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Cross-provincial inpatient mobility patterns and their determinants in China

文献类型：期刊论文

作者Yang, Jintao1,5; Yan, Bin4; Fan, Shenggen1,5; Ni, Zhenggang3; Yan, Xiao2; Xiao, Gexin3
刊名BMC HEALTH SERVICES RESEARCH
出版日期2024-08-29
卷号24期号:1页码:10
关键词Healthcare flows Patient mobility Spatial stratified heterogeneity Healthcare efficiency
DOI10.1186/s12913-024-11436-8
产权排序2
英文摘要BackgroundThe incongruity between the regional supply and demand of healthcare services is a persistent challenge both globally and in China. Patient mobility plays a pivotal role in addressing this issue. This study aims to delineate the cross-provincial inpatient mobility network (CIMN) in China and identify the underlying factors influencing this CIMN.MethodsWe established China's CIMN by applying a spatial transfer matrix, utilizing the flow information from 5,994,624 cross-provincial inpatients in 2019, and identified the primary demand and supply provinces for healthcare services. Subsequently, we employed GeoDetector to analyze the impact of 10 influencing factors-including medical resources, medical quality, and medical expenses-on the spatial patterns of CIMN.FindingsBeijing, Shanghai, Zhejiang, and Jiangsu provinces are the preferred medical destinations for cross-provincial inpatients, while Anhui, Henan, Hebei, and Jiangsu provinces are the main sources for cross-provincial inpatients. Patient flow between provinces decreases with distance. The spatial distribution of medical resources, medical quality, and medical expenses account for 87%, 73%, and 56% of the formation of CIMN, respectively. Additionally, interactions between these factors enhance explanatory power, suggesting that considering their interactions can more effectively optimize medical resources and services.ConclusionsThe analysis of CIMN reveals the supply and demand patterns of healthcare services, providing insights into the inequality characteristics of healthcare access. Furthermore, understanding the driving factors and their interactions offers essential evidence for optimizing healthcare services.
WOS关键词HEALTH-CARE ; PATIENT MOBILITY ; INEQUALITY ; CHOICE
资助项目National Funding Postdoctoral Fellowship Program of CPSF
WOS研究方向Health Care Sciences & Services
语种英语
WOS记录号WOS:001302445600003
出版者BMC
资助机构National Funding Postdoctoral Fellowship Program of CPSF
源URL[http://ir.igsnrr.ac.cn/handle/311030/208793]  
专题资源与环境信息系统国家重点实验室_外文论文
通讯作者Xiao, Gexin
作者单位1.China Agr Univ, Acad Global Food Econ & Policy, Beijing, Peoples R China
2.Hebei Finance Univ, Sch Big Data Sci, Baoding 071051, Peoples R China
3.Natl Hlth Commiss Peoples Republ China NHC, Natl Inst Hosp Adm, Bldg 3,Courtyard 6,Shouti South Rd, Beijing 100044, Peoples R China
4.Chinese Acad Sci, State Key Lab Resources & Environm Informat Syst, Inst Geog Sci & Nat Resources Res, Beijing 100101, Peoples R China
5.China Agr Univ, Coll Econ & Management, Beijing 100083, Peoples R China
推荐引用方式
GB/T 7714		 Yang, Jintao,Yan, Bin,Fan, Shenggen,et al. Cross-provincial inpatient mobility patterns and their determinants in China[J]. BMC HEALTH SERVICES RESEARCH,2024,24(1):10.
APA Yang, Jintao,Yan, Bin,Fan, Shenggen,Ni, Zhenggang,Yan, Xiao,&Xiao, Gexin.(2024).Cross-provincial inpatient mobility patterns and their determinants in China.BMC HEALTH SERVICES RESEARCH,24(1),10.
MLA Yang, Jintao,et al."Cross-provincial inpatient mobility patterns and their determinants in China".BMC HEALTH SERVICES RESEARCH 24.1(2024):10.

入库方式： OAI收割

来源：地理科学与资源研究所

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