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揭秘跨国公司赠医疗设备黑幕:两三年回本

来源: 南方日报网络版     时间: 2019年10月20日 21:39:58
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(  新)(华)(社)((记)(者)(周)(凯)()近)(期)(采)(访)(部)(分)(医)(院)(、企)(业)(发)(现)(,“免)(费)(赠)(送)(设)(备)(,捆)(绑)(使)(用)(耗)(材)(”几)(乎)(已)(成)(所)(有)(检)(查)(医)(疗)(设)(备)(跨)(国)(公)(司)(抢)(占)(中)(国)(市)(场)(的)(营)(销)(模)(式)(。这)(种)(模)(式)(虽)(然)(让)(医)(院)(免)(费)(获)(得)(了)(先)(进)(医)(疗)(设)(备)(,但)(是)(却)(将)(高)(昂)(的)(成)(本)(转)(嫁)(给)(了)(病)(人)(和)(医)(保)(资)(金)(。这)(种)(模)(式)(的)(暴)(利)(程)(度)(令)(人)(咋)(舌)(,对)(刚)(起)(步)(的)(国)(产)(高)(端)(医)(疗)(器)(械)(行)(业)(产)(生)(了)(巨)(大)(冲)(击)(。
  随)(着)(我)(国)(医)(改)(的)(推)(进)(和)(医)(保)(全)(覆)(盖)(,我)(国)(已)(成)(为)(世)(界)(最)(大)(的)(高)(端)(医)(疗)(器)(械)(消)(费)(国)(之)(一)(。然)(而)(,统)(计)(数)(据)(显)(示)(,由)(于)(我)(国)(相)(关)(产)(业)(起)(步)(较)(晚)(,进)(口)(品)(牌)(占)(据)(了)(我)(国)(高)(端)(医)(疗)(器)(械)(市)(场)(近)(90%的)(市)(场)(份)(额)(。
  近)(年)(来)(,部)(分)(国)(产)(高)(端)(医)(疗)(器)(械)(开)(始)(崭)(露)(头)(角)(,以)(较)(低)(的)(价)(格)(、便)(利)(的)(售)(后)(服)(务)(抢)(回)(了)(部)(分)(市)(场)(。以)(血)(液)(透)(析)(机)(为)(例)(,目)(前)(我)(国)(已)(有)(五)(六)(家)(企)(业)(能)(够)(生)(产)(血)(透)(机)(,打)(破)(了)(国)(外)(品)(牌)(的)(垄)(断)(。但)(是)(,刚)(起)(步)(的)(国)(产)(血)(透)(机)(行)(业)(生)(存)(环)(境)(十)(分)(恶)(劣)(。重)(庆)(一)(家)(设)(备)(生)(产)(商)(负)(责)(人)(介)(绍)(,此)(前)(一)(些)(跨)(国)(公)(司)(通)(过)(高)(额)(回)(扣)(、赞)(助)(学)(术)(会)(议)(、寻)(找)(“官)(二)(代)(”作)(为)(代)(理)(商)(等)(方)(式)(,对)(相)(关)(部)(门)(官)(员)(、医)(护)(人)(员)(进)(行)(商)(业)(贿)(赂)(,在)(招)(投)(标)(过)(程)(中)(搞)(暗)(箱)(操)(作)(;如)(今)(,跨)(国)(公)(司)(变)(得)(更)(高)(明)(,通)(过)(“免)(费)(向)(医)(院)(赠)(送)(设)(备)(、要)(求)(医)(院)(使)(用)(专)(属)(耗)(材)(”的)(营)(销)(新)(模)(式)(抢)(占)(市)(场)(,用)(耗)(材)(盈)(利)(。
  新)(一)(轮)(医)(改)(以)(来)(,公)(立)(医)(院)(硬)(件)(条)(件)(大)(大)(改)(善)(,但)(由)(于)(政)(府)(投)(入)(不)(足)(,多)(数)(公)(立)(医)(院)(负)(债)(较)(严)(重)(。因)(此)(,“免)(费)(赠)(送)(设)(备)(,捆)(绑)(使)(用)(耗)(材)(”的)(模)(式)(很)(受)(医)(院)(欢)(迎)(。但)(是)(,以)(血)(透)(机)(为)(例)(,捆)(绑)(使)(用)(耗)(材)(价)(格)(每)(套)(比)(普)(通)(耗)(材)(至)(少)(高)(100元)(,按)(照)(一)(台)(机)(器)(一)(天)(能)(帮)(4个)(患)(者)(进)(行)(透)(析)(、一)(年)(工)(作)(300天)(计)(算)(,跨)(国)(公)(司)(一)(年)(就)(可)(多)(收)(耗)(材)(费)(至)(少)(12万)(元)(—而)(目)(前)(一)(台)(进)(口)(血)(透)(机)(价)(格)(只)(有)(12万)(元)(至)(15万)(元)(。
  值)(得)(注)(意)(的)(是)(,这)(种)(营)(销)(模)(式)(的)(协)(议)(一)(般)(签)(约)(10年)(,跨)(国)(公)(司)(收)(回)(机)(器)(成)(本)(后)(剩)(下)(的)(七)(八)(年)(都)(在)(盈)(利)(,暴)(利)(程)(度)(可)(见)(一)(斑)(。记)(者)(在)(采)(访)(中)(得)(知)(,一)(个)(尿)(毒)(症)(患)(者)(每)(年)(大)(概)(需)(要)(使)(用)(160套)(血)(透)(机)(耗)(材)(,按)(照)(医)(保)(报)(销)(政)(策)(“病)(人)(自)(己)(付)(15%,医)(保)(付)(85%”估)(算)(,病)(人)(要)(多)(付)(2400元)(以)(上)(,医)(保)(要)(多)(付)(13600元)(以)(上)(。
  我)(国)(血)(透)(行)(业)(起)(步)(晚)(,设)(备)(和)(耗)(材)(生)(产)(是)(分)(开)(的)(,而)(跨)(国)(公)(司)(则)(是)(设)(备)(和)(耗)(材)(一)(体)(化)(生)(产)(,这)(种)(营)(销)(模)(式)(对)(我)(国)(血)(透)(行)(业)(会)(造)(成)(致)(命)(打)(击)(。据)(介)(绍)(,跨)(国)(公)(司)(大)(概)(在)(2010年)(开)(始)(采)(用)(这)(种)(营)(销)(模)(式)(,主)(要)(集)(中)(在)(大)(医)(院)(,但)(现)(在)(已)(延)(伸)(到)(区)(县)(级)(医)(院)(,近)(几)(年)(公)(开)(招)(投)(标)(因)(此)(越)(来)(越)(少)(。2010年)(,国)(产)(血)(透)(机)(占)(市)(场)(份)(额)(10%左)(右)(,现)(在)(不)(到)(3%。
  记)(者)(在)(采)(访)(多)(家)(公)(立)(医)(院)(时)(发)(现)(,包)(括)(生)(化)(、基)(因)(测)(序)(、免)(疫)(等)(需)(要)(耗)(材)(、试)(剂)(的)(检)(验)(检)(查)(医)(疗)(器)(械)(,跨)(国)(公)(司)(均)(采)(用)(“免)(费)(赠)(送)(设)(备)(,捆)(绑)(使)(用)(耗)(材)(”的)(方)(式)(抢)(占)(市)(场)(。我)(国)(除)(骨)(科)(关)(节)(、心)(脏)(支)(架)(等)(少)(数)(高)(值)(耗)(材)(纳)(入)(了)(招)(标)(范)(围)(外)(,多)(数)(低)(值)(耗)(材)(不)(需)(要)(招)(投)(标)(,这)(种)(商)(业)(模)(式)(抓)(住)(了)(我)(国)(医)(疗)(器)(械)(招)(投)(标)(制)(度)(的)(漏)(洞)(,规)(避)(了)(国)(家)(规)(定)(的)(医)(疗)(设)(备)(招)(标)(程)(序)(和)(法)(律)(监)(督)(,还)(存)(在)(利)(益)(输)(送)(等)(腐)(败)(行)(为)(。
  跨)(国)(公)(司)(采)(用)(的)(这)(种)(营)(销)(模)(式)(,严)(重)(扰)(乱)(我)(国)(医)(疗)(市)(场)(秩)(序)(,增)(加)(医)(保)(资)(金)(支)(出)(,加)(大)(患)(者)(负)(担)(,沉)(重)(打)(击)(民)(族)(医)(疗)(器)(械)(产)(业)(,违)(反)(《反)(不)(正)(当)(竞)(争)(法)(》、《反)(垄)(断)(法)(》、《政)(府)(采)(购)(法)(》和)(《招)(投)(标)(法)(》,重)(视)(这)(一)(问)(题)(并)(及)(时)(治)(理)(已)(刻)(不)(容)(缓)(。
  北)(青)(追)(访)(
  医)(院)(辅)(助)(检)(查)(设)(备)(“租)(赁)(”已)(成)(行)(规)(
  北)(京)(青)(年)(报)(记)(者)(了)(解)(到)(,目)(前)(不)(少)(三)(甲)(医)(院)(的)(检)(验)(科)(室)(,确)(实)(存)(在)(“仪)(器)(捆)(绑)(耗)(材)(”的)(情)(况)(,不)(过)(具)(体)(的)(操)(作)(模)(式)(为)(双)(方)(签)(订)(“租)(赁)(”合)(同)(,合)(同)(金)(额)(则)(以)(每)(年)(最)(低)(消)(费)(配)(套)(试)(剂)(或)(者)(其)(他)(耗)(材)(的)(方)(式)(实)(现)(。
  仪)(器)(寿)(命)(短)(售)(价)(高)(
  医)(院)(更)(倾)(向)(于)(“租)(赁)(”
  以)(检)(验)(科)(为)(例)(,一)(台)(进)(口)(生)(化)(分)(析)(仪)(或)(者)(其)(他)(设)(备)(的)(成)(本)(价)(大)(约)(在)(100多)(万)(元)(,设)(备)(厂)(家)(一)(般)(会)(与)(院)(方)(签)(订)(一)(份)(6年)(左)(右)(的)(租)(赁)(合)(同)(,只)(要)(每)(年)(保)(证)(消)(费)(80万)(元)(到)(100万)(元)(的)(试)(剂)(款)(,合)(同)(到)(期)(后)(,这)(台)(机)(器)(就)(可)(以)(免)(费)(赠)(送)(给)(医)(院)(使)(用)(了)(。不)(过)(据)(相)(关)(人)(士)(分)(析)(,以)(大)(型)(三)(甲)(医)(院)(为)(例)(,一)(般)(情)(况)(下)(,仪)(器)(的)(使)(用)(寿)(命)(大)(约)(为)(4年)(。因)(此)(,绝)(大)(多)(数)(情)(况)(下)(,医)(院)(都)(会)(在)(合)(同)(尚)(未)(结)(束)(的)(情)(况)(下)(就)(要)(求)(仪)(器)(厂)(家)(重)(新)(投)(放)(新)(的)(设)(备)(,这)(也)(成)(为)(了)(有)(些)(厂)(家)(抱)(怨)(投)(放)(设)(备)(并)(不)(太)(挣)(钱)(的)(原)(因)(之)(一)(。
  一)(名)(仪)(器)(厂)(家)(的)(负)(责)(人)(表)(示)(,其)(实)(很)(多)(时)(候)(,大)(医)(院)(设)(备)(的)(更)(新)(会)(给)(他)(们)(带)(来)(不)(小)(的)(经)(济)(压)(力)(。“一)(般)(情)(况)(下)(,4年)(之)(内)(院)(方)(肯)(定)(要)(求)(换)(新)(设)(备)(,不)(过)(由)(于)(其)(从)(投)(放)(开)(始)(,一)(切)(的)(维)(护)(,保)(养)(经)(费)(都)(是)(厂)(家)(承)(担)(,配)(件)(全)(部)(是)(进)(口)(的)(,所)(以)(一)(台)(设)(备)(实)(际)(的)(运)(行)(成)(本)(远)(超)(过)(造)(价)(本)(身)(,基)(本)(接)(近)(200万)(元)(,其)(中)(的)(利)(润)(也)(就)(没)(有)(纸)(面)(上)(那)(么)(大)(。”他)(说)(道)(。
  厂)(家)(投)(放)(仪)(器)(
  看)(医)(院)(耗)(材)(量)(
  随)(着)(现)(在)(很)(多)(医)(院)(规)(模)(越)(来)(越)(大)(,需)(要)(各)(类)(仪)(器)(的)(科)(室)(也)(比)(原)(来)(有)(了)(大)(幅)(度)(的)(增)(加)(,不)(过)(北)(青)(报)(记)(者)(调)(查)(发)(现)(,厂)(家)(具)(体)(在)(哪)(些)(医)(院)(的)(哪)(些)(科)(室)(投)(放)(多)(少)(台)(仪)(器)(,还)(是)(要)(看)(医)(院)(的)(整)(体)(规)(模)(,换)(言)(之)(,只)(要)(厂)(家)(觉)(得)(能)(够)(保)(证)(试)(剂)(量)(的)(消)(费)(,这)(台)(机)(器)(就)(是)(值)(得)(投)(的)(。
  一)(家)(三)(甲)(医)(院)(的)(检)(验)(科)(医)(生)(告)(诉)(北)(青)(报)(记)(者)(:“不)(同)(的)(厂)(家)(有)(不)(一)(样)(的)(考)(虑)(,有)(些)(认)(为)(每)(天)(50-60个)(标)(本)(量)(就)(能)(够)(回)(本)(的)(,厂)(家)(有)(可)(能)(就)(直)(接)(跟)(医)(院)(谈)(了)(,有)(些)(觉)(得)(只)(有)(超)(过)(每)(天)(150份)(标)(本)(才)(能)(有)(利)(润)(的)(,可)(能)(就)(会)(找)(一)(些)(上)(规)(模)(或)(者)(门)(诊)(量)(更)(大)(的)(医)(院)(。”
  租)(赁)(仪)(器)(也)(靠)(招)(标)(
  厂)(家)(拿)(到)(大)(医)(院)(订)(单)(不)(易)(
  北)(青)(报)(记)(者)(在)(调)(查)(中)(还)(发)(现)(,和)(其)(他)(很)(多)(医)(疗)(领)(域)(中)(存)(在)(“招)(标)(”黑)(幕)(不)(同)(的)(是)(,其)(实)(这)(些)(仪)(器)(厂)(家)(都)(是)(通)(过)(院)(方)(举)(办)(的)(正)(式)(招)(标)(会)(才)(拿)(到)(的)(资)(格)(。对)(此)(,该)(医)(生)(表)(示)(其)(实)(很)(多)(时)(候)(厂)(家)(拿)(到)(这)(个)(所)(谓)(的)(“标)(书)(”真)(的)(很)(不)(容)(易)(,他)(们)(不)(但)(要)(从)(各)(个)(方)(面)(去)(战)(胜)(其)(他)(竞)(争)(对)(手)(,本)(身)(代)(理)(国)(外)(品)(牌)(的)(质)(量)(是)(否)(真)(的)(过)(硬)(,口)(碑)(是)(否)(真)(的)(世)(人)(皆)(知)(也)(是)(很)(重)(要)(的)(一)(点)(。
  “虽)(然)(厂)(家)(到)(底)(投)(多)(少)(台)(在)(我)(们)(医)(院)(不)(由)(我)(们)(说)(了)(算)(,但)(其)(实)(院)(方)(本)(身)(,或)(者)(说)(具)(体)(到)(科)(室)(本)(身)(还)(是)(非)(常)(挑)(剔)(的)(,不)(少)(科)(室)(都)(出)(现)(过)(一)(个)(周)(期)(后)(重)(新)(换)(品)(牌)(的)(情)(况)(,其)(中)(很)(主)(要)(的)(原)(因)(就)(是)(这)(个)(试)(剂)(或)(者)(这)(个)(仪)(器)(用)(的)(不)(顺)(手)(,或)(者)(真)(的)(在)(最)(终)(结)(果)(的)(权)(威)(性)(上)(受)(到)(质)(疑)(,我)(们)(会)(坚)(决)(地)(更)(换)(。”
  相)(关)(阅)(读)(:医)(疗)(腐)(败)(
  揭)(秘)(:业)(内)(揭)(秘)(医)(疗)(腐)(败)(:有)(医)(生)(每)(月)(药)(品)(回)(扣)(能)(拿)(一)(万)(多)(
  设)(备)(黑)(幕)(:揭)(秘)(跨)(国)(公)(司)(赠)(医)(疗)(设)(备)(黑)(幕)(:两)(三)(年)(回)(本)(
  此)(前)(报)(道)(:外)(媒)(称)(外)(资)(医)(疗)(设)(备)(商)(涉)(嫌)(贿)(赂)(被)(调)(查)(工)(商)(总)(局)(否)(认)(
  曝)(光)(企)(业)(:西)(门)(子)(医)(疗)(部)(门)(被)(曝)(行)(贿)(遭)(查)(涉)(案)(医)(院)(达)(1000家)(
  反)(腐)(:医)(疗)(行)(业)(反)(腐)(升)(级)(41家)(医)(院)(被)(列)(入)(巡)(查)(名)(单)(
)


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