ArticleFrontiers in public health2025
Characteristics of hospitalization patterns and expenditures in cross-border medical tourism: a knee replacement surgery cohort study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Objective: Using knee arthroplasty as a case study, this research explores the characteristics of length of stay (LOS) and hospitalization costs for Hong Kong residents receiving medical treatment in mainland China. Methods: Utilizing front-page medical record data of patients who underwent knee arthroplasty at Hospital H, descriptive statistics, univariate analysis, and mediation effect tests were conducted to analyze the impact of being a Hong Kong patient on LOS and hospitalization costs. Results: The study included 356 patients, predominantly older adults over 65 years old (77.25%), with a similar gender distribution. Hong Kong patients had shorter LOS, shorter postoperative LOS, and lower hospitalization costs, laboratory and examination costs, and medication costs. LOS fully mediated the effect of being a Hong Kong patient on hospitalization costs. Conclusion: Hong Kong residents seeking medical care in mainland China are driven by factors distinct from those of non-local patients within mainland China, with medical quality, efficiency, and cost being significant drivers of cross-border healthcare seeking. It is essential to strengthen cross-border medical collaboration between Shenzhen and Hong Kong, and the Greater Bay Area as a whole, through institutional mechanisms, welfare benefits, long-term follow-up, and health monitoring to ensure tangible medical benefits for Hong Kong patients.
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