南京医科大学学报（社会科学版）2024，Vol.24Issue(2)：189-194,6.DOI:10.7655/NYDXBSSS230408
基于社会生态理论的跨省异地就医肿瘤患者住院费用影响因素研究
Study on influencing factors of hospitalization expenses of cross-province cancer patients based on social-ecological theory
摘要
Abstract
This paper uses descriptive statistics and a mixed linear model to explore the social-ecological factors affecting the hospitalization expenses of cross-provincial cancer patients to understand the influencing factors of their hospitalization expenses based on the framework of social ecology theory.The results showed that patients with malignant tumors of digestive organs in cross-province medical treatment were the highest among sampled population(18.66%),with the highest average hospitalization cost of tumors found in patients with uncertain or unknown dynamics(45 535.24 yuan).The hospitalization expenses were influenced by tumor types,personal behaviors like the length of hospitalization days in personal behavior,the distance of medical treatment at the environmental level,and the actual reimbursement ratio at the policy level(P<0.05).The hospitalization cost of cancer patients in different provinces was relatively high,which was affected by many social and ecological factors.It is necessary to analyze the influencing factors of hospitalization expenses from both the individual perspective of cross-province cancer patients and the ecological environment in which they live,to rationally allocate health resources and guide patients to seek medical treatment in order.关键词
跨省异地就医/社会生态理论/住院费用/影响因素/混合线性模型Key words
cross-provincial medical treatment/social-ecological theory/hospitalization expenses/influencing factor/mixed linear model分类
医药卫生引用本文复制引用
宋天煜,马荣菲,李紫航,汤质如..基于社会生态理论的跨省异地就医肿瘤患者住院费用影响因素研究[J].南京医科大学学报（社会科学版）,2024,24(2):189-194,6.基金项目
安徽省异地就医管理中心横向合作项目"我省跨省异地就医现状及对医保基金影响研究"(k2021119) （k2021119）
