Medical anti-corruption upgrade: online and offline full compliance!

A few days ago, the National Health Commission, the National Medical Insurance Administration, and the State Administration of Traditional Chinese Medicine jointly issued the "Nine Guidelines for the Clean Practice of Staff in Medical Institutions" (referred to as the "Nine Guidelines"), which aims to standardize the practice of medical and health personnel and guide the formation of a clear wind.
The positive industry environment guarantees the high-quality development of medical and health undertakings
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The policy requires that medical and health personnel who violate the "Nine Guidelines" shall be resolutely investigated and punished by relevant departments according to the circumstances, and the implementation of the "Nine Guidelines" shall be included in the annual medical and health personnel assessment, medical ethics assessment, and regular physician assessment.
Provide warnings of violations such as unification, commercial commission, and excessive medical treatment for commercial purposes, and regulate online and offline drainage and referral, and Internet prescription behaviors
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Strictly supervise practice behaviors and crack down on violations of laws and regulations.
In recent years, under the storm of medical anti-corruption, banners in the hospital lobby, entrances of clinics, and doctors' offices have been affixed with slogans "No entry for medical representatives"
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At the beginning of August this year, the National Health Commission issued a notice stating that from 2021 to 2024, special actions to rectify "red envelopes" and rebates will be carried out, and various agencies suspected of transferring benefits will be severely punished, transferred clues, and industry banned.
Maintain a high-pressure attack on "red envelopes" and rebates
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According to the requirements of the "Nine Principles": It is strictly forbidden to use the practice to issue a commission; it is strictly forbidden to reorganize the government for commercial purposes; it is strictly forbidden to over-treatment and over-examination for the purpose of simply increasing the income of medical institutions or for personal gain; Accept donations from stakeholders in the name, or under the guise of the unit, and treat patients differently based on this; It is strictly forbidden to solicit or accept gifts, cash gifts, consumer cards, securities, equity, and other financial products from patients and their relatives and friends; Participate in the banquets or travel, fitness, entertainment and other activities arranged, organized, or paid for
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It is worth noting that with the implementation of policies such as volume procurement, total cost control, and zero markup in the in-hospital market, out-of-hospital retail pharmacies, medical e-commerce, Internet hospitals and other out-of-hospital market channels have received more and more attention from supervision.

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This "Nine Guidelines" also regulates the behavior of prescriptions outside the hospital: Except for other medical institutions in the medical consortium where the hospital is located, and designated retail pharmacies that are included in the "dual channel" management of medical insurance, it is strictly forbidden to arrange patients to other designated locations Purchase medical supplies and other products; it is strictly forbidden to sell goods or services to patients for personal gain; it is strictly forbidden to accept expenses related to the prescription and dispensing of Internet companies
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With the implementation of anti-corruption inspections by the competent authorities, the frequency and intensity of supervision and other measures, medical institutions and medical staff must not be greedy or dare not to be greedy
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It is not difficult to foresee that under the escalation of compliance pressure and tremendous changes in market game rules, policy changes and market transformation are forcing pharmaceutical marketing behavior to return to academic standards, and pharmaceutical companies that cannot achieve compliance marketing will inevitably suffer a heavy blow from supervision
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There is no money to bring, no way to unify.
The gold model will eventually die.
Due to the gold sales, medical system and mechanism problems, and the level of medicine used by clinicians, the phenomenon of irrational drug use in China has existed for a long time
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In the past, a large number of "magic drugs" that "did not cure the disease and were not fatal" have achieved "blockbuster" one after another
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For this reason, the drug regulatory authorities have been increasing the monitoring of drug abuse
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In recent years, the reform of the medical insurance payment system has accelerated, and medical insurance funds are used for drugs with high clinical value, reasonable prices, and better meeting basic medical needs.
The control of drugs that are prone to abuse is facing increasingly stringent compliance supervision
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In October last year, the State Food and Drug Administration issued a notice announcing the monitoring of drug abuse in 100 medical institutions, including a large number of comprehensive hospitals
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These hospitals were selected after expert review and served as national drug abuse monitoring sentinels, further improving China's drug abuse monitoring system
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The "Nine Guidelines" propose: strictly abide by the principle of good faith, do not participate in fraudulent insurance, rational use of medical security funds in accordance with laws and regulations, abide by medical insurance agreement management, and inform medical insurance patients whether the medical services provided are within the scope of payment stipulated by medical insurance
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It is strictly forbidden to induce or assist others to seek medical treatment, purchase drugs, provide false certification materials, collude with others to falsely issue expense documents and other means to defraud or arbitrarily obtain medical security funds
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The “red line” of the rational drug use policy has begun to affect the accelerated reshuffle of the Chinese pharmaceutical market
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Due to the tightening of various policies and restrictions on medical behaviors, it is becoming more difficult for corporate personnel to contact clinicians, and financial penetrating supervision makes it more difficult to withdraw expenses.
When there is no money to bring and no control, sales with money The model will eventually die out
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The top-level design of the new medical reform is precisely a systematic and destructive strike against this traditional marketing model
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The industry generally believes that the abolition of drug markups and the reform of payment methods have gradually increased the price of medical services, and the increase in income of medical institutions is also changing the past model of relying on large prescriptions and large inspections
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Nine Guidelines for the Clean Practice of Staff in Medical Institutions 1.
Remuneration is legally based on work, and commercial commissions are not accepted
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Remuneration based on labor in accordance with laws and regulations
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It is strictly forbidden to use the convenience of practice to issue a commission; it is strictly forbidden to unify the prescription for commercial purposes; except for other medical institutions in the medical consortium where the hospital is located, and designated retail pharmacies under the management of medical insurance "dual-channel" management, it is strictly forbidden to arrange patients to other designated Places to purchase medical supplies and other products; it is strictly forbidden to sell goods or services to patients for personal gain; it is strictly forbidden to accept expenses related to the prescription and dispensing of Internet companies
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2.
Strictly abide by the principle of good faith and do not participate in fraudulent insurance
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Use the medical security fund reasonably in accordance with laws and regulations, comply with the management of the medical insurance agreement, and inform the medical insurance patients whether the medical services provided are within the payment scope stipulated by the medical insurance
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It is strictly prohibited to induce or assist others to seek medical treatment, purchase drugs, provide false certification materials, collude with others to falsely issue expense documents and other means to defraud or arbitrarily obtain medical security funds
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3.
Practicing medicine in accordance with norms and not over-diagnosing and treating
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Strictly implement various rules and regulations, and explain the condition and medical measures to patients during diagnosis and treatment activities
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It is strictly forbidden to over-treatment and over-examination for the purpose of simply increasing the income of medical institutions or seeking personal gain, which will increase unnecessary risks and expense burdens on patients
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4.
Comply with the work rules and accept donations in compliance with the regulations
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Accept donations in accordance with laws and regulations
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It is strictly forbidden for staff of medical institutions to accept donations from stakeholders in the name of individuals or under the guise of units, and treat patients differently based on this
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5.
Abide by the confidentiality guidelines and not divulge the privacy of patients
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Ensure the safety of patient information in the hospital
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It is strictly forbidden to illegally collect, use, process, transmit, disclose, and trade the personal data provided by patients in medical institutions and the medical information generated
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6.
Obey the needs of diagnosis and treatment, and refrain from referral to patients for profit
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Provide medical information and use medical resources based on the needs of patients in an objective, fair and reasonable manner
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Except for normal referrals in the medical association, it is strictly forbidden to introduce and guide patients to designated medical institutions through online or offline channels for the purpose of seeking personal benefit
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7.
Maintain the order of diagnosis and treatment and not undermine the fairness of medical treatment
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Adhere to the principle of equality and jointly build a fair medical environment
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It is strictly forbidden to use medical resources such as number source, bed source, shortage of medicines and consumables, or diagnosis and treatment arrangements such as examinations and operations to receive benefits and harm the public
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8.
Build a harmonious relationship together and don't accept "red envelopes" from the affected party
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Abide by medical ethics and strict self-discipline
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It is strictly forbidden to solicit or accept gifts, gift money, consumer cards, securities, equity, and other financial products from patients and their relatives and friends; it is strictly forbidden to participate in banquets arranged, organized, or paid for, or arrangements for travel, fitness, entertainment and other activities
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9.
Abide by the bottom line of communication and do not accept corporate rebates
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Abide by the law and practice honestly
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It is strictly forbidden to accept rebates in any name or form by companies or distributors that produce and operate medical products such as medicines, medical equipment, medical equipment, and medical sanitary materials; it is strictly forbidden to participate in banquets or travel, fitness, entertainment, etc.
arranged, organized or paid by them Activity arrangement
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Staff in medical institutions, including but not limited to health professionals, management personnel, logistics personnel, and other social practitioners who provide services in medical institutions and accept medical institution management, shall comply with the relevant requirements of the "Nine Guidelines" and obey management , Strictly enforce
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The staff who violate the above requirements shall be dealt with in accordance with the management authority in accordance with laws and regulations
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Violation of laws and regulations and other relevant provisions and compliance with statutory penalties can be based on the Basic Medical Hygiene and Health Promotion Law of the People’s Republic of China, the Law of the People’s Republic of China on the Prevention and Control of Infectious Diseases, the Social Insurance Law of the People’s Republic of China, and the Public Welfare of the People’s Republic of China Donation Law, Physician Law of the People’s Republic of China, Drug Administration Law of the People’s Republic of China, Regulations on Nurses, Regulations on the Prevention and Handling of Medical Disputes, Regulations on the Supervision and Administration of the Use of Medical Security Funds, and Interim Measures for the Management of Medical Security by Medical Institutions Measures such as ordering corrections, giving warnings, giving relevant personnel or departments to suspend or terminate medical insurance settlement, recovering medical security funds, confiscation of illegal income, imposing fines, suspension of prescription rights, or practice until the revocation of the practice certificate, etc.
, To hold relevant institutions and personnel accountable in accordance with the law; in accordance with the "Labor Contract Law of the People's Republic of China" and "Interim Provisions on the Punishment of Institutional Staff" and other measures, such as dissolution of labor contracts, warnings, demerits, downgrading of posts, dismissal, and expulsion are given, Relevant personnel shall be dealt with in accordance with the law; according to the "Code of Conduct for Practitioners of Medical Institutions" and other provisions, the work unit shall give criticism and education, cancel the qualifications for evaluation and evaluation of the current year, or underemploy, postpone employment, dismissal pending, dismissal, etc.
Deal with it in accordance with the law
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If relevant personnel violate party and political disciplines, they shall be transferred to the disciplinary inspection and supervision agency for party discipline and government sanctions; if a crime is suspected, they shall be transferred to the judicial agency for investigation of criminal responsibility
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The person in charge of a medical institution that frequently violates the "Nine Standards" or causes other serious consequences such as bad social impacts shall be held accountable in accordance with relevant regulations
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