ArticleBMC health services research2024
Cross-provincial inpatient mobility patterns and their determinants in China.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Spatially heterogeneous and nonlinear factors influencing intercity patient mobility for chronic kidney disease: a nationwide study in China.npj health systems · 2026Article
- Exploring cross-city hospital visiting trips for medical service evaluation in urban agglomeration areas based on automobile navigation data.BMC health services research · 2026Article
- The cross-city mobility patterns and incubation period of the early-stage chikungunya fever outbreak in Guangdong Province, China, in 2025.PLoS neglected tropical diseases · 2026Article
- A study of factors influencing access to MDT among patients with stage III to stage IV colorectal cancer: a national multicenter survey.Frontiers in oncology · 2026Article
- Analysis of cross-provincial healthcare utilization among hospitalized patients in a tertiary Chinese medicine hospital.Frontiers in public health · 2026Article
- Mobility-informed hospital siting for accessible and lower-carbon healthcare travel: an ensemble learning study in Tianjin, China.Frontiers in public health · 2026Article
- Patient mobility and travel distance to receive drug-resistant tuberculosis treatment, and their associations with loss to follow-up in Guizhou Province, China.BMC infectious diseases · 2025Article
- Patient Mobility in the Digital Era: How Online Service Information from Internet Hospitals Shapes Patients' Cross-Regional Healthcare Choices.Healthcare (Basel, Switzerland) · 2025Article
- The real experience of nurse role reconstruction under the implementation of the no-attendant care policy in Shanghai hospitals: a qualitative study.Frontiers in health services · 2025Article
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Abstract
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.
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