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首页> 美国卫生研究院文献>Inquiry: A Journal of Medical Care Organization Provision and Financing >The Effect of Migration Duration on Treatment Delay Among Rural-to-Urban Migrants After the Integration of Urban and Rural Health Insurance in China: A Cross-Sectional Study
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The Effect of Migration Duration on Treatment Delay Among Rural-to-Urban Migrants After the Integration of Urban and Rural Health Insurance in China: A Cross-Sectional Study

机译：城乡医疗保险一体化后迁移持续时间对城乡移民治疗延迟的影响：跨部门研究

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Few researches have been focused on the treatment delay of rural-to-urban migrants in China. Our study aimed to investigate the effect of migration duration on treatment delay among rural-to-urban migrants in tertiary hospitals. A cross-sectional study was conducted based on a sample of 727 patients and surveyed factors including sociodemographics, medical costs, migration, treatment delay, and health cost-coping strategies. Totally, 727 patients were included, of which 61 delayed their treatment and 666 had no treatment delay. Statistically significant differences were found between different migration duration groups in marital status, education, insurance, family annual income, residency, payment before treatment, reported disease, and migration duration ( < .05). The results from multiple logistic regression showed that migration between 1 and 5 years (adjusted odds ratio [OR] = 7.24; 95% confidence interval [CI] = 1.59-32.87; < .05) was considered the significant contributing risk factor for treatment delay after adjusting for age, sex, and other variables. To cope with their health expenditure, patients with treatment delay tended to use less savings and borrow more money than those without. Rural-to-urban migrants with 1 to 5 years of migration were the most vulnerable group of having treatment delay. Migrants were more likely to borrow money to cope with the health expenditure. Targeted services should be provided to meet different needs of migrants according to migration duration.
机译：很少有研究集中在中国从农村到城市移民的待遇延误。我们的研究旨在调查迁移时间对三级医院从农村到城市移民的治疗延迟的影响。横断面研究基于727例患者的样本并进行了调查，这些因素包括社会人口统计学，医疗成本，移民，治疗延迟和医疗费用应对策略。总共包括727例患者，其中61例延迟了治疗，666例没有延迟治疗。在婚姻状况，教育，保险，家庭年收入，居留权，治疗前付款，所报告的疾病和迁徙持续时间方面，不同迁徙持续时间组之间在统计学上存在显着差异。多元logistic回归结果表明，迁移1到5年（校正比值比[OR] = 7.24； 95％置信区间[CI] = 1.59-32.87； <.05）被认为是导致治疗延迟的重要危险因素在调整了年龄，性别和其他变量之后。为了应付他们的健康支出，治疗延迟的患者比没有治疗的患者倾向于使用更少的储蓄和借更多的钱。移民时间为1到5年的农村到城市移民是最容易受到治疗延误的群体。移民更有可能借钱来应付医疗费用。应根据移民持续时间提供有针对性的服务，以满足移民的不同需求。

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