Self-examination report on unhealthy practices in the purchase and sale of medicines and medical services in health centers

Every action in medicine always involves two types of parties - doctors and patients, or more broadly, the medical community and society. Medicine is nothing more than a multi-faceted relationship between these two groups of people. "Due to the development of medical science and the transformation of the medical model, people have transformed from the traditional biomedical model to the biological, psychological, and social medical model. Sample 1 self-examination report on unhealthy practices in the purchase and sale of medicines and medical services in the health center:

According to the "Implementation Opinions of Xingtai City's 20xx Correcting Work on Corruption" (Ban Zi No. 20xx47) and "The Implementation Opinions of Xingtai City's 20xx Special Correcting Work on Correcting Unfair Practices in Pharmaceutical Purchase, Sales and Medical Services" (Xingwei Jiu No. 20xx6) According to the requirements and the specific arrangements of the city and county health bureaus, our hospital conducts self-examination on medicine purchase and sales and medical services. The self-inspection situation is summarized as follows:

1. Raise awareness and strengthen leadership

In order to strengthen the self-examination and self-correction work, the hospital has established a special rectification leading group headed by the president and secretary, and has a deputy full-time responsible for this work to formulate guidelines on outstanding issues in the purchase, sale and medical services of the hospital. The implementation plan of the special rectification work was organized and a meeting was held for all hospital staff to fully understand the importance of carrying out special rectification work and further enhance the sense of responsibility and urgency of doing a good job in rectifying medical problems and benefiting the people.

2. Educational guidance and atmosphere creation

The hospital combines reality and continues to carry out the activities of "Three Goods and One Satisfaction" and "Repair Medical Ethics, Strengthen Medical Capabilities, and Build Medical Soul" as carriers to vigorously carry out Medical ethics and social core value system education uses various forms such as electronic displays and bulletin boards to widely publicize special activities and deploy requirements to lay a solid foundation for carrying out special activities.

3. Clarify responsibilities. , to ensure effectiveness

The hospital signed a responsibility letter for work style construction goals with the heads of each clinical medical technology and functional departments, and signed a commitment letter for work style construction with all hospital employees to clarify the responsibilities of the special rectification work leading group and work closely. Focusing on the key contents of the special rectification, we will conscientiously carry out self-examination and self-correction, conduct regular supervision and inspections, and accept social supervision through the establishment of suggestion boxes, reporting hotlines, patient satisfaction surveys and other forms, and promptly implement rectifications and improvements for the problems discovered. During the activity, we combined special rectification work with work on correcting misconduct, "Three Goods and One Satisfaction", "Accountability for Governance", Civilization Creation, and Striving for Excellence, and strived to improve the hospital's service capabilities and standards.

4. Existing problems

Through self-examination and careful combing, we found that the outstanding problems in the purchase and sale of medicine and medical services are the most serious problems in our hospital, mainly in the following aspects:

1. In the process of diagnosis and treatment, a very small number of doctors use drugs unreasonably and write large prescriptions.

2. A small number of medical staff need to increase their awareness of proactive service for patients, which affects the overall hospital. Image.

3. Due to the small quantity of medicines used in our hospital, there is currently no online platform for drug purchase

5. Corrective measures

Targeted at self-examination. To solve the problem, the following rectification measures will be taken:

1. Pay attention to education and improve quality, and carry out laws and regulations and warning education in conjunction with the activities of "Three Goods and One Satisfaction", "Creating the First and Striving for Excellence" and "Repair, Strengthen and Forge" activities and medical ethics and medical style education, strengthen the star service concept, and carry out training on medical ethics, medical style, and doctor-patient communication throughout the hospital to further strengthen service awareness, enhance service capabilities, and optimize service processes.

2. Pay close attention to the system and strict management, adhere to the principle of giving priority to prevention and treating both the symptoms and root causes, strengthen professional training, guide medical staff to rationally use drugs, carry out reasonable inspections, and continue to adhere to the prescription review work. Increase penalties for unqualified prescriptions and form a warning mechanism for special governance work.

3. Pay close attention to supervision and strict discipline, continue to adhere to the night rounds system of hospital leaders, the star service daily inspection system, solicit the opinions of newly admitted patients within 24 hours and the telephone return visit system of discharged patients, and adhere to medical ethics. We conduct ward rounds, strictly supervise and inspect, continuously strengthen the internal management of the hospital, further improve the doctor-patient communication mechanism and complaint handling mechanism, smooth the communication and communication channels between doctors and patients, listen to patients' opinions and suggestions, and handle various complaints in a timely and effective manner. Form restrictive disciplines for special management work. Sample 2 self-examination report on unhealthy practices in the purchase and sale of medicines and medical services in health centers:

The province’s industrial and commercial system is based on its industrial and commercial administrative functions, conscientiously performs its supervisory duties, and carries out in-depth special governance to correct unhealthy practices in the field of medicine purchase and sales. , strengthen the investigation and handling of commercial bribery cases, further promote the rectification of medical advertising, effectively maintain the civilized and honest advertising market order, and achieve new work results.

1. Improve ideological understanding and strengthen organizational leadership

The province’s industrial and commercial system attaches great importance to the special management of corrective medicine and fully realizes that doing a good job in the special management of corrective medicine is not only to protect vulnerable groups in society The need for rights and interests is also the need to create a fair competitive market environment, and it is also the need to build a harmonious socialist society and enhance the sense of responsibility, mission and urgency for special governance work. The Provincial Administration for Industry and Commerce has included the special treatment work of correcting medical problems as an overall key law enforcement work. By formulating and issuing the "Implementation Opinions on the Special Work of Correcting Improper Practices in Medical Purchase, Sales and Medical Services in the Province in 2016", the law enforcement work meeting emphasized that separate law enforcement cases should be handled Annual work goals and other methods to further promote the work. Adhere to the working principle of "deployment, investigation and inspection", and continue to treat unfair competition in the pharmaceutical field as an important part of the daily supervision and law enforcement of industrial and commercial administrative agencies at all levels, including the province's industrial and commercial administrative supervision and law enforcement and fairness It is one of the overall tasks of transaction law enforcement and serves as one of the important indicators of performance evaluation. In daily work, various measures have also been taken to strengthen supervision and inspection. In the mid-term inspection of law enforcement work and the supervision of law enforcement effectiveness, the focus is on checking and understanding the situation of special governance work in the pharmaceutical field in various places.

2. Intensify investigation and handling of medical and drug-related cases in accordance with the law

(1) Continue to increase efforts to combat commercial bribery in the pharmaceutical field

All levels The industrial and commercial administrative organs closely follow the deployment of the central and provincial committees and the State Administration for Industry and Commerce, and combine the actual supervision and law enforcement to increase the investigation and handling of commercial bribery cases in the pharmaceutical field. The Industrial and Commercial Bureau of Yongchun County, Quanzhou opened a case to investigate and deal with the commercial bribery case of a pharmaceutical company in Yongchun County, Fujian Province, confiscating illegal gains of 84,608.8 yuan and imposing a fine of 50,000 yuan. The Quanzhou Municipal Administration of Industry and Commerce filed a case to investigate and handle five commercial bribery cases in the pharmaceutical field, including the suspected commercial bribery case of Quanzhou Aigme Rehabilitation Equipment Co., Ltd., with a case value of 320,000 yuan and a fine of 494,600 yuan. The Gulou District Industry and Commerce Bureau of Fuzhou City filed a case to investigate and deal with the bribery case of Gong Moumou to the Shadao Health Center in Hongfeng Village, Shangjie Town, Minhou County. The illegal income of 2,842.40 yuan was confiscated and a fine of 100,000 yuan was imposed. The Fuzhou Municipal Administration for Industry and Commerce also opened and investigated 6 cases including the suspected commercial bribery case of Fuzhou Rongshen Pharmaceutical Chain Co., Ltd. and the suspected commercial bribery case of Fujian Yiyoujia Pharmaceutical Chain Co., Ltd., which effectively deterred illegal commercial bribery in the pharmaceutical field.

(2) Carry out in-depth rectification work on medical advertisements

1. The monitoring of medical advertisements shall be implemented in place. The province's interconnected monitoring network realizes real-time monitoring and 24-hour uninterrupted recording of provincial and municipal radio and television media. At the same time, it comprehensively strengthens the monitoring of newspaper advertisements in the province, and its monitoring and early warning capabilities are greatly enhanced. From January to May, the province's industrial and commercial system monitored and inspected 949,400 advertisements of various types, and found 17,300 suspected illegal advertisements, with a total advertising violation rate of 1.82.

Among them, 83,200 drug advertisements were monitored and inspected, and 2,600 suspected illegal advertisements were found, with an illegal rate of 3.13; 527,100 medical advertisements were monitored and inspected, and 11,300 suspected illegal advertisements were found, with an illegal rate of 2.14; monitoring and inspection There were 180,400 health food advertisements, and 1,500 suspected illegal advertisements were found, with an illegal rate of 0.83.

2. The special campaign to rectify medical advertising has achieved remarkable results. One is to act quickly. Conscientiously implement the spirit of the "Notice of the State Administration for Industry and Commerce and other eight departments on carrying out special actions to rectify false and illegal medical advertisements" (Gongshang Guangzi [2016] No. 69), and quickly carry out special actions. The industrial and commercial departments at all levels in the province have carried out extensive publicity and mobilization work, and convened the heads of major media in the province to conscientiously convey and learn from the spirit of the national video and telephone conference on the special action to combat false and illegal medical advertisements, urge the media to consciously carry out comprehensive clean-up and self-examination, and immediately stop publishing illegal publications Pharmaceutical advertising. The second is effective rectification. Since the beginning of this year, the province's industrial and commercial system has investigated and punished 115 advertising cases involving fines of more than 10,000 yuan, with fines and confiscations of 3.21 million yuan. It has concentrated on investigating and punishing a number of illegal medical advertisements that have been repeatedly banned, published against the trend, and have serious violations. The third is regular exposure. Increase the exposure of illegal and false advertisements, use the Fujian Red Shield Network to promptly release advertising supervision information, publicize special actions to rectify false and illegal advertisements, and regularly expose a number of typical illegal and false advertisements. The fourth is comprehensive disposal. Comprehensive advertising monitoring, department transfer, acceptance of reports and other aspects of illegal advertising clues, carefully summarize, sort out, integrate, highlight key points, make overall plans, and adopt a variety of forms to handle them. Since the beginning of this year, the Provincial Administration for Industry and Commerce has sent 152 text messages, interviewed 12 media outlets, delivered 43 illegal advertising notifications, issued 2 illegal advertising warning announcements, ordered public corrections 6 times, and transferred them to the media authorities for supervision. Corrections were made 5 times, and 53 batches/cases were transferred for investigation and punishment, of which 19 cases have been filed for investigation and punishment, with a fine of 531,400 yuan.

Third, strengthen comprehensive management and pay equal attention to investigation and regulation.

First, rationalize functions. In accordance with the principle of "each fulfilling its own responsibilities and comprehensive management", our bureau will strictly investigate and deal with major cases in a divided and severe manner, actively expand the areas of law enforcement, and accelerate the construction of a market integrity system to further establish and improve a long-term mechanism for preventing and controlling commercial bribery. Fifteen specific projects stipulate the task decomposition and division of work of various functional agencies in promoting the construction of a market integrity system in the special work of combating commercial bribery, and establish a sound division of labor, collaboration, and joint advancement work pattern. The second is to speed up the informatization process. The province's industrial and commercial system has realized the networking of the law enforcement case management system and the enterprise credit classification supervision system, timely and accurately enters commercial bribery case information, promptly generates prompt information on commercial bribery illegal subjects in credit classification supervision, and guides grassroots industrial and commercial offices to increase the investigation of illegal subjects. Intensify inspections and return visits, and at the same time, regularly publish penalty information on illegal commercial bribery cases on the "Fujian Red Shield Network". The third is to strengthen departmental linkage. In conjunction with the drug supervision department, a three-month special rectification campaign was launched on drug advertising. The industrial and commercial bureaus at all levels in the province dispatched 8,097 law enforcement officers and 1,587 vehicles, inspected 3,321 drug business premises (times), and 752 advertising business units. 28 suspected illegal drug advertising cases were filed and investigated, with the amount involved being nearly 200,000 yuan. Illegal drug advertising in the province has been effectively curbed and good results have been achieved; a two-way blacklist transfer system has been established with the Department of Health, and the administrative A long-term supervision mechanism that organically combines punishment with business qualification management, and jointly carried out special rectification actions for medical advertisements, monitored 10,373 cases of various types of medical advertisements, and notified, warned, or filed for investigation and punishment of 725 cases of illegal and illegal medical advertisements. The fourth is to strengthen publicity and education. Timely notify all member units of the Provincial Advertising Joint Conference of relevant situations. We also vigorously publicized the special advertising rectification work through the Provincial Correcting Corruption Briefing Office and the Provincial TV Station's "Window for Correcting Corruption" column to expand social influence.

IV. Existing problems and next work plan

(1) Existing problems

1. Case information sharing mechanism is not perfect, commercial bribery cases Clues cannot be used effectively. It is recommended that industry competent (supervisory) authorities, procuratorial organs, disciplinary inspection and supervision departments, and industrial and commercial administrative authorities establish a system for transferring clues of commercial bribery cases, and according to the nature of the case, cases or clues of cases should be transferred to relevant functional departments in a timely manner for investigation and handling according to law.

2. Some media units do not conscientiously perform or even abandon statutory review responsibilities and obligations, resulting in repeated bans on illegal advertising and false propaganda. It is recommended that publicity departments and news authorities strengthen education on the media's obligation to perform advertising review, improve the media's awareness of self-discipline, and punish media that repeatedly fail to perform their review obligations and publish illegal advertisements by revoking their advertising license qualifications.

(2) Next step work plan

In the next step, our bureau will follow the "Fujian Province 2016 Special Implementation Plan for Correcting Improper Practices in Pharmaceutical Purchase, Sales and Medical Services" Requirements, based on functions, focusing on the issues that the people are most concerned about, most direct and most reflected on, adhere to the work policy of treating both symptoms and root causes and focusing on the root cause, increase the intensity of source control, and further carry out special treatment of unhealthy practices in pharmaceutical purchase and sales and medical services. , focus on doing the following work:

1. Rectify false and illegal medical and pharmaceutical stores. Focusing on advertisements for medical care, drugs, medical equipment, health food, and advertisements for health products claiming to have therapeutic effects published in newspapers, periodicals, radio stations, television stations, and relevant websites in the province, we will provide comprehensive treatment for functions and indications and health care functions that exceed the approval Six major categories of false and illegal advertisements, including all kinds of diseases, will be thoroughly investigated and rectified. Make full use of the provincial and municipal advertising monitoring systems to timely grasp the release of illegal medical advertisements, give full play to the early warning role of advertising monitoring, continuously improve the pertinence, scientificity and effectiveness of advertising supervision, and take corresponding regulatory measures based on the advertising monitoring situation. Strictly rectify false and illegal medical advertisements, further intensify law enforcement and case handling, ensure that false and illegal medical advertisements are investigated and those who violate the law must be investigated, and promote the continued improvement of the medical advertising market. Conscientiously implement the "Opinions on Strengthening the Supervision of Seriously Illegal Advertisements Released by Mass Media" jointly issued by the six provincial departments, strengthen the supervision of the media through public corrections, elimination of influence and other measures, and effectively perform the supervision of the release of pharmaceutical advertisements. Strengthen the transfer and connection between advertising administrative law enforcement and criminal justice, promptly transfer cases suspected of false medical advertising, and increase the punishment and deterrence of those responsible for false medical advertising.

2. Continue to increase the intensity of investigating and punishing commercial bribery in the purchase and sale of medicines. Take the control of commercial bribery in the economic field as an important part of the party and the country's anti-corruption work, and carefully investigate and deal with it focusing on food and drug safety, engineering construction, material procurement, resource development and distribution, finance, real estate, medical care, education, etc. Increase the investigation and punishment of commercial bribery to promote counterfeit and shoddy goods, strengthen the investigation and handling of commercial bribery cases involving non-state personnel, intermediary organizations and systemic industry unspoken rules, and strive to standardize and guide operators through case investigation and handling fair play.

3. Closely cooperate with relevant departments to form synergy. Give full play to the role of the joint meeting, strengthen the coordination and cooperation of relevant departments, and form a joint force in law enforcement. If the responsibilities of relevant departments are involved in the process of investigating false and illegal medical advertisements, the relevant departments are requested to take measures such as revoking the advertising approval number, suspending product sales, revoking relevant diagnosis and treatment subjects of medical institutions, and canceling the bidding qualifications of commercial bribery entities to form an overall synergy.