论公立医院临床科室主任临床用药(耗材)申请的处方权与职权的界限——以医务人员触犯受贿罪与非国家人员受贿罪为维度

The Boundaries between Public Hospital Clinical Department Director's Prescription Right of Applying for Clinical Medication(Consumables) and Authorized Power——From the Dimensions of Medical Personnel's Bribery Crime and Bribery Crime of Non-national Fun

临床科室主任其临床用药(耗材)使用申请的行为是否具有公务性,在这一过程中收回扣的行为又该如何定性?对此,存在"唯公务论"和"并重论"的争议。"从事公务"不仅是指行为人所处职位的职能内容是"公共性事务",而且是指行为人对所处组织的公共性资源具有直接、较大的支配性影响力。在现有的医药集中招标采购制度背景下,普通医生的处方行为对所处医疗机构的"公共财物"支配性影响力是间接、较小的;临床科室主任在新药、临时用药、特殊用药使用中的用药申请,对采购单的制定、发出具有直接、较大的支配性影响力;在医用高值耗材的临床使用中,应根据其使用申请对事实采购的支配性影响力程度进行判断。

Whether a clinical department director＇s application for clinical medication（consumables） belongs to official business and how to determine the nature of receiving kickbacks during this process？ About theses questions, there are controversies between the advocates of ＂official business theory ＂ and ＂the theory of attaching equal importance to official business and status＂. To perform the official business not only means that the functions of the actor＇s post involve ＂public affairs ＂, but indicates that the actor has direct and dominant influence on the public resources of his organization. In the current context of pharmaceutical purchase by public bidding, an ordinary doctor＇s prescription act has indirect and little influence on the ＂public property＂ of the medical institution he serves, while the director of a clinical department has direct and dominant influence on making purchase order through the application for new drugs, temporary and special medication. In the cases in need of of high-value medical consumables, the judgment should be made according to the influential degree of a doctor＇s application on the actual purchase.