IDEAS home Printed from https://ideas.repec.org/a/eee/jotrge/v92y2021ics0966692321000764.html
   My bibliography  Save this article

Determinants of travel mode choice for seeking healthcare: A comparison between elderly and non-elderly patients

Author

Listed:
  • Du, Fangye
  • Mao, Liang
  • Wang, Jiaoe

Abstract

People's travel mode choices can vary significantly by age group due to different influencing factors, but relevant research on health-related travel is scarce. In this study, we explored and compared the determinants of travel mode choice for healthcare-seeking non-elderly and elderly patients in Beijing, China. A multinomial logit model was used to analyze data from a recent healthcare-seeking behavior survey. The results show that increased age discourages car use and slightly prompts non-motorized travel in the non-elderly, but has the opposite effect in the elderly group. Household income has a negative effect on non-motorized travel in the non-elderly, but a positive effect in elderly patients. Highly mixed land use, intensive urban development, and difficulty in parking discourage non-elderly patients from traveling by car, but none of these factors have a significant effect on the elderly. Our findings shed light on the unique transportation demands for different age cohorts and inform the creation of age-specific interventions to improve overall access to health.

Suggested Citation

  • Du, Fangye & Mao, Liang & Wang, Jiaoe, 2021. "Determinants of travel mode choice for seeking healthcare: A comparison between elderly and non-elderly patients," Journal of Transport Geography, Elsevier, vol. 92(C).
    • Handle: RePEc:eee:jotrge:v:92:y:2021:i:c:s0966692321000764
    DOI: 10.1016/j.jtrangeo.2021.103023
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0966692321000764
    Download Restriction: no
    File URL: https://libkey.io/10.1016/j.jtrangeo.2021.103023?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Reid Ewing & Robert Cervero, 2010. "Travel and the Built Environment," Journal of the American Planning Association, Taylor & Francis Journals, vol. 76(3), pages 265-294.
    2. Mikhail Chester & Andrew Fraser & Juan Matute & Carolyn Flower & Ram Pendyala, 2015. "Parking Infrastructure: A Constraint on or Opportunity for Urban Redevelopment? A Study of Los Angeles County Parking Supply and Growth," Journal of the American Planning Association, Taylor & Francis Journals, vol. 81(4), pages 268-286, October.
    3. Eriksson, Lars & Friman, Margareta & Gärling, Tommy, 2013. "Perceived attributes of bus and car mediating satisfaction with the work commute," Transportation Research Part A: Policy and Practice, Elsevier, vol. 47(C), pages 87-96.
    4. Lars Böcker & Patrick Amen & Marco Helbich, 2017. "Elderly travel frequencies and transport mode choices in Greater Rotterdam, the Netherlands," Transportation, Springer, vol. 44(4), pages 831-852, July.
    5. Cervero, R. & Duncan, M., 2003. "Walking, Bicycling, and Urban Landscapes: Evidence from the San Francisco Bay Area," American Journal of Public Health, American Public Health Association, vol. 93(9), pages 1478-1483.
    6. Commins, Nicola & Nolan, Anne, 2011. "The determinants of mode of transport to work in the Greater Dublin Area," Transport Policy, Elsevier, vol. 18(1), pages 259-268, January.
    7. Laura McCarthy & Alexa Delbosc & Graham Currie & Andrew Molloy, 2017. "Factors influencing travel mode choice among families with young children (aged 0–4): a review of the literature," Transport Reviews, Taylor & Francis Journals, vol. 37(6), pages 767-781, November.
    8. Tim Schwanen & Martin Dijst & Frans M. Dieleman, 2001. "Leisure trips of senior citizens: determinants of modal choice," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 92(3), pages 347-360, August.
    9. Fernández-Mayoralas, Gloria & Rodríguez, Vicente & Rojo, Fermina, 2000. "Health services accessibility among Spanish elderly," Social Science & Medicine, Elsevier, vol. 50(1), pages 17-26, January.
    10. Rika Idei & Hironori Kato, 2020. "Medical-purposed travel behaviors in rural areas in developing countries: a case study in rural Cambodia," Transportation, Springer, vol. 47(3), pages 1415-1438, June.
    11. Scheiner, Joachim, 2010. "Interrelations between travel mode choice and trip distance: trends in Germany 1976–2002," Journal of Transport Geography, Elsevier, vol. 18(1), pages 75-84.
    12. Cervero, Robert & Duncan, Michael, 2003. "Walking, Bicycling, and Urban Landscapes: Evidence from the San Francisco Bay Area," University of California Transportation Center, Working Papers qt6zr1x95m, University of California Transportation Center.
    13. Xuefeng Li & Yong Zhang & Mingyang Du, 2018. "Analysis of Travel Decision-Making for Urban Elderly Healthcare Activities under Temporal and Spatial Constraints," Sustainability, MDPI, vol. 10(5), pages 1-15, May.
    14. Fitzpatrick, A.L. & Powe, N.R. & Cooper, L.S. & Ives, D.G. & Robbins, J.A. & Enright, E., 2004. "Barriers to health care access among the elderly and who perceives them," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1788-1794.
    15. Zhao, Pengjun & Li, Shengxiao, 2017. "Bicycle-metro integration in a growing city: The determinants of cycling as a transfer mode in metro station areas in Beijing," Transportation Research Part A: Policy and Practice, Elsevier, vol. 99(C), pages 46-60.
    16. Schmöcker, Jan-Dirk & Quddus, Mohammed A. & Noland, Robert B. & Bell, Michael G.H., 2008. "Mode choice of older and disabled people: a case study of shopping trips in London," Journal of Transport Geography, Elsevier, vol. 16(4), pages 257-267.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fangye Du & Jiaoe Wang & Haitao Jin, 2021. "Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    2. Gao, Ya & Pan, Haixiao & Xie, Zhilin & Habib, Khandker Nurul, 2023. "Understanding patients heterogeneity in healthcare travel and hospital choice - A latent class analysis with covariates," Journal of Transport Geography, Elsevier, vol. 110(C).
    3. Cao, Wen-Rui & Huang, Qiu-Ru & Zhang, Nan & Liang, Hui-Juan & Xian, Ben-Song & Gan, Xiao-Fang & Xu, Dong Roman & Lai, Ying-Si, 2022. "Mapping the travel modes and acceptable travel time to primary healthcare institutions: A case study in Inner Mongolia Autonomous Region, China," Journal of Transport Geography, Elsevier, vol. 102(C).
    4. Fangye Du & Jiaoe Wang & Yu Liu & Zihao Zhou & Haitao Jin, 2022. "Equity in Health-Seeking Behavior of Groups Using Different Transportations," IJERPH, MDPI, vol. 19(5), pages 1-16, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fangye Du & Jiaoe Wang & Yu Liu & Zihao Zhou & Haitao Jin, 2022. "Equity in Health-Seeking Behavior of Groups Using Different Transportations," IJERPH, MDPI, vol. 19(5), pages 1-16, February.
    2. Millward, Hugh & Spinney, Jamie & Scott, Darren, 2013. "Active-transport walking behavior: destinations, durations, distances," Journal of Transport Geography, Elsevier, vol. 28(C), pages 101-110.
    3. Senes, Giulio & Rovelli, Roberto & Bertoni, Danilo & Arata, Laura & Fumagalli, Natalia & Toccolini, Alessandro, 2017. "Factors influencing greenways use: Definition of a method for estimation in the Italian context," Journal of Transport Geography, Elsevier, vol. 65(C), pages 175-187.
    4. Cheng, Long & Chen, Xuewu & Yang, Shuo & Cao, Zhan & De Vos, Jonas & Witlox, Frank, 2019. "Active travel for active ageing in China: The role of built environment," Journal of Transport Geography, Elsevier, vol. 76(C), pages 142-152.
    5. Samira Ramezani & Tiina Laatikainen & Kamyar Hasanzadeh & Marketta Kyttä, 2021. "Shopping trip mode choice of older adults: an application of activity space and hybrid choice models in understanding the effects of built environment and personal goals," Transportation, Springer, vol. 48(2), pages 505-536, April.
    6. Regine Gerike & Caroline Koszowski & Bettina Schröter & Ralph Buehler & Paul Schepers & Johannes Weber & Rico Wittwer & Peter Jones, 2021. "Built Environment Determinants of Pedestrian Activities and Their Consideration in Urban Street Design," Sustainability, MDPI, vol. 13(16), pages 1-21, August.
    7. Su, Rongxiang & Xiao, Jingyi & McBride, Elizabeth C. & Goulias, Konstadinos G., 2021. "Understanding senior's daily mobility patterns in California using human mobility motifs," Journal of Transport Geography, Elsevier, vol. 94(C).
    8. Yang, Yongjiang & Sasaki, Kuniaki & Cheng, Long & Tao, Sui, 2022. "Does the built environment matter for active travel among older adults: Insights from Chiba City, Japan," Journal of Transport Geography, Elsevier, vol. 101(C).
    9. Steven R Gehrke & Kelly J Clifton, 2019. "An activity-related land use mix construct and its connection to pedestrian travel," Environment and Planning B, , vol. 46(1), pages 9-26, January.
    10. Hosseinzadeh, Aryan & Algomaiah, Majeed & Kluger, Robert & Li, Zhixia, 2021. "Spatial analysis of shared e-scooter trips," Journal of Transport Geography, Elsevier, vol. 92(C).
    11. Wang, Donggen & Lin, Tao, 2013. "Built environments, social environments, and activity-travel behavior: a case study of Hong Kong," Journal of Transport Geography, Elsevier, vol. 31(C), pages 286-295.
    12. Dandan Xu & Yang Bian & Shinan Shu, 2020. "Research on the Psychological Model of Free-floating Bike-Sharing Using Behavior: A Case Study of Beijing," Sustainability, MDPI, vol. 12(7), pages 1-18, April.
    13. Yang, Zhuo & Franz, Mark L. & Zhu, Shanjiang & Mahmoudi, Jina & Nasri, Arefeh & Zhang, Lei, 2018. "Analysis of Washington, DC taxi demand using GPS and land-use data," Journal of Transport Geography, Elsevier, vol. 66(C), pages 35-44.
    14. Umer Mansoor & Mohammad Tamim Kashifi & Fazal Rehman Safi & Syed Masiur Rahman, 2022. "A review of factors and benefits of non-motorized transport: a way forward for developing countries," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 24(2), pages 1560-1582, February.
    15. Neves, Carlos Eduardo Teixeira & da Silva, Alan Ricardo & Arruda, Fabiana Serra de, 2021. "Exploring the link between built environment and walking choice in São Paulo city, Brazil," Journal of Transport Geography, Elsevier, vol. 93(C).
    16. Ha Na Im & Chang Gyu Choi, 2019. "The hidden side of the entropy-based land-use mix index: Clarifying the relationship between pedestrian volume and land-use mix," Urban Studies, Urban Studies Journal Limited, vol. 56(9), pages 1865-1881, July.
    17. Biggar, Matt & Ardoin, Nicole M., 2017. "Community context, human needs, and transportation choices: A view across San Francisco Bay Area communities," Journal of Transport Geography, Elsevier, vol. 60(C), pages 189-199.
    18. Kaniz Fatima & Sara Moridpour & Tayebeh Saghapour, 2021. "Spatial and Temporal Distribution of Elderly Public Transport Mode Preference," Sustainability, MDPI, vol. 13(9), pages 1-15, April.
    19. Marta Borowska-Stefańska & Michał Kowalski & Paulina Kurzyk & Alireza Sahebgharani & Szymon Wiśniewski, 2022. "Spatiotemporal Changeability of the Load of the Urban Road Transport System under Permanent and Short-Term Legal and Administrative Retail Restrictions," Sustainability, MDPI, vol. 14(9), pages 1-30, April.
    20. Xueying Wu & Yi Lu & Yaoyu Lin & Yiyang Yang, 2019. "Measuring the Destination Accessibility of Cycling Transfer Trips in Metro Station Areas: A Big Data Approach," IJERPH, MDPI, vol. 16(15), pages 1-16, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jotrge:v:92:y:2021:i:c:s0966692321000764. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: https://www.journals.elsevier.com/journal-of-transport-geography .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.