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Analysis of the Elderly’s Preferences for Choosing Medical Service Facilities from the Perspective of Accessibility: A Case Study of Tertiary General Hospitals in Hefei, China

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  • Zao Li

    (College of Architecture and Art, Hefei University of Technology, Hefei 230009, China)

  • Yanyan Gao

    (College of Architecture and Art, Hefei University of Technology, Hefei 230009, China)

  • Li Yu

    (College of Architecture and Art, Hefei University of Technology, Hefei 230009, China
    School of Geography and Planning, Cardiff University, Cardiff CF24 3WA, UK)

  • Charles L. Choguill

    (School of Public Affairs, Zhejiang University, Hangzhou 310018, China)

  • Weiyi Cui

    (College of Architecture and Art, Hefei University of Technology, Hefei 230009, China)

Abstract

The accessibility of medical service facilities is a vital influence on elderly people choosing medical treatment. Encouraging residents to seek nearby medical treatment can facilitate the rational layout and diversion of urban medical facilities and reduce health resource waste. However, due to accessibility factors, elderly people may not choose the nearest hospital. In order to investigate such factors, we conducted a questionnaire survey among the elderly from 10 tertiary general hospitals in Hefei, China. On the basis of the origin-destination (OD) cost matrix analysis and statistical analysis of 830 valid questionnaires, this paper analyzed the elders’ selection rules when choosing medical facilities and the factors considered when making a choice. The study found that although 85% of elderly participants valued a short distance to tertiary hospitals, only 31% of them attended the closest hospitals in reality, which correlated with regularity according to their education level, travel activity status, and place of residence. The elderly highlighted road congestion, convenience of public transport stations, and number of transfers as critical in determining whether they sought nearby medical treatment. According to the results, effective ways to encourage the elderly to attend their nearest hospital, from the perspective of accessibility, include easing road congestion, improving the layout of public transport stations, and optimizing urban public transport routes. In particular, when planning future medical facilities, attention should be paid to the elderly with primary school education or below, who cannot travel independently, and those who live far from the city center.

Suggested Citation

  • Zao Li & Yanyan Gao & Li Yu & Charles L. Choguill & Weiyi Cui, 2022. "Analysis of the Elderly’s Preferences for Choosing Medical Service Facilities from the Perspective of Accessibility: A Case Study of Tertiary General Hospitals in Hefei, China," IJERPH, MDPI, vol. 19(15), pages 1-23, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9432-:d:877821
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    References listed on IDEAS

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    1. Yan Zhang & Wenxi Tang & Xiang Zhang & Yaoguang Zhang & Liang Zhang, 2015. "National Health Insurance Development in China from 2004 to 2011: Coverage versus Benefits," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-10, May.
    2. Wachs, Martin & Kumagai, T. Gordon, 1973. "Physical accessibility as a social indicator," Socio-Economic Planning Sciences, Elsevier, vol. 7(5), pages 437-456, October.
    3. Hai Yang & Qiang Meng & Michael G. H. Bell, 2001. "Simultaneous Estimation of the Origin-Destination Matrices and Travel-Cost Coefficient for Congested Networks in a Stochastic User Equilibrium," Transportation Science, INFORMS, vol. 35(2), pages 107-123, May.
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