In May this year, the National Health Commission and 14 other departments issued the "Notice on Printing and Distributing the Key Points for Correcting Unhealthy Trends in the Field of Pharmaceutical Purchase and Sale and Medical Services in 2024", which includes 5 parts and 15 items. The local level has also successively issued the key points for correcting unhealthy trends in 2024. Judging from the above-mentioned "Notice" issued by Shanghai, the key points for Shanghai's corrective work in 2024 are basically consistent with the national documents, and some new content has also been added, totaling 5 parts and 18 items. The "Notice" clearly states that the city's centralized rectification of corruption in the pharmaceutical field and the centralized rectification of unhealthy trends and corruption around the masses should be carried out in a coordinated manner, and the construction of systems in the field of pharmaceutical purchase and sale should be promoted in depth and in a coordinated manner. Focusing on pharmaceutical corruption, this year's anti-corruption document directly points out various forms and names of interest transfers and incorporates them into the key points for correcting unhealthy trends. It points out that we should focus on key links and increase the intensity of disposal. We will keep a close eye on the risks in the power-concentrated, capital-intensive, and resource-rich pharmaceutical field, such as project procurement, catalog compilation, price determination, project application, new drug application, and payment settlement, and focus on commercial bribery and false invoices, false transactions, fictitious activities, and other forms of illegally diverting funds for illegal activities, and maintain a high-pressure crackdown. We will strictly investigate illegal and irregular behaviors in bundled sales and "gold-carrying sales" in the form of various conferences, donations, scientific research cooperation, and experimental promotion. We will focus on the problem of receiving kickbacks in the name of academic lectures, outsourcing inspections, outsourcing prescriptions, and online prescriptions, and the problem of taking advantage of one's position to ask for and illegally accept property. Focus on the management of the "key minority" and key positions of medical institutions such as "famous hospitals" and "famous doctors", and focus on punishing those who use their own business or instruct their relatives and friends to "eat from doctors" and accept kickbacks from suppliers; focus on corruption problems in the determination of categories, preparation of bidding documents, illegal intervention in bidding and other aspects of the procurement of medical equipment, drugs and consumables, as well as hidden corruption problems in drug clinical trials, and take "platform lectures" and "table meetings" as entry points to adhere to the "integration of corruption and corruption" governance, and thoroughly rectify the behavior of accepting disguised benefits from pharmaceutical companies. The "Notice" points out that we must insist on investigating both bribery and corruption, and focus on investigating and punishing illegal acts such as multiple bribery, huge bribery, and bribery to multiple people by pharmaceutical companies and individuals. Explore the implementation of the "blacklist" system for bribers and establish a joint punishment mechanism for bribers. New working methods will provide a powerful weapon for the implementation of anti-corruption work. The "Notice" points out that we should make good use of working methods such as inspections, audit supervision, statistical investigations, complaints and reports, big data analysis, self-examination and self-correction, and focus on "penetrating" supervision and "case-based" supervision of problem clues. In addition to continuing the national documents, Shanghai also specifically pointed out that "smooth channels for complaints and reports, establish and improve a working mechanism for collecting, verifying, investigating and handling complaints and reports, and ensure that all complaints are investigated". In addition, Shanghai also proposed to organize special inspections on purchased self-paid drugs, consumables, outsourced genetic testing, and prescriptions of Chinese medicine slices in outpatient clinics of traditional Chinese medicine medical institutions. Seriously carry out flight inspections in the city, achieve comprehensive coverage of all districts, and strengthen follow-up supervision of subsequent rectification.

Since last year, the anti-corruption in the pharmaceutical industry has swept the industry with thunder. The "Interpretation of the Notice on Issuing the Key Points for Correcting Unhealthy Trends in the Field of Pharmaceutical Purchase and Sales and Medical Services in 2024" released on the official website of the National Health Commission this year pointed out that we must always adhere to a strict tone, strict measures, and a strict atmosphere, focus on the "key minority" and key personnel, deepen the governance of "corruption and wind integration", and keep a close eye on specific problems and continue to increase pressure. On September 26, the official website of the Central Commission for Discipline Inspection published an article entitled "Secretary Talks | Strive to Protect the Health Rights and Interests of the People", which pointed out that in the field of medicine, problems such as power rent-seeking, fraud and insurance fraud, and relying on doctors for food still occur from time to time. We must be tenacious and persistent on the road forever, make precise efforts, and strike hard to continuously purify the political ecology and industry ecology in the field of medicine. It is mentioned that in the field of medicine, we must focus on key areas, key positions, important work, and important links, keep a close eye on key people and key matters, deepen and expand the results of the centralized rectification of corruption and unhealthy practices in the field of medicine, effectively connect with the centralized rectification of unhealthy practices and corruption around the people, investigate and deal with a number of key cases, solve a number of outstanding problems, and improve a number of institutional mechanisms, and promote the transformation from individual case removal and key punishment to system rectification and overall governance. In the current anti-corruption in medicine, with the help of diversified means, multiple departments have made precise efforts in key areas, key positions, and important links. With the support of information technology, anti-corruption in medicine has become more refined. For example, the Discipline Inspection and Supervision Commission of Beihai City, Guangxi, found that the income of many medical staff was abnormal through data collection and modeling analysis. It is reported that Guangxi has strictly investigated typical cases, focusing on violations of discipline and law such as poor supervision, abuse of power for personal gain, dereliction of duty, and interest transfer in the medical field, and has uncovered clues of problems in recent years. At the same time, information technology means such as big data have been used to collect clues to lay a solid foundation for case investigation. Since the beginning of this year, the supervision of the procurement of pharmaceutical equipment and lecture fees has not been reduced. On September 14, the official website of the Central Commission for Discipline Inspection released the "Mid-Autumn Festival and National Day Node, Severely Stop the Unhealthy Trend of Illegal Gifts" and once again named the problem of receiving and giving gifts in the name of lecture fees, project fees, consulting fees, etc. It is reported that in September this year, Xie, director of the Imaging Department of Zhijin County People's Hospital in Guizhou Province, received a serious warning within the party and a demerit in government affairs. In preparing for academic exchange activities, he illegally accepted sponsorship from three management service objects, received sponsorship funds of 153,400 yuan through his personal bank card, obtained 2,000 yuan in funds by giving a 10-minute lecture as an expert and serving as the host of the event, and used the sponsor's funds to purchase 9,360 yuan of wine and drinks for dinner. In the future, precise efforts to combat corruption in the medical field will further clean up chaos in the industry.

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