Analysis on cross-regional medical treatment-seeking of the hospitalized patients in Beijing, 2013-2022

Corresponding author: LU Feng, lufeng@wjw.beijing.gov.cn

DOI: 10.12201/bmr.202311.00007

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  Abstract: Objective: To analyze the changing trend and regularity of cross-regional medical treatment-seeking of the hospitalized patients in Beijing in order to provide a statistic basis for decision making on the health management. Methods: A descriptive method was used to analyze the inter-provincial mobility and inter-district mobility of the hospitalized patients from the secondary and tertiary medical institutions in Beijing from 2013 to 2022, and χ2 test was applied to compare the difference in the proportion of cross-regional patients between 2020-2022 and 2013-2019. Results: A total of 28.725 million patients were admitted to the secondary and tertiary medical institutions in Beijing during the period of 2013-2022, of which 6.91 million (24.0%) came from other provinces; The cross-provincial patients mainly came from Hebei, Inner Mongolia, Shandong, Shanxi, and Heilongjiang around Beijing, with 63.8% of all cross-provincial patients coming to Beijing from these five provinces. There were a total of 21.823 million local inpatients in Beijing from 2013 to 2022，of which 10.36 million (47.5%) were cross-district patients seeking medical treatment within the city. The mobility trends from suburban counties to central urban areas was presented in patients across districts.The district with the highest patients coming from other provinces and districts was Xicheng District, with 27.6% and 25.2% of all cross-provincial patients and cross-district patients, respectively.The Class-A tertiary hospital was the main choice of patients seeking medical treatment across regions, with 84.1% and 73.8% of all cross-provincial patients and cross-district patients, respectively. Compared with 2013-2019, the proportion of cross-provincial patients decreased significantly and the proportion of cross-district patients increased significantly in Beijing during the period of 2020-2022（P<0.05）.Conclusion: The proportions of non-local patients seeking hospitalization service in Beijing and local patients seeking hospitalization service in other districts in Beijing were high, and the targeting districts and targeting hospitals were highly concentrated.It is suggested that the authorities in health sector should further optimize the allocation of regional medical resources and guide patients to seek rationally medical treatment in an orderly manner.

  Key words: Cross-regional Healthcare; ?Hospitalized Patients; Data Visualization

  Submit time: 21 November 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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