Page 92 - 南京医科大学社科版

南
南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第2期 总第121期
· 194 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2024年4月
Journal
健康统计年鉴［EB/OL］.［2023-10-10］. http：//www. 顾性分析［J］. 中国医院管理，2015，35（5）：35-37
nhc.gov.cn/mohwsbwstjxxzx/tjtjnj/202305/304a301bfdb44 ［22］ 王雪蝶，曹高芳. 我国基本医疗保险异地就医结算问
4afbf94b1a6c7f83bca.shtml 题研究——基于费用控制的视角［J］. 山东社会科学，
［18］中华人民共和国国家统计局. 中华人民共和国2020年 2015（10）：139-143
国民经济和社会发展统计公报［M］. 北京：中国统计出 ［23］蒋翠珍，罗传勇，曾国华. 最佳就医距离与医疗公平及非
版社，2021：368-380 理性医疗行为［J］. 江西社会科学，2019，39（5）：73-84
［19］ 李晓鹏，殷小磊，李伟静，等. 消化系统神经内分泌肿 ［24］FANG W，XU X，ZHU Y，et al. Impact of the national
瘤编码错误分析［J］. 中国病案，2023，24（10）：41-43 health insurance coverage policy on the utilisation and
［20］ 单晓丽，杨丽秋，何慧，等. 哈尔滨市南岗区 2006— accessibility of innovative anti⁃cancer medicines in Chi⁃
2015年消化系统恶性肿瘤发病、死亡趋势分析及预测 na：an interrupted time ⁃ series study［J］. Front Public

［J］. 肿瘤预防与治疗，2018，31（2）：127-136 Health，2021，9：714127
［21］董佩，毛阿燕，邱五七，等. 北京市6种癌症住院费用回 （本文编辑：姜 鑫）

Study on influencing factors of hospitalization expenses of cross⁃

province cancer patients based on social⁃ecological theory
SONG Tianyu，MA Rongfei，LI Zihang，TANG Zhiru
School of Health Service and Management，Anhui Medical University，Hefei 230032，China
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.
Key words：cross ⁃ provincial medical treatment； social ⁃ ecological theory； hospitalization expenses；
influencing factor；mixed linear model