Jiangxi Yichun Municipal People's Procuratorate recently on the Gannan Medical College, the former party secretary Huang Linbang suspected of bribery crime investigation, which medical equipment, supplies bribery bribery has become the focus of the case. In the investigation of the case learned that behind the kickbacks and other corruption is alarming, the pattern is also constantly refurbished. Experts warned that when the vigilance of the "medicine to support the doctor" into "to check, consumables to support the doctor.
How deep is the water in the field of equipment and supplies?
The interview was informed that Huang Linbang case implicated a number of cadres involved in corruption, its default, support and even encourage a number of relatives to meddle in personnel arrangements, engineering projects and medicines, medical equipment, equipment and other medical supplies purchases, which, some of the unscrupulous businessmen will be consumables and equipment such as substantial mark-ups in the sale of some consumables margins as high as 10 Department.
How deep is the water in the field of equipment and consumables? In this regard, Jiangxi, a tertiary hospital specifically in charge of this area of the vice president confessed that he was from the medical 30 years can not figure out. Restricted by the medical reform, every 100 yuan of medical income in the supplies accounted for no more than 20% of the provisions of the vice president of the provincial and municipal bidding prices, and then the second bargaining, the results found that even if the bidding price of 10 yuan of supplies, to the last 1 yuan can also be sold.
"As long as they are willing to do, it means no loss of money, only not so much room for rebates." The associate dean said.
A consumables distributor told reporters that not only hundreds of millions of dollars worth of medical equipment, even some inconspicuous swabs, gauze, masks, may also become a medical representative and unscrupulous medical personnel "fat meat in the mouth".
On October 2017, the Intermediate People's Court of Ji'an City, Jiangxi Province, heard the case of Liu Yongbing, deputy director of Ji'an County People's Hospital, who used his position to facilitate the illegal acceptance of other people's property. It was found that from July 2013 to July 2015, Zhang, a medical equipment supplier, gave Liu Yongbing 50,000 yuan in cash in four installments in order to obtain Liu Yongbing's support for his business of purchasing medical equipment such as cotton swabs, gauze, and masks supplied to the hospital.
Liu Yongbing case is not an individual case. The reporter combed through and found that the profiteering drive, coupled with clinical routine, long-term, large number of use, so that the field of consumables corruption cases present nest case, series of cases, large cases and other characteristics.
In the case of Huang Linbang, Gannan Medical College and its affiliated hospitals, a number of team members of the long-term acceptance of business owners of property, Gannan Medical College, the first hospital attached to the former director of the Qiu Yuequn and the former head of the Audit Section Zhong Xingming suspected of serious violations of discipline under review by the organization, the amount of money involved in the case is huge, hundreds of cadres, medical staff to accept the pharmaceutical representatives "kickbacks "
How much goodwill did the free delivery of equipment settle for?
A practitioner of more than 10 years of medical supplies dealers told reporters that a consumables factory price of 7 yuan, sold to the hospital at least 4 times more than the formation of the purchase price, generally about 30 yuan, which in the middle, to take out the 30 yuan of 15% to the medical staff to do kickbacks.
Consumables rely on volume, equipment procurement is more of a hammer deal, and there is a "foreign pandering" phenomenon. An industry insider revealed that even if the domestic can fully meet the clinical needs of suppliers and hospitals are more willing to choose to import, its main purpose is not to pursue more advanced equipment, but the price of imports is not transparent, relative to domestic more convenient to seize the maximum benefit.
A medical equipment supplier told reporters that in this process, the supplier's agent in the hospital, in advance of the company to provide equipment parameters as the bidding parameters, in order to form an exclusive agent, and there will not be too much price competition. Case officers, in the Huang Linbang this corruption nest case, part of the equipment procurement price than the average market price of millions of dollars.
Doesn't there exist price competition between foreign brands? In the face of the reporter's question, the supplier said a deeper relationship, foreign brands in the domestic agents often cooperate with each other, in the form of accompanying the bidding with each other, dividing the equipment procurement market cake. "This is also a great impact on the national brand."
But these practices exist to maintain the "relationship cost" is high, once the supplier's interests in the hospital agent position changes, we must re-establish the relationship. As a result, some vendors are giving away equipment for free, but using "invisible" supplies and tests to make longer-term money.
"It's impossible to use a piece of equipment for just three or five years." The supplier said, many equipment-specific supplies are irreplaceable, and some even set up programs, once the replacement of reagents, supplies, equipment will automatically lock. Thus, a free equipment gift, coupled with long-term rebates, by which the hospital can be tied to a boat.
No matter whether there is no indication must do the test?
A second-class hospital in Jiangxi has commissioned a market organization since 2015 to verify the hospital's CT room and nuclear magnetic **** vibration room every month, and in the earliest stage found that the positive rate of the test was only 40%. "That is to say that 10 patients have a CT, and only 4 are actually found to have a problem. Some departments will ask for one regardless of whether the patient has an indication or not." A staff member at this marketing agency said.
The staff member said that CT examinations belong to category C in the health insurance catalog, and patients first have to pay 15 percent out-of-pocket, under which they are reimbursed and end up shelling out more than 300 yuan each time.
What is more noteworthy is that behind some of the checks there is also a "kickback" incentive for consumables. The reporter consulted the Chinese referee documents network found, Fuyang City, Anhui Intermediate People's Court in July 2016, a case, a local hospital CT magnetic **** vibration room, deputy director of Tu Moumou and six medical equipment companies orally agreed to the CT room to use the above supply company's medical equipment or medicines, the above companies have given a certain amount of CT room kickbacks. From 2009 as CT magnetic **** vibration room deputy director to the crime, TuMouMou on behalf of the CT room to accept the supply company kickbacks *** total 1.3.48 million yuan.
Fu Hongpeng, a researcher at the National Health Development Research Center of the National Health Planning Commission, told reporters that the abolition of the drug markup, strict control of the proportion of drugs, the reform of public hospitals to make the field of drugs corruption has been curbed to a certain extent, but the hospital's scientific operation of the compensation mechanism, in line with the characteristics of the industry's personnel compensation system has not yet been established to guard against "hold down the gourd up the ladybird! "The first time I saw this, I was in the middle of a long journey, and I was so happy to see you.