The burden of travel for care and its influencing factors in China: An inpatient-based study of travel time

Pan, A (通讯作者),Sichuan Univ, West China Sch Publ Hlth, 16,Sect 3,Ren MM Nan Rd, Chengdu 610041, Sichuan, Peoples R China.;Pan, A (通讯作者),Sichuan Univ, West China Hosp 4, 16,Sect 3,Ren MM Nan Rd, Chengdu 610041, Sichuan, Peoples R China.
2022-6
Introduction: Travel burden is a key dimension in conceptualizing geographic access to health care. Travel time measured from the perspective of actual utilization provides practical evidence on healthcare-related travel burden, while studies in this aspect remain limited, especially under the context of China's healthcare system. This study aimed to bridge the research gap by describing the current situation of travel burden as well as its related influencing factors in China. Methods: Hospital discharge data which involved over 300 million inpatients from Sichuan province, China, was used. Travel burden was measured by the modeled utilization travel time spent on road trips from patients' residential locations to hospitals they were admitted. Quantile regression and mutilevel linear model were adopted to examine different effects posed by various determinants on travel time across the travel burden spectrum. Results: The average modeled utilization travel time was 23.14 min in Sichuan China, while 236,988 patients had to spend over 1 h driving to obtain medical services. The regressions indicated that inpatient's travel time spent across the travel burden spectrums was positively affected by multiple factors including urban employment basic medical insurance insured, being admitted through the emergency department, being in general condition when getting admitted, having more complications, travel time to the nearest hospital. Moreover, travel time spent by inpatients among groups with heavy travel burdens could be dramatically decreased by enhanced availability of high-quality health care or improved transport infrastructure. Conclusion: Healthcare-related travel burden was found to be generally acceptable in Sichuan province, China, while travel burden demonstrated large disparities among different regions. These regression findings provided evidence-based implications to inform future policy-making procedures in terms of alleviating healthcare-related travel burden via the optimization of health resources or improving road constructions, especially for residents under heavy travel burdens.
JOURNAL OF TRANSPORT & HEALTH
卷号:25
ISSN:2214-1405|收录类别:SSCI
语种
英语
来源机构
Sichuan University; Sichuan University; Sichuan University; Sichuan University
资助信息
We thank Yufang Deng, Xiaoshuang Zhao, and Peiya Cao from Sichuan University for valuable suggestions. We also thank the National Natural Science Foundation of China (Grant No. 71874116 and 72074163), National Social Science Fund of China (Grant No. 21ZDA104), Taikang Yicai Public Health and Epidemic Control Fund (H201203), Bill & Melinda Gates Foundation (OPP-1178967), Sichuan Science and Technology Program, China (Grant No. 22ZDYF0318 and 2021YFQ0060), Chongqing Science and Technology Bureau, China (cstc2020jscx-cylhX0001), and Sichuan University, China (Grant No. 2018hhf-27 and SKSYL201811) for their financial supports.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
1
2013以来使用计数
1
出版年
2022-6
DOI
10.1016/j.jth.2022.101353
学科领域
循证公共卫生
关键词
Inpatient services Travel burden Travel time Quantile regression China
资助机构
National Natural Science Foundation of China(National Natural Science Foundation of China (NSFC)) National Social Science Fund of China Taikang Yicai Public Health and Epidemic Control Fund Bill & Melinda Gates Foundation(Bill & Melinda Gates FoundationCGIAR) Sichuan Science and Technology Program, China Chongqing Science and Technology Bureau, China Sichuan University, China(Sichuan University)
WOS学科分类
Public, Environmental & Occupational Health Transportation