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Analysis of Travel Decision-Making for Urban Elderly Healthcare Activities under Temporal and Spatial Constraints

Author

Listed:
  • Xuefeng Li

    (School of Transportation, Southeast University, Nanjing 211189, China)

  • Yong Zhang

    (School of Transportation, Southeast University, Nanjing 211189, China)

  • Mingyang Du

    (School of Transportation, Southeast University, Nanjing 211189, China)

Abstract

This paper explores the travel decision-making process of healthcare behavior of urban elderly under different temporal and spatial constraints. Firstly, based on time geography, a two-dimensional space-time trip chain is applied and the concept of healthcare constraint degree (HCD) is proposed. Then, the elderly’s medical treatment activities are divided into two categories: strong constraint activity and weak constraint activity, based on 625 samples in Kunming, China. Lastly, an improved multinomial logit model is adopted to determine the significant factors affecting the travel mode choice of these two types of activities. The results show that the travel mode choice of the elderly to healthcare facilities is not the same under different spatio-temporal constraints: strong constraint activity is mainly affected by external factors (such as travel time, travel distance, bus station distance and walking accessibility), whereas weak constraint activity is influenced by internal family factors (such as car pick-up, accompanied by family, and the number of family members with a driver’s license). These findings present a new perspective for understanding the healthcare behavior of the elderly and provide a convincing support for the formulation of urban transportation planning policies.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jsusta:v:10:y:2018:i:5:p:1560-:d:146264
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    References listed on IDEAS

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    Cited by:

    1. Linghan Zhang & Junyi Zhang, 2018. "Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan," Sustainability, MDPI, vol. 10(12), pages 1-17, December.
    2. Ariyanti, Octaviani & Sampaio, Dora & Bailey, Ajay, 2025. "Barriers and facilitators to urban mobility for older adults in LMICs: A scoping review," Journal of Transport Geography, Elsevier, vol. 127(C).
    3. Kaniz Fatima & Sara Moridpour & Chris De Gruyter & Tayebeh Saghapour, 2020. "Elderly Sustainable Mobility: Scientific Paper Review," Sustainability, MDPI, vol. 12(18), pages 1-17, September.
    4. 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).
    5. 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).
    6. Long Chen & Chenglu Yang & Peng Jing & Qifen Zha & Xingyue Wang & Weichao Wang, 2023. "Are they willing to switch from non-driving to driving? An exploratory study among Chinese older people," Transportation, Springer, vol. 50(4), pages 1125-1163, August.
    7. 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.

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