With the nationwide spread of centralized procurement, the water content of consumables is squeezed, and the space for rebates is becoming smaller and smaller.

1. The means of taking kickbacks tend to be hidden

Recently, the official website of the Central Commission for Discipline Inspection of the People's Republic of China released the article "On Controlling Bribery in the Medical Field", which attracted many people's attention. The content directly refers to the withdrawal of deductions, commissions, gratitude fees and other acts in the medical industry. It also pointed out that bribery in the medical field has been repeatedly prohibited, and it is urgent to address the problem.

The article points out that, according to the cases investigated and dealt with in recent years, bribery means in the medical field are characterized by various innovations, frequent frequency and huge amount of money.

In the investigation, it was found that in some regions, drug "rebate" sales became an open secret, and the rebate ratio of products was negotiated in advance. A medical representative admitted that he used a rebate of about 45% of the drug price to attract secondary agents related to the hospital to open the sales channel.

In the past, the common bribery method was to give red envelopes and shopping cards in the name of "building a good relationship" and "thanking for care". With the strengthening of supervision, bribery means have become more hidden, such as hiring a nurse for a doctor, helping children go to school, or listing bribes as consulting fees, promotion fees, etc.

2. Enterprises often use industry practices to justify

"Because the operation right of whether drugs and instruments can enter the hospital and sell more and sell less is in the hospital, some enterprises do not hesitate to spend a lot of money to carry out bribery public relations for the relevant responsible persons who have the decision-making power. Therefore, most of the bribe takers investigated and dealt with are hospital leaders, department heads with prescription power or backbone medical personnel." The article points out.

Among them, the "key minority" of hospitals has become the "main target" of pharmaceutical enterprises.

The director of a hospital in Guangxi has long accepted the emotional investment of Lin, a medical equipment supplier. From dinner to the down payment and decoration of the villa, Lin goes everywhere. In return, Linmou's medical equipment products such as linear accelerator, ECT, color Doppler ultrasound successfully entered the hospital.

The director of a consulting management company of a pharmaceutical enterprise in Beijing pointed out that the frequent occurrence of bribery in the pharmaceutical field has something to do with the relatively light punishment of bribery, even if it is investigated and punished, in addition to the fact that the medical staff themselves have lost their bottom line of integrity.

According to the search on the official documents website, from 2013 to December 2019, there were more than 3000 bribery cases in the medical field. However, the punishment mainly focuses on the bribery of medical personnel, and rarely involves pharmaceutical enterprises. In the process of investigating and handling the case, the briber and the bribe acceptor often use conventions, hidden rules and other excuses to justify their actions.