| With the development of modern medicine,new medical materials have become more and more widely used,and have become an indispensable material in the treatment of diseases.They are often referred to as "high-value consumables",such as coronary stents and cerebrovascular stents.However,the price of implantable medical high-value consumables generally exceeds the patient’s ability to withstand,and its high price has always been a “roadblock” in the medical reform work.The persistent unreasonable growth trend has led to an unreasonable increase in medical expenses,resulting in the burden of many patients.Surgery fees,hospitalization fees,and eventually abandoned surgery.From the perspective of the growth of unreasonable medical expenses,most of the funds are wasted on transaction costs.This paper will analyze the main causes of the high price of medical high-value consumables in Guangxi,study the main influencing factors of the unreasonable price increase,and finally put forward the countermeasures to control the phenomenon of high price.The study is divided into five parts,namely:The preface puts forward the research background and research significance of this paper,and introduces the main research contents,research methods,and innovations and deficiencies.The first chapter is the research of the theoretical basis and application practice of this paper.(1)Through literature research and theoretical research,the two theories are mainly refined.One is the basic theory of institutional transaction costs,and the other is rent-seeking theory.It summarizes the characteristics of transaction costs and the hazards of rent-seeking behavior in the medical field,further embodying the research significance of this paper.(2)It sums up three typical price management models in foreign countries,analyzes the characteristics and advantages and disadvantages of each model,finds out the experience that it is worth learning,and lays a foundation for the study of the later countermeasures.The second chapter analyzes the hospital cost structure and the price changes of medical high-value consumables.(1)An analysis of the medical expenses structure of a third-grade hospital in Guangxi in the past five years.Objective: To clarify the proportion of medical consumables and medicines in medical expenses,especially the contribution rate of structural changes in medical high-value consumables.Method: Structural change analysis method.Results: Drug costs and medical high-value consumables fees are the main source of hospitalization income,and the cost of health materials has been increasing year by year.Discussion: While the government controls the price of medical high-value consumables,it should timely improve the corresponding supporting compensation mechanism.(2)Analysis of medical supplies management Guangxi high value,the sample hospital medical consumables usage,public hospitals consumables addition,the medical consumables centralized procurement model and analyze the situation results,indicating that at this stage Malpractice institutional measures that need to be Improve.The third chapter summarizes the main causes of the high price of medical high-value consumables.From the five aspects of system design,industry access,production,circulation and management,the main causes of the high price of medical high-value consumables under the current institutional mechanism are analyzed.The fourth chapter proposes countermeasures to control the high price of medical high-value consumables.On the basis of the previous research results,the main causes of the induction of the third chapter are from the six aspects of system reform,industry access,production links,transaction links,circulation links and third-party medical insurance control fees.Value consumables price management ability puts forward corresponding countermeasures and suggestions,and provides cutting-edge exploration conditions for the benign operation of China’s medical and health system. |