The Central Commission for Discipline Inspection reports: the health center's medical examination fraud

"Isn't this fiction? It's so annoying."

On April 9, the website of the State Supervision Commission of the Central Commission for Discipline Inspection published an article "Inspection Micro Story | The Tricky Behind the Qualified Medical Examination Report", exposing the fraudulent medical examination of a township hospital.

Falsified medical examinations in the health center and relevant persons in charge were dealt with

● Laboratory technicians are on leave, but the physical examination items have results

Soon after the second inspection team of the Nike County Party Committee of the Xinjiang Uygur Autonomous Region entered the Kalasu Township Health Center, Xiao Wang found the team leader Alisaiti Nurseti and reported: "I checked the attendance list of medical staff in the laboratory of the health center. During the National Day last year, laboratory technicians were on a shift, but all the physical examination items on the report had results."

So the inspection team immediately convened a meeting and arranged for the inspection team's cadres to review the national medical examination files of the health center one by one. After two days of comparison and analysis, it was found that there was indeed a problem of fraud from the files.

To further find out the truth, the inspection team verified the staffing situation of the laboratory of the health center and determined that the laboratory of the health center had only one staff member who was on a shift during the National Day last year and was not on duty.

● Pour the collected urine directly into the trash can

Subsequently, the inspection team retrieved video surveillance images from the laboratory and found that the laboratory technician was not on duty during National Day. The urine collected by the health center was dumped directly into the trash can without sampling for testing.

"Isn't this falsification? It's so annoying." The cadre of the inspection team was surprised and angry.

So the inspection team transferred clues about this issue to the county commission for discipline inspection.

● The relevant person in charge of the health center is punished

After an investigation by the County Commission for Discipline Inspection and Supervision, Yimou undertook the national physical examination and laboratory work in the township. To save time and effort to complete the task, he directly filled in the word "qualified" on the physical examination report without testing the people's urine.

In the end, Pa and Yi, the deputy director of the Karasu Township Health Center, received serious warnings from the party.

Subsequently, the inspection team issued the "Notice of Establishing and Reforming the Inspections Found Problems" and ordered the health center to conduct a pre-physical examination of the people involved.

At the same time, the inspection work leading group of the county party committee issued an inspection opinion letter to the county health and health committee in charge, requesting the county health system to learn from one another, learn from one another, and strictly investigate fraud in the mass medical examination, and resolutely prevent the national medical examination from being "drifted".

Behind the fake medical examination is the lack of resources of the health center

This is not the only case in the health center for falsification of medical examinations. In the past, there have been many cases of notification and sanctions for falsification.

Falsification is wrong and needs to be warned and dealt with accordingly, but the occurrence of this phenomenon reflects not only the malfeasance of the responsible persons but also the lack of medical resources in the township hospitals.

Lack of professional talents:

There are no substitutes, and it is difficult for the health center to have both

In the above case, there is only one laboratory technician in the entire hospital, and no one is on duty. Once on leave, the laboratory cannot be carried out.

In peaks such as National Day and Spring Festival, residents are all at home. This is a good time for physical examination and follow-up. However, the staff of the health center also need to take vacations. In the case of insufficient professional talents and no one to shift work, they must be allowed to work. Personnel working overtime may suspend the work of public health and family doctors, but this affects the progress of the completion of the indicators, so health centers are often unable to achieve both.

Especially at the time of the inspection, the indicators must be completed and the doctors and nurses are too busy, so the fake phenomenon of "pouring the urine into the trash can" will naturally occur.

However, strengthening the allocation of professional talents cannot be achieved overnight. It requires many changes at the grassroots level. Remuneration and the future are all immediate issues. Especially in poor and remote areas, it is even more difficult to retain talents.

The director of a hospital in a remote mountainous area in Diqing, Yunnan, once told the grass-roots physician commune that new talents would come to the hospital, but he only used this as a springboard and would jump to the big hospitals in Kunming and even the central and eastern regions in a few years. . Even if the treatment is in place, young people prefer to develop in good cities and big hospitals.

The future is something young doctors care more about than treatment. In some poverty-stricken areas, with the support of the state, the treatment of talents in health centers is not low, but they are far inferior to large hospitals in terms of professional development and promotion.

Therefore, if the grassroots want to retain talents, they must open up a good career development path for talents, so that professionals can see hope.

The equipment is not in place:

One biochemical analyzer collects thousands of blood samples in a short time

As early as July 2018, the Commission for Discipline Inspection of Yongding District, Zhangjiajie City, Hunan Province notified a health center of medical examination fraud.

The investigation team obtained the health records of the elderly in the health center and found that the test results of alanine aminotransferase, aspartate aminotransferase, triglyceride, and other tests items in the blood test reports of many people were the same. After checking, it turned out that the same blood test report was registered under multiple names.

After the facts were ascertained, the Yongding District Health and Family Planning Bureau gave Wang Jun a serious warning, Li Yuquan, a senior file management specialist, and Fan Hongxiang, the head of the public health team, dismissed Huang Tao, the director of the functional department. Four related personnel were dealt with by interviews and exhortations.

After understanding, this hospital needs to collect more than 1,000 blood samples in just a few days because the inspection time is approaching, which is almost impossible to complete. Because there is only one biochemical analyzer in the hospital that can test the collected blood samples, only about fifty or sixty blood samples can be tested every day.

As a result, they collected a total of 1,004 blood samples from the elderly in just 8 days. Only 292 blood samples were tested. The remaining 712 blood samples were directly treated as medical waste without testing. Falsified treatment on the medical examination list.

With insufficient staff, insufficient equipment, tight time, and heavy tasks, the health center eventually "committed crimes." The behavior is wrong, but the reason behind the behavior is worth thinking about.

Some indicators are too high:

Divorced from reality and spawned fraud

As we all know, public health and family doctors have index requirements for each contract. Through continuous improvement of policies in recent years, the index setting has been relatively reasonable, and the phenomenon of data fraud has been further reduced. However, in a few areas, there are still phenomena that index setting is out of local reality.

Some jurisdictions have a large population and it is relatively easy to complete the indicators, but if they are concentrated for some time, they will face the pressure of time-critical tasks; some jurisdictions have a small population, although the tasks are not heavy, the indicators are difficult to complete. This requires local governments to formulate indicators based on specific conditions, not only considering space but also time, to adopt measures to local conditions and time conditions.

If the indicators are divorced from reality, it can only lead to fraudulent behaviors of finding loopholes and exploiting loopholes.

Therefore, behind the fraud of the health center, we are strictly investigating and punishing the malfeasance of relevant personnel on the one hand, and on the other hand, we must ponder the reasons behind the phenomenon to prescribe the right medicine.