Relevant news of Changning traditional Chinese medicine hospital

The income of refusing to give kickbacks is lower than that of janitors.

The news that six doctors and their work units in the outpatient department of Changning Hospital of Traditional Chinese Medicine in Hunan Province went to court spread like wildfire. More interestingly, six medical students collectively submitted a report material reflecting the "shady" of the hospital to the relevant departments of provinces and cities-a report entitled "The Appeal of the Right to Existence". What are the little-known secrets behind the sharp contradiction between some doctors and hospital management in this hospital? On May 29th, 2006, six doctors from Changning City Hospital of Traditional Chinese Medicine, including Zhang Houxing, Xie, Yin Xiaoping, Tang, Yuan and Zhou, applied to Changning City Labor Dispute Arbitration Committee for arbitration, demanding that the hospital reissue the "performance salary that has been deducted for three years".

Prior to this, the six of them had repeatedly reported the problems of Changning Traditional Chinese Medicine Hospital to the Hunan Provincial Health Department and other provincial and municipal departments in the form of real-name reports. In addition to reflecting the irrationality of the "economic management plan" formulated by the hospital in 2004, the six people also pointed their finger at sensitive topics such as hospital drug procurement and doctors' billing commission.

In the Report on the Right to Survival, Zhang Houxing and other six people spent nearly 2,000 words attacking the unreasonable phenomenon in the hospital. The words in the article are fierce, such as "whoever is ruthless will be able to attack patients with heavy punches and achieve excellent economic indicators, who will enjoy the high bonus brought by billing commission and the courtesy of taking their spouses abroad for sightseeing". "The hospital leaders are so enlightened that they have given the green light to drug dealers and approved dozens of drugs with kickbacks and expensive prices to enter the hospital pharmacy". Three envelopes marked with detailed medication records are evidence that Zhang Houxing and others reported that medical representatives paid bribes to doctors.

On the front of an envelope, the list of commissions written to a doctor is: Xin Li 3×6= 18, V Jialin× 4, Yi Tixin× 4, Jianxin× 4, and the total amount 18 yuan. Zhang Houxing explained that the number before the multiplication of each variety is the billing quantity, and the number after the multiplication is the commission amount (yuan). After the medical representative gets the prescription list in the pharmacy, he will fill in the number of prescriptions prescribed by each doctor in the prepared formula and then calculate the total amount. The doctor who got this envelope only prescribed 3 boxes of Lixin pills that month, from which he could get a commission of 18 yuan. "Of course, this is just the doctor's commission. As for how many medicines other doctors have prescribed, outsiders don't know. " Zhang Houxing said.

Many pharmaceutical companies not only write rebate drugs and invoice commission directly on the envelope, but also print another computer list and put it in the envelope with the money to the doctor. "So when the doctor gets the envelope, it will be clear at a glance." Zhang Houxing said. It is understood that the fuse that triggered the conflict between hospitals and doctors originated from the Economic Management Plan that came into effect in 2004.

In the Economic Management Plan of Changning Traditional Chinese Medicine Hospital in 2004, the hospital stipulated that "the total income of doctors should be deducted from the total expenditure, and the rest should be paid in proportion, including 50% for internal medicine (including outpatient and emergency obstetrics and gynecology) and 25% for surgical series." "Outpatient doctors are counted separately." In the section of "Dealing with Related Problems", the salary of "the staff with poor tasks and low economic income who go out to Man Qin" is calculated as "income ≤ expenditure+basic salary", and only basic salary is paid.

According to this plan, six people, including Zhang Houxing, who worked in the outpatient department all the year round, only received basic salary for three consecutive years, and there was no performance salary. Zhang Houxing and others believe that hospitals are non-profit public welfare institutions and cannot link economic income with doctors' work treatment like industrial and commercial enterprises. As long as you do your job conscientiously and do not have medical accidents, you should enjoy the bonus treatment of the hospital.

According to the "economic management plan" formulated by the hospital, the bonus of ordinary employees is calculated and distributed at 80% of the average bonus, while doctors who "have not completed the task" will not get the "performance award". "There is a strange phenomenon!" Zhang Houxing said: "Our attending doctors have fallen to the point where even handyman and janitor are inferior." "We have to pay at least 6,000 yuan less than them a year!" Zhang Houxing said frankly: "Take me as an example, I can see 1800 to 2,000 patients a year. If I prescribe CT for half of the patients, I can increase my income by 200,000-300,000 yuan every year, and this figure will increase if I count the commission I can get from the drugs I prescribe for patients who exceed the standard. In this case, I can not only get performance pay, but also travel abroad. " "But, I can't do this! Like many patients, I come from the countryside. Seeing that they are so difficult, I just try my best to help them treat their diseases, and I have no conscience and dare not empty their money. "

Zhang Houxing said that there are three main reasons why most doctors in outpatient clinics can't get performance pay: First, some doctors are unwilling or unwilling to slaughter customers and prescribe drugs to patients without exceeding the standard; Second, the price of drugstore is many times more expensive than that of drugstore supermarket. After the patient got the prescription, he went directly to the outside pharmacy to buy medicine, which led to the loss of the prescription. Third, there are some medical care providers in the society who drag patients from hospitals to black clinics in the society, resulting in the loss of the source of the disease.

In May this year, six doctors applied to Changning Labor Dispute Arbitration Committee for arbitration after their application to the hospital for reissue the average performance salary was not responded. "It's really helpless to go to court with your own hospital!" While sighing, the six doctors said that they would continue on the road of safeguarding rights.

(According to "Legal Weekly")