北京市6种癌症跨区域患者特征与就医行为研究

Characteristics and medical treatment behavior of six cancer types of cross-regional patients in Beijing

目的分析北京市6种癌症跨区域患者的特征与就医行为特点。方法描述跨区域患者的特征,分析其与本地患者的差异,并采用二元logistic回归模型对影响患者跨区域就医行为的影响因素进行分析,查找关键影响因素。结果与北京本地患者相比,跨区域癌症患者具有以青壮年劳动力人口为主、疾病状态相对简单等特点。跨区域患者更倾向于选择专科医院及采用手术治疗方式。结论应推进区域肿瘤专科医疗中心建设,迎合跨区域患者的医疗服务需求,缓解跨区域就医行为引发的大城市就医压力。

Objectives To analyze the characteristics six types of cross-regional cancer patients and their medical behavior in Beijing.Methods We described the characteristics of cross-regional patients,analyzed the differences between cross-regional and local patients,and identified the key factors by analyzing the influencing factors of patient's cross-regional behavior to factors by using binary logistic regression model.Results Compared with local patients,crossregional cancer patients had the following characteristics:consisting primarily of young and middle-aged workforce, simpler disease status and those more inclined to choose special hospital and surgical treatment.Conclusions Promoting the construction of regional oncology medical center can meet the needs of cross-regional patients and relieve the pressure of medical treatment in large cities caused by cross-regional medical treatment behavior.