Strictly investigate the hidden benefit transfer expert advice in the medical field

Set up a database of bad records in the medical and health system

  □ Reporter Chen Lei

  Recently, the website of the Central Commission for Discipline Inspection and the State Supervision Commission published an article stating that the transfer of hidden interests in the medical field will be strictly investigated.

  According to statistics compiled by a reporter from the "Rule of Law Daily", since the Central Commission for Discipline Inspection requested to carry out special rectification in the field of people's livelihood in January 2019, and to solve the problem of infringement of the interests of the masses in education and medical care, as of the end of January this year, the Central Commission for Discipline Inspection and the National Supervisory Committee's website review and investigation column have called a total of 12 leading cadres of the hospital were notified.

The number of leading cadres of hospitals notified and punished by other discipline inspection and supervision organs at all levels is far more than this.

In 2022 alone, dozens of leading cadres in hospitals were notified and punished.

  In this regard, the interviewed experts suggested that the Central Commission for Discipline Inspection and the National Supervisory Committee can issue special rectification work opinions on corruption in the medical field, and make medical corruption a key area of ​​supervision and accountability, and continue to carry out normalized supervision.

It is also necessary to continue to promote the reform of the regulatory system and mechanism in the medical field. Through centralized rectification, rectify the outstanding phenomena such as inadequate implementation of drug purchase and sales, new drug access, untimely drug delivery, doctors prescribing indiscriminately, and unreasonable medical examinations. Focus on solving the pain points and difficulties of medical treatment for the masses.

  Medical corruption corrupts the atmosphere

  Affect medical treatment and increase the burden

  Wang Binquan, former director of the First Hospital of Shanxi Medical University, failed to "land safely" after retiring.

  The content of the notification released on the website of the Central Commission for Discipline Inspection and the State Supervision Commission shows that Wang Binquan connives and tacitly allows relatives and friends to use his position and influence to seek benefits; Seeking profit and illegally accepting huge amounts of property.

  In September 2022, Shanxi's procuratorate instituted a public prosecution against Wang Binquan for accepting bribes in accordance with the law.

At present, the case is still in progress.

  Wang Binquan is one of the 12 hospital leading cadres who have been named, notified, inspected and investigated by the Central Commission for Discipline Inspection since January 2019 when the Central Commission for Discipline Inspection requested special rectification in the field of people's livelihood to solve the problem of infringing on the interests of the masses in medical care.

  In January 2019, the communiqué of the third plenary meeting of the 19th Central Commission for Discipline Inspection stated: Carry out special rectification in the field of people's livelihood, focus on the pain points and difficulties of the masses, and solve the problem of infringement of the interests of the masses in medical care and other aspects.

  In October last year, the 19th Central Commission for Discipline Inspection proposed in its work report to the 20th National Congress of the Communist Party of China to resolutely rectify unhealthy practices and corruption around the masses, including "continuous rectification of corruption and work style in education and medical care" .

Local discipline inspection and supervision agencies are actively implementing the deployment of the Central Commission for Discipline Inspection to strictly investigate medical corruption.

According to information statistics released by local discipline inspection and supervision committees, in 2022 alone, dozens of hospital presidents and vice presidents across the country will be investigated and investigated.

  In this regard, Peng Xinlin, a professor at the Law School of Beijing Normal University, said in an interview with reporters that since the 19th National Congress of the Communist Party of China, the Party Central Committee has vigorously rectified and continued to rectify corruption and unhealthy trends in the medical field.

Medical care is related to people's life safety and health. The medical field is one of the areas of people's livelihood that the people are most concerned about. Medical corruption and the resulting inflated prices of medicines and medical consumables, and excessive growth in medical expenses have damaged the industry and society. The social atmosphere increases the burden on patients and directly erodes the sense of gain, happiness and security of the masses.

  Deng Jinting, deputy director of the Anti-Corruption and Rule of Law Research Center at Renmin University of China, told reporters that corruption in the medical field is directly related to people's medical treatment and directly infringes on the interests of the people.

  The transfer of benefits is becoming more and more hidden

  Bribery means refurbished

  When discussing kickbacks, they choose to have an interview in a place without cameras; when accepting kickbacks, they choose to go on a suburban road without getting out of the car, and leave as soon as they receive the money. There is no verbal communication throughout the process.

  This is a case of concealed benefit transfer in the medical field disclosed in an article published on the website of the Central Commission for Discipline Inspection and National Supervision Commission on February 6. The protagonist of the case is He Xianwei, the former director of the Huzhong District People's Hospital in Daxinganling District, Heilongjiang Province.

  He Xianwei usually wears ordinary clothes and lives frugally, but in fact, he began to accept kickbacks from drug companies in June 2014.

He once took the initiative to contact He Moumou, the chairman of a certain pharmaceutical company in Heilongjiang Province, threatening "no kickbacks and no medicines", and finally agreed that He Moumou would give He Xianwei 15% of the total amount of medicines purchased by the hospital as a kickback.

  After that, He Xianwei followed the same pattern and reached out to accept kickbacks from the heads of the other two pharmaceutical companies. He also made an appointment to meet on the suburban road, and left without talking or getting out of the car to collect the money.

  In July 2021, when the discipline inspection and supervision agency was investigating another case, a briber took the initiative to confess that he had bribed He Xianwei.

  After the incident, investigations by the disciplinary inspection and supervision agencies found that He Xianwei received drug rebates and illegally intervened in hospital reconstruction and expansion projects during his tenure as the hospital director, and received a total of more than 3.7 million yuan in favors.

  As the title of this article published on the website of the Central Commission for Discipline Inspection and the State Supervision Commission says: Strictly investigate the transfer of hidden interests in the medical field.

As the investigation and punishment of corruption in the medical field continues to increase, the transfer of benefits in the medical field has gradually become concealed, and the means of bribery and bribery have been refurbished.

  For example, Ma Linkun, the former vice president of the Fuwai Cardiovascular Hospital in Yunnan Province, was willing to be "hunted" and enjoyed the adulation and flattery of illegal drug dealers. He used his power to purchase medical equipment, medicines, and consumables. Qualification is used as a bargaining chip, forming an interest alliance with illegal drug dealers for a long time, looking for middlemen to serve as "firewalls", acting as "shadow shareholders", colluding with internal and external parties to accept bribes and engaging in "option corruption".

  Deng Jinting believes that the society should pay enough attention to new types of corruption in the medical field. At the same time, discipline inspection and supervision agencies at all levels should maintain a normalized and high-pressure situation against medical corruption, especially hidden corruption, such as keeping a close eye on hospital drug procurement and bidding.

  Peng Xinlin found that with the deepening of the anti-corruption struggle and the resulting strong deterrence, the means of corruption in the medical field began to change forms.

For example, in the purchase and sale of medicines, both the bribery and the bribery take a "one-on-one" approach. Generally, there is no third person present when committing the crime. The bribery and the bribery conceal and protect each other for the common benefit, and the concealment is strong.

  According to Peng Xinlin's analysis, in addition to cash bribes in the name of "favor fee", "thank you fee", "kickback fee" and "publicity fee", there are also some new means and methods of bribery.

Some paid bribes in the name of paying handling fees, technical service fees, sales promotion fees, consulting fees, new product promotion fees, clinical research fees, and sponsoring industry seminars; Expenses for domestic and foreign travel, inspections, study activities, etc.

  Peng Xinlin believes that behind this, there is still a breeding ground for medical corruption in our country.

The frequent occurrence of corruption in the medical field is not only directly related to the fierce competition in the circulation of medicines, but also to factors such as the imperfect medical system, the supervision mechanism, and the difficulty in investigating and punishing corruption crimes in the medical field.

  Build a blacklist to ban

  Raise the cost of crime

  How to deal with medical corruption, especially strictly investigate the transfer of hidden interests in the medical field?

  Peng Xinlin believes that we should intensify the rectification of corruption crimes in the medical field, and form a strong deterrent with serious discipline and law enforcement. The working mechanism of situation notification, clue transfer, case investigation, information sharing and other joint cooperation forms a joint force of overall governance.

  He also called for exploring the establishment of a "database of bad records of bribery and bribery in the medical and health system", establishing and improving the prohibition and punishment system for bribers and bribers, and including medical staff who violated laws and regulations in the "blacklist". , Mandatory permanent withdrawal from the medical and health field, increasing punishment, increasing the cost of crimes committed by medical personnel, and fundamentally reducing the occurrence of corruption.

  "Strengthen the prevention mechanism of corruption in the medical field, and minimize the corruption crimes of medical personnel. According to the characteristics and laws of corruption crimes in the medical field under the new situation, analyze the causes of the cases and management loopholes, and target the places and links that are prone to corruption. Put forward preventive countermeasures in order to achieve the effect of effectively preventing corruption crimes in the medical field.” Peng Xinlin said.

  Deng Jinting's research found that at present, after the integrated management of public hospitals is implemented, the management authority of the hospital is concentrated on the "top leader". , while carrying out special rectification and high-pressure anti-corruption on medical corruption, it is necessary to promote the reform of the medical system as soon as possible and improve the supervision system for the "top leaders" of hospitals.

  Peng Xinlin pointed out that in response to corruption in the field of grain purchases and sales, the Central Commission for Discipline Inspection and the National Supervisory Committee recently issued the "Opinions on Deepening the Special Rectification of Corruption in the Field of Grain Purchases and Sales".

Regarding corruption in the medical field, we can also try to have the Central Commission for Discipline Inspection and the National Supervisory Committee issue special rectification work opinions, continue to carry out normalized supervision in the medical field, and guide discipline inspection and supervision agencies at all levels to implement centralized rectification, correct the implementation of systems such as drug purchase and sales, and new drug access. Not in place, untimely delivery of medicines, doctors prescribing indiscriminately, unreasonable medical examinations and other outstanding problems.

  In his opinion, in addition to maintaining anti-corruption forces in the medical field, it is necessary to deepen the reform of the medical system, gradually cancel the system of "supporting doctors with medicines", thoroughly promote the separation of medicines, and cut off the economic interest relationship between medical staff and medicines. Realize the transition from "supporting doctors with medicine" to "supporting doctors with medicine".

Standardize the procurement and use of pharmaceutical products and shield corruption.

  "Rule of Law Daily" February 20, 2023, Page 08