behavior is actually more suppliers in order to promote the seller in the same type of competition in the priority of recommending customers to buy the products provided by the supplier. Here we need to emphasize that: to provide "rebates", not all are illegal, and "rebates" in business activities is a common behavior.
In medicine-related business activities, suppliers generally refer to pharmaceutical manufacturers, medical device manufacturers, pharmaceutical companies, pharmaceutical products at all levels of agents, and so on, while the drugs or medical equipment or consumables, the seller not only includes doctors, but also pharmacies, hospitals, and even the local government's unified purchasing platform for drugs. As an example, hospitals can directly negotiate with pharmaceutical manufacturers for the "second bargaining", the so-called "second bargaining" is that hospitals sell drugs or consumables to patients according to the government bidding price of drugs or consumables that have been approved by the pharmaceutical manufacturers, but the pharmaceutical manufacturers can only pay back a certain percentage, and the excess can only be paid back to the patients according to a certain percentage, and the excess can only be paid back to the patients according to a certain percentage. The so-called "secondary bargaining" is the hospital in accordance with the pharmaceutical manufacturers have been approved by the government tender price of drugs or supplies sold to patients, but the pharmaceutical manufacturers can only be in accordance with a certain percentage of the return, and the excess of this part of the proportion of the price of the hospital directly access, in a sense, this part of the proportion of the price of the hospital is also considered to be a kind of "rebate.
For doctors, accepting the sponsorship of pharmaceutical manufacturers to participate in academic activities generated by the cost of academic lectures or exchanges in the academic conference organized by pharmaceutical manufacturers and the labor fees received in fact come from the sales promotion costs of pharmaceutical manufacturers, broadly speaking, can be counted as some form of "kickback", only This is within the realm of legality and compliance.
What the patients and their families hate is the fact that doctors ignore medical judgment and patients' conditions and pursue the benefits offered by pharmaceutical manufacturers, sacrificing patients' health for the sake of profit! But in fact, both the national administrative system and the medical control system of hospitals have been committed to reducing such things, and the system is also constantly being improved! As the saying goes, everyone has desires, and it's not the individual's willpower but a reasonable and effective system that controls the desires within a reasonable range!
The last point, the medical practitioner is also a social person, but also to support the family, money is very important, but must not be the most important! Not to be able to put the attitude of saving lives and helping people in the first place is not suitable to be a doctor, and people who want to make money should go to the sea to do business! The system can not clean up all the evils, but people are doing, the sky is watching ......
Do not take the kickbacks of the doctor is not necessarily a good doctor, the reason may be that the level of individuals or hospitals are too low, drug dealers lazy; either by peers marginalization of the (polarization of character, extremely high or extremely underhanded), or is the The interest in unit rebates has been monopolized. Kickback problem itself and the marketization of medicine along with the birth of foreign countries also have a kickback just the form may be hidden, but the soup does not change the medicine. Doctors who insist on not taking kickbacks is not necessary to praise the "saint", he does not take kickbacks just so that the drug companies make money for nothing only, they are willing to give the drug companies as a son or grandson can not kidnap all the counterparts. The current reality as long as a doctor to respect the actual condition, not to get kickbacks for the purpose of treatment to save lives can be. But how to judge the patient received is not excessive treatment, doctors treatment program to cure the disease as the center or to profit-oriented, God knows? There is no solution to this question. Pharmaceutical production and research and development to live, hospitals and doctors also want to live, pharmaceutical marketing behavior is bound to exist. After all, it has been marketized, after all, history has proved that the planned economy does not work, the road back can not go. Different classes of people in different industries should be well positioned themselves, life is important? Money is important? Conscience important? Do a good job of balancing, accept what you can accept. As a medical practitioner, I feel that conscience is important, so I should study the business of treating patients according to their illnesses, and not work for the drug dealers, and take the money that I should take.
The main reason is that there is a soil that produces kickbacks, and if the government eradicates the soil that produces them, there is no place for him to go to get the kickbacks, right? This is the medicine