I. Strengthen the construction of medical ethics and build a psychological defense against the temptation of kickbacks.
Morality is the root of personality, moral training is the basic means of crime prevention. Morality because of its edification function, has been in the practice of crime prevention plays an important role. Moral training, is a sound personality of social training and self-cultivation activities, but also can weaken or exclude the formation of the intrinsic causes of crime, can inhibit, eliminate the formation of the process of criminal motivation. In this sense, strengthening the construction of medical ethics and improving the moral quality of medical personnel are the initial and final means of crime prevention. Doctors' greed psychology is not inherent and unchanging, it can be formed under certain conditions of criminal behavior, but also in good education can be transformed and eliminated. And decide the direction of the change of the doctor's greed psychology, is a person's outlook on life and worldview. If the correct outlook on life, world view dominate the human psyche, human behavior will be in the direction of health, beneficial direction; on the contrary, if the incorrect outlook on life, world view dominate the development of the human psyche, human behavior will be in the direction of the development of crime. The current social environment and the state of medical style to people create some illusions: some believe that the degradation of medical ethics is an inevitable phenomenon in the reform, the construction of medical ethics can not stop the degradation of the trend; some believe that as long as the medical technology to go up to cure the disease and save the life of the people is a great virtue, a good can cover up a hundred ugliness, the construction of medical ethics of the other virtual work can be dispensable. Therefore, hospitals and doctors are committed to improving professional skills, are committed to improving economic efficiency. Moreover, the construction of medical ethics itself rigid model is difficult to adapt to the requirements of the social development situation, to solve practical problems, over time, medical ethics construction was put on the shelf. Now, the wind of kickbacks intensified, medical personnel have been investigated and punished, hospitals and doctors image in the eyes of the public in a dive, some hospitals only to find the wolf. However, it is not too late to mend. Hospitals should seize the prosecuting authorities to investigate and deal with cases, many medical personnel y shocked by the time to comprehensively strengthen the construction of medical ethics, and effectively improve the medical ethics of medical staff, build up a psychological defense against the temptation of kickbacks. At the same time, we must realize that the construction of medical ethics is a complex, systematic project, should be spring and rain, perseverance.
Two, purify the market environment, remove the black hearted pharmaceutical industry to send kickbacks.
The root cause of the unorganized competition in the pharmaceutical market, lies in the production and sale of too many companies too indiscriminately. The reason why a considerable majority of pharmaceutical companies to send kickbacks through the means of obtaining trading opportunities, often because of their own innate insufficiency, strength is not good, in the normal market competition is difficult to survive. Therefore, for companies that will enter the pharmaceutical and equipment market, the implementation of a high threshold market access system; for companies that have entered the pharmaceutical and equipment market, we must guide their integrity, to limit the space for the pharmaceutical industry with a record of bribery activities; on the poor track record of the company, we must resolutely remove. In the market access system, the key is to establish strict and clear market access conditions, as soon as possible to revise China's pharmaceutical production and operation of quality management standards, and further improve the threshold of entry into the industry, from the source to control the low level of duplication of construction problems. The drug production link is also the source of the drug circulation chain, the quality and price of drugs have a great role in determining.
Therefore, the root of the strict access system is to strictly control the number of new enterprises, strictly control the conditions of new pharmaceutical enterprises, strict approval of new drugs, the establishment of a complete front-end review procedures and standards for new drugs on the market, to prohibit the fake new drugs through the transformation of profiteering, and to improve the technical threshold of market access. In February of this year, the Central Office and the State Office jointly issued the Opinions on Carrying Out Special Work on Combating Commercial Bribery, requiring health and pharmaceutical administrative departments at all levels to establish a "blacklist" system of bribe-paying enterprises, and canceling their participation in bidding for medicines and medical equipment within two years for those enterprises that are included in the "blacklist". All enterprises on the "blacklist" will be disqualified within two years from participating in bidding for medicines and medical equipment, and medical institutions will not be allowed to purchase their products. The "blacklist" system is an effective measure to control commercial bribery at source, and will certainly have a positive effect on the control of pharmaceutical rebates. At the same time, I think the relevant departments should also vigorously guide the integrity of the pharmaceutical industry, you can consider the establishment of the pharmaceutical industry integrity file, scientific evaluation of the integrity of the pharmaceutical industry, and integrity as a reference, in the procurement bidding and bidding in the high integrity of the pharmaceutical industry to pay priority to win the right to bid. In addition, those who simply do not have the basic conditions of production and operation, counterfeiting, serious pollution, no hope of reversing the loss, or habitual bribery, repeatedly into the "blacklist", according to the law to end its market qualification, resolutely out of the pharmaceutical market.
Three, the reform of the pricing system, to suppress the high price of drugs left by the rebate space.
Establishment of the enterprise production cost monitoring system, the implementation of cost management information process of the entire monitoring of the production enterprises, to solve the problem of information asymmetry between the pricing department and enterprises. The average social advanced cost level as the basis for pricing, standardize the cost composition of drug prices. Establishing a hearing system for drug pricing, realizing the transparency and scientific nature of drug pricing through hearings, and determining the final approved price. Make full use of market price information to constantly correct government pricing. Establish a fully functional drug pricing supervision and management organization, realize the integrated management of drug pricing department and new drug approval department, and jointly set up an auditing organization for drug pricing by the drug pricing management department, quality cost monitoring department and the management organization responsible for the approval of new drugs, market access, and formulation of operation protocols, so as to audit the price of drugs and establish a perfect drug pricing supervision and management system.
Fourth, the implementation of the separation of medicine, the social pharmacy full competition to replace the hospital pharmacy directed rebates.
Separation of medicine is the core of the reform of the medical and health system and difficult, but even more difficult to push in this direction, as soon as possible to implement the separation of medicine, from the source to cut off hospitals, doctors and pharmaceutical operations between the economic interests of the link, to ensure that the doctor treats the disease, the right medicine, this is the inevitable choice of the reform of the medical and health system. The implementation of the separation of medicine and the transformation of hospital pharmacies into social pharmacies has played a major role in lowering the prices of medicines due to the fuller competition in social pharmacies, especially the emergence of a large number of affordable pharmacies. Facts have proved that the prices of medicines in social pharmacies are indeed much lower than those in hospital pharmacies. Under the current situation where medicine is not separated, because of the monopoly of hospitals, many production and sales enterprises prefer to give up the social pharmacy market in order to keep the big market of hospitals, but do not hesitate to flatter the hospitals and doctors, and even sell drugs only to hospital pharmacies. If the separation of medicine, the hospital drug market naturally end, patients have full freedom of choice to buy drugs, can be compared to choose a lower price pharmacy to buy, so that the pharmaceutical representatives, hospital pharmacies, doctors, the chain of kickbacks between the three will be cut off.
Fifth, the construction of a large monitoring network, a comprehensive curb on medical kickbacks.
Local health departments are both the administrative departments of hospitals, and administrative supervision, local health departments and hospitals have cut and cut, but also messy relationship of interest. Obviously, in the treatment of medical kickbacks, the health sector is in an awkward position, both want to combat the rectification, but also worried about too many medical kickbacks affect the performance of the health sector. Moreover, relying only on the top-down supervision of the health sector line, relying only on health administrative law enforcement power, inevitably lose in negligence, lose in soft, not enough to deal with the rampant trend of medical kickbacks. We should strengthen the administrative supervision of health on the basis of the further construction of society as a whole, the supervision of social organizations, the National People's Congress organs, discipline inspection and supervision, the judiciary, the news media, and at the same time to enhance the social market checks and balances, constraints on the ability of the pharmaceutical industry, not only on the hospitals, doctors, pharmaceuticals, but also on the administrative departments of health, the drug regulatory authorities to equally strengthen the supervision of the fundamentals of curbing the medical kickbacks.