Yunnan hospital labor bag must stay in hospital can't shop without checking | package _ news
Original title labor package must buy shopping is not in the hospital for a checkup--Yunnan hospital forced consumption survey
Xinhua News Agency, Kunming, May 18-question: the package must be in the hospital can't shop without checking--Yunnan hospital forced consumption survey
Xinhua News Agency, "Xinhua perspective" good reporters He Chun, Wang Jinyuan
Maternity care bags, baby bags, these goods are provided for the convenience of patients in hospitals. "Xinhua viewpoint" journalists in some hospitals of Yunnan province found that store monopoly in hospital, medical staff became a promoter, doctors require patients to purchase specified goods, not shopping do not do inspections.
Labor bag, baby bag do not buy not, doctors door charge
The morning of April 7, second affiliated hospital of Kunming Medical University Hospital obstetric delivery room doors are frosted glass door labeled "delivery powerhouse, the prohibition of admittance", in front of around a dozen women family members.
9:50, a female nurses from the maternity ward to open the door, its printed gown left breast "affiliated hospital of Kunming medical operating room" words, not wearing hats, masks and gloves. She shouted to the crowd: "Xu Jingfen family! "" Here. "A man dressed in a white shirt quickly move forward in unison.
"Show me the money! It's $ 725. "The man handed over the prepared a stack of money, the medical staff point out and say:" will change for you. "He returned to the delivery room.
Xu Jingfen's family told reporters that the doctor requires the purchase of baby and labor money, "there were hold, diaper, absorbing towel and so on, most of us are where they are, but the doctors are not allowed to use. ”
After a while, maternal family members of Liu Qian was called forward, pass this health care workers two bag is dark blue, light blue, this is they bought earlier in the hospital. "You have to buy in advance the two bags, or may miss things. "Liu Qian said of her husband, wife timed out before entering the delivery room b, obstetric ultrasound room doctor asked her if he had purchased the package. "I said no, she said, I bought to make a b-. I bought back in line again downstairs to the canteen, b-singles out amniotic fluid broke. "Liu Qian said of her husband.
According to reporter 1 hour's observation, the delivery room doctor multiple times to open the door to collect money, or receiving family bought in advance of labor. In the meantime, a nurse with a laden cart pulled a pile of packages into the delivery room. Many families told reporters, doctor to the hospital canteen is explicitly required to purchase both packages. "More expensive, a lot of things don't. "A family said. Another family aside quietly complained: "wives on the inside lay, you dare not make you money? ”
In obstetric reception desk, reporters to a woman doctor: "baby ready to manage it yourself? "" No! " "" Do? "" Unified here! ”
On March 31, in Yunnan province's largest hospital--the first affiliated hospital of Kunming Medical University admission formalities obstetrics and Gynecology, maternal Li in the hospital when doctors told his family to a convenience store to buy labor package.
Another maternal Xie Qiongyan at the time of registration, the doctor pulled out a copy of the transfers to (from) the health guide, "baby kits" drew a large circle, "this must be bought, you to the convenience store on the first floor! ”
On March 9, in the city of Kunming hospital for Obstetrics, the reporter found that maternity is also required here to buy specified labor, and labor consists of maternity consignment.
Reporters found that these hospitals have in common: shop in the Department or to a designated hospital, hospital and hospital around the outside of a single shop selling specified items; cash only with price ranges over more than 300 from more than 700 Yuan.
Hospital two years labor package sold 2.4 million Yuan
It is understood that the Department in particular obstetric, pediatric patients during treatment, hospitalization process are to varying degrees require some doctor-assisted or supplies, these goods are not part of the medical supplies, hospital and cannot be sold.
Why purchase specified mandatory labor package? Second affiliated hospital of obstetrics told reporters on April 7, a nurse on duty, family members own hold items such as raw, into the delivery room easy to cause infection. Report of hospital obstetricians said, according to the disinfection management regulations, medical devices, apparatus and articles in contact with skin and mucous membrane to reach levels of disinfection. Homes sold in packages provides convenience for the patient.
Patients questioned the second affiliated hospital sold 725 two packages, for example, includes newborn son is absorbed by the blood mat, towel and other 21 items. "Even if you vacuum packed inside the baby is under, is not what is missing what can I do? "A family said.
According to the reporter learned that, from January 1, 2014 to December 31, 2015, second affiliated hospital canteen sell labor for more than 6,000 sets; January 1, 2015 to April 2016, a convenience store sales mainly within the package prices in more than 203 Yuan more than 7,900 baby sleeping bag.
Second affiliated hospital canteens within two years labor for a turnover of over 2.4 million Yuan; a convenience store opened in six years more than 90 million yuan in sales in 2015, nearly 13 million Yuan, a nearly 1.2 million yuan in infants and young children.
Two attached to a hospital, the hospital has denied the existence of forced consumption problems. On May 6, two Vice Premier Deng Danqi told reporters, according to the provision in the hospital, is strictly prohibited in the Medical Department to sell items, non-cash Department, forcing patients to purchase goods is strictly prohibited. Deng Danqi later said: "the hospital recently checked for obstetric and paediatric, not forcing patients to purchase goods. ”
Deng Danqi says, patients need supplies in hospitals, not part of the medical supplies, so there is no standardized requirements, either bring your own or buy new as long as can be used on the line.
Prorated profits between convenience stores and departments in hospitals
Reporters found that convenience store in two ways: one is by an individual contract, its operating income apparently unrelated to the hospital; the other is the Hospital of "borrowing", its sales revenue into the hospital finances.
On May 6, Deng Danqi told reporters, homes sold in the commissary for rent to the public starting from 2009. Reporters found that commissary operations on the license is "State branch", the main types of food circulation permit is "State-owned enterprises." 6 years, the commissary has been rented to a man named Dong Xiaoyun, who was an employee of the hospital.
Obstetrical needs labor, for example, journalists a cursory survey found that hospital 3 store, courtyard walls approximately 6 grocery store a week, again far more than more than 10 shops, pharmacies are not to be sold. This grocery store right next door and the other a self-employed shop, the clerk smiled and said: "you go to their House to buy, we don't sell. ”
On May 12, Ni Shijin, Deputy Director, told reporters in a hospital, hospital hospital full investing convenience stores, the implementation of financial control, independent. Because the hospital had no right to operate the canteen, then with Zhang Lin on behalf of workers apply for business licenses. Zhang issued an information note shows that the convenience store actually belongs in the hospital, operating income has nothing to do with.
According to press reports, there is distribution between a convenience store and administrative offices. For example, Pediatric products, distributed according to sales revenue, Pediatric 96%, convenience store 4% involving Department of nutrition products, Enteral nutrition class sales profit, nutrition section, 85%, convenience store 15%; Novo gamma product (nutrition) in sales profits, hospital 1/3, nutrition section, 1/3, store 1/3.
Ni Shijin explains, this metering mode of distribution only in order to assess convenience store, charges a management fee of staff wages and venue costs. Attach a certificate from the Ministry of finance said in a statement: "all involved projects none of the income distribution. ”
China consumers Association Deputy President Liu junhai introduced, this phenomenon is not only in Yunnan part hospital exists, in some hospital, including stay produced package, zainei of most medical auxiliary, and life supplies sales has into has a grey zone, health, and business, sector should perfect administrative supervision, strict check forced consumption behind may exists of interests conveying, strict check some Department through commissary produced of "plots" "slush fund", guarantees patients lawful rights and interests of.
Responsible editor: Qiao Leihua SN098
Article keywords:Labor bag
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云南部分医院待产包须在医院买 不购物不做检查|待产包_新闻资讯
原标题 待产包必须在医院买 不购物不做检查——云南部分三甲医院强制消费调查
新华社昆明5月18日电 题：待产包必须在医院买 不购物不做检查——云南部分三甲医院强制消费调查
新华社“新华视点”记者何春好、王晋源
产妇护理包、婴儿用品包，医院提供这些商品原本是为方便患者。“新华视点”记者在云南省一些三甲医院调查发现，院内小卖部垄断经营，医护人员成了促销者，医生要求患者购买指定物品，不购物不做检查。
待产包、婴儿包不买不行，医生产房门口收钱
4月7日上午，三甲医院昆明医科大学第二附属医院产科产房大门紧闭，毛玻璃材质的门上贴有“产房重地、禁止入内”字样，门口围着十来名产妇家属。
9时50分许，一名女性医护人员从产房内打开门，其手术服左胸印有“昆医附二院手术室”字样，没有佩戴帽子、口罩和手套。她对着人群喊道：“许京芬的家属！”“来了。”一名身着白衬衣的男子连忙应声向前。
“把钱拿给我！725元。”男子递过准备好的一叠钱，这名医护人员点了一下，说：“待会找零给你。”说完退回了产房。
许京芬的家属告诉记者，这是医生要求购买婴儿包和待产包的钱，“里面有抱被、纸尿裤、吸收巾等，大部分我们都自己准备了，但医生不准用。”
不一会儿，产妇刘倩的家属又被叫上前，递给这名医护人员深蓝、浅蓝两个提包，这是他们提前在医院买好的。“你一定要提前买好这两个包，否则可能 误大事。”据刘倩的丈夫说，妻子在进产房前做B超时，产科B超室医生问他有没有购买待产包。“我说没买，她说等我买了再给做B超。我到楼下小卖部买了回来 再重新排队，等B超单打出来羊水都破了。”刘倩的丈夫说。
据记者1个多小时的观察，产房医生多次开门收钱，或接收家属提前买好的待产包。在此期间，一名护士用载货小车拉着一堆待产包进入产房。多名家属 对记者表示，医生明确要求到医院小卖部购买这两个包。“价格贵，很多东西用不上。”一名家属说。另一名家属在一旁小声抱怨：“媳妇在里面躺着，要你交钱你 敢不交？”
在产科接待台，记者向一名女医生咨询：“婴儿包自己准备行吗？”“不行！”“怎么办呢？”“统一在这里买！”
3月31日，在云南省最大的医院——昆明医科大学第一附属医院妇产科办理入院手续处，产妇李敏在登记入院信息时，医生吩咐其家属到便利店购买待产包。
另一名产妇谢琼雁在登记时，这名医生拿出一份《入（出）院健康指南》，在“新生儿用品包”处画了一个大圈，“这个必须要买，你到一楼便利店买！”
3月9日，在昆明市妇幼保健院产科，记者发现这里同样要求产妇购买指定待产包，而且待产包由产科代售。
记者调查发现，这些医院都有共同点：在科室或到指定的院内商店购买，院内、院外周围只有一家商店出售指定物品；只能用现金，价格在300多元至700多元不等。
有医院两年待产包卖了240万元
据了解，各科室尤其像产科、儿科的患者在治疗、住院过程中均会不同程度需要一些医辅或生活用品，这些商品不属于医疗用品，医院并不能出售。
为何强制要求购买指定待产包？附二院产科4月7日当班护士对记者表示，家属自带的抱被等物品未经消毒，进产房易引起感染。附一院产科医生说，按照消毒管理办法规定，接触皮肤黏膜的医疗器械、器具和物品须达到消毒水平。院内小卖部出售待产包为患者提供了方便。
有患者提出质疑，以附二院内小卖部出售的725元的两个包为例，内含新生儿抱被、血液垫、吸收巾等21件物品。“就算里面真空包装的婴儿抱被是合规定的，难道不能缺什么买什么吗？”一名家属说。
根据记者了解到的情况，2014年1月1日至2015年12月31日，附二院小卖部销售了待产包6000余套；2015年1月1日至2016年4月，附一院便利店销售待产包内主要物品售价203元的婴儿睡袋7900余件。
附二院小卖部两年时间内待产包一项销售额超过240万元；附一院便利店开业六年销售额超过9000万元，2015年接近1300万元，其中婴幼儿用品一项近120万元。
附一院、附二院均否认存在强制消费的问题。5月6日，附二院副院长邓丹琪对记者表示，根据院内规定，严禁在医务科室出售物品，严禁科室收现金，严禁强制患者购买商品。邓丹琪随后说：“医院日前对产科和儿科进行了检查，没有强制患者购买物品的行为。”
邓丹琪同时表示，患者在医院内需要使用的生活用品不属于医疗用品，所以也不存在规范化的要求，无论是自带还是新买只要能用就行。
有医院便利店和科室之间按比例分配利润
记者调查发现，这些便利店有两种管理方式：一种是由个人承包，其经营所得表面上与医院毫无关系；另一种是医院“借壳”经营，其营销收入进入医院财务。
5月6日，邓丹琪对记者表示，院内出售待产包的小卖部从2009年开始向社会公开招租。记者发现，小卖部营业执照上的经营性质是“国有分支机构”，食品流通许可证上的主体类型是“国有企业”。6年多来，这个小卖部一直租给一名叫董晓云的人，此人是附二院的一名职工。
以产科需要的待产包为例，记者粗略调查发现，院内3家小卖部，院围墙一周约6家小卖部，再远一些有10多家商店、药店均无此待产包出售。与这家小卖部一墙之隔的另一家个体经营的小卖部，店员笑笑说：“你去他们家买，我们不卖。”
5月12日，附一院副院长倪师今对记者表示，院内便利店由医院全额投资，实行医院财务统管，进行独立核算。由于医院无权经营小卖部，便以职工张琳名义办理了营业执照。张琳出具的情况说明显示，该便利店实际归属于医院，经营收入与其无关。
据记者了解，附一院便利店和科室之间存在分配比例。例如，涉及儿科的商品，按销售收入分配，儿科96%，便利店4%；涉及营养科产品，肠内营养 制剂类按销售利润分配，营养科85%，便利店15%；诺伽特商品（营养品）按销售利润分配，医院1/3，营养科1/3，便利店1/3。
倪师今解释，此分配方式仅为考核便利店的计量方式，收取一定的管理费用于聘用人员工资和场地成本。附一院财务部出具的一份情况说明中称：“所有涉及项目的收入均未作分配。”
中国消费者协会副会长刘俊海介绍，这种现象并非只在云南部分医院存在，在一些医院，包括待产包等在内的大部分医辅、生活用品销售已经成了一个灰 色地带，卫生、工商等部门应完善行政监督，严查强制消费背后可能存在的利益输送，严查一些科室通过小卖部产生的“自留地”“小金库”，保障患者合法权益。
责任编辑：乔雷华 SN098
文章关键词： 待产包
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