醫生開金口 藥商有求必應

[santo]

http://tw.news.yahoo.com/article/url/d/ ... 2q00p.html

醫生開金口 藥商有求必應
更新日期:2011/04/18 03:11 張翠芬／台北報導

中國時報【張翠芬／台北報導】


前衛生署長楊志良日前驚爆白色巨塔內幕，一位資深醫藥界人員透露，請醫生吃飯、出國由藥廠埋單都只算是「基本配備」，藥廠還要主動贊助基金會，甚至對醫師「服務到家」。這一切的投資，當然就是希望醫師「青睞」自家藥廠的產品，讓業績長紅。


目前全民健保總支出一年高達五千億元，其中四分之一花在藥品支付，一千多億的大餅是醫藥界兵家必爭之地。除了健保給付藥品，許多自費或民眾自付差額的醫療項目，如心臟支架、人工關節、人工水晶體等，一年自費金額達廿億元，也是藥廠儀器商搶食重點。


醫師和業界有錯綜複雜的利益關係，很多現象已存在多年，藥廠或儀器商代表極盡所能地「服務」醫師。通常，業務代表一早就到醫院報到，看醫師有什麼需要，接送小孩、幫醫師娘買菜、出國辦護照、到郵局銀行辦事…，只要醫師說得出口，藥廠業務就做得到！


一位資深牙醫師羡慕的說，以前的外科醫師最「好康」了，每天開完刀，就由業務開車接送到北投洗溫泉、喝酒、唱歌；假日陪同打高爾夫球。曾有醫師打球時，覺得球桿打起來不太順手，下次打球時，業務直接送上一組新球桿，讓醫師覺得貼心極了。


近年為了增加行銷魅力，許多廠商雇用年輕美女業務代表，簡稱「業代」，通常是穿著短裙的辣妹，花枝招展爭奇鬥艷的遊走在醫院診間。醫師到大陸參加醫學會，業代也會入境問俗，安排當地辣妹坐陪，有些醫師乾脆把大陸女子包下來當「二奶」；醫界甚至傳聞，有人幾乎每一省都包一個。


當然，業代也會選「夠力」的醫師，開的藥量夠大或病人數夠多，就值得花時間投資。國內高血壓、高血脂、糖尿病三高藥費每年達三百多億元；癌症標靶用藥是成長最快的一類；心臟科、腫瘤科醫師常受邀參加各種記者會和醫學研討會，額外的演講費收入相當可觀。

[image]

哈佛調查：心臟醫師報酬最高
2011-04-18 中國時報 【張翠芬／台北報導】
　醫生和藥廠關係有多密切？根據哈佛大學的調查發現，高達七、八成醫師都曾接受藥廠贈送的食品或醫藥贈品，心臟科醫師獲得的報酬最高，家醫科醫師和藥廠互動最密切，甚至已超出倫理守則。

　台灣女人連線引述一篇二○○七年的報告，美國哈佛大學在二○○三至○四年，以電子郵件隨機抽樣調查三千多位麻醉、心臟、家庭、外科、內科、小兒科醫師，有一千六百六十二人回應，這是學術界第一次研究檢視醫師與廠商關係，結果刊登在知名的《新英格蘭醫藥期刊》。

　研究發現，八十三％醫師曾接受廠商提供的食物、飲品，七十三％醫師曾接受醫藥品贈品，卅五％曾接受由藥廠贊助醫學會議出席補助費，廿八％曾接受藥廠諮詢、演講、轉介病人參與臨床試驗費用等相關報酬，七％曾接受運動、娛樂等免費票。

　研究也發現，女醫師較少接受相關報酬，各專科醫師中，家醫科與廠商互動最頻繁，一個月與廠商會面達十六次，且最容易接受食物、飲品等禮物；心臟科醫師接受的報酬比例最高，因為藥廠可能影響醫師開立處方。

嗯....波蘭呢?? (挖鼻孔)

[newshine]

可以見得
美國的醫師
比台灣好多了

這是因為他們沒有全民健保
（窮） （窮）

台灣醫師哪有這麼好康的事呢
(濕) (濕) (濕)

[chehankimo]

可以見得
美國的醫師
太沒"醫德"了
美國的藥價黑洞太大了
請中華民國監察院行文至AIT斥責他們 也可請健保局或台灣女人連線在Time雜誌登廣吿 召告全世界美國是壞榜樣 應該予以道德譴責
至於那些國家是我們的role model?
可以考慮中國大陸,北韓甚至更完美,NEJM絕對不會有這兩個國家黑洞的報導

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