IDEAS home Printed from https://ideas.repec.org/a/kap/transp/v47y2020i3d10.1007_s11116-018-9971-7.html
   My bibliography  Save this article

Medical-purposed travel behaviors in rural areas in developing countries: a case study in rural Cambodia

Author

Listed:
  • Rika Idei

    (University of Tokyo)

  • Hironori Kato

    (University of Tokyo)

Abstract

This study aimed at identifying influencing factors in an individual’s choice of health service facility and transportation mode to the facility, using two datasets: one collected through face-to-face interviews held between February and March 2016, containing responses from 258 local residents, and the other collected from 45 residents in the follow-up survey in December 2016. The study area was located in rural Cambodia, where road conditions were recently improved and a health sector policy was implemented to assist poor people in accessing to health services. An empirical analysis was carried out using nested logit models, consisting of two choices of three travel modes (private, shared, or walking) and two types of public health service facilities (health center or referral hospital). The results revealed the following: (1) individuals in households with motorcycles tend to visit health service facilities using private travel modes, whereas individuals in households without their own transportation tend to visit health service facilities using shared travel modes or on foot, and (2) travel distance between individuals’ houses and the selected facilities likely discourages people from visiting referral hospitals, where a variety of health services are available, but does not affect the choice of health centers, offering limited health services while being located closer to residential areas. These findings suggested the need to equip health centers with more functions as health service providers and to operationalize public transportation services for those who cannot afford to visit referral hospitals, which would enable people to receive necessary health services more conveniently.

Suggested Citation

  • 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.
    • Handle: RePEc:kap:transp:v:47:y:2020:i:3:d:10.1007_s11116-018-9971-7
    DOI: 10.1007/s11116-018-9971-7
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11116-018-9971-7
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s11116-018-9971-7?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
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Murawski, Lisa & Church, Richard L., 2009. "Improving accessibility to rural health services: The maximal covering network improvement problem," Socio-Economic Planning Sciences, Elsevier, vol. 43(2), pages 102-110, June.
    2. Maryam Bigdeli & Bart Jacobs & Chean Rithy Men & Kristine Nilsen & Wim Van Damme & Bruno Dujardin, 2016. "Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.
    3. World Health Organization & World Bank, 2017. "Tracking Universal Health Coverage," World Bank Publications - Books, The World Bank Group, number 29042, December.
    4. Iimi,Atsushi & Lancelot,Eric R. & Manelici,Isabela & Ogita,Satoshi, 2015. "Social and economic impacts of rural road improvements in the state of Tocantins, Brazil," Policy Research Working Paper Series 7249, The World Bank.
    5. Oppong, Joseph R., 1996. "Accommodating the rainy season in Third World location-allocation applications," Socio-Economic Planning Sciences, Elsevier, vol. 30(2), pages 121-137, June.
    6. Scheil-Adlung, Xenia., 2015. "Global evidence on inequities in rural health protection : new data on rural deficits in health coverage for 174 countries," ILO Working Papers 994876213402676, International Labour Organization.
    7. Flores, Gabriela & Ir, Por & Men, Chean R. & O’Donnell, Owen & van Doorslaer, Eddy, 2013. "Financial protection of patients through compensation of providers: The impact of Health Equity Funds in Cambodia," Journal of Health Economics, Elsevier, vol. 32(6), pages 1180-1193.
    8. Louviere,Jordan J. & Hensher,David A. & Swait,Joffre D. With contributions by-Name:Adamowicz,Wiktor, 2000. "Stated Choice Methods," Cambridge Books, Cambridge University Press, number 9780521788304.
    9. Ensor, Tim & Chhun, Chhim & Kimsun, Ton & McPake, Barbara & Edoka, Ijeoma, 2017. "Impact of health financing policies in Cambodia: A 20 year experience," Social Science & Medicine, Elsevier, vol. 177(C), pages 118-126.
    10. Neutens, Tijs, 2015. "Accessibility, equity and health care: review and research directions for transport geographers," Journal of Transport Geography, Elsevier, vol. 43(C), pages 14-27.
    11. Asian Development Bank (ADB) & Asian Development Bank (ADB) & Asian Development Bank (ADB) & Asian Development Bank (ADB), 2014. "Cambodia: Diversifying Beyond Garments and Tourism: Country Diagnostic Study," ADB Reports RPT146996-2, Asian Development Bank (ADB).
    12. Deborah Fahy Bryceson & Annabel Bradbury & Trevor Bradbury, 2008. "Roads to Poverty Reduction? Exploring Rural Roads' Impact on Mobility in Africa and Asia," Development Policy Review, Overseas Development Institute, vol. 26(4), pages 459-482, July.
    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. 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).
    2. Noah Kaiser & Christina K. Barstow, 2022. "Rural Transportation Infrastructure in Low- and Middle-Income Countries: A Review of Impacts, Implications, and Interventions," Sustainability, MDPI, vol. 14(4), pages 1-48, February.
    3. Kumar, Akshay & Gupta, Akshay & Parida, Manoranjan & Chauhan, Vivek, 2022. "Service quality assessment of ride-sourcing services: A distinction between ride-hailing and ride-sharing services," Transport Policy, Elsevier, vol. 127(C), pages 61-79.
    4. Shin Takada & So Morikawa & Rika Idei & Hironori Kato, 2021. "Impacts of improvements in rural roads on household income through the enhancement of market accessibility in rural areas of Cambodia," Transportation, Springer, vol. 48(5), pages 2857-2881, October.
    5. Suchi Kapoor Malhotra & Howard White & Nina Ashley O. Dela Cruz & Ashrita Saran & John Eyers & Denny John & Ella Beveridge & Nina Blöndal, 2021. "Studies of the effectiveness of transport sector interventions in low‐ and middle‐income countries: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(4), December.
    6. 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. Benevenuto, Rodolfo & Caulfield, Brian, 2020. "Measuring access to urban centres in rural Northeast Brazil: A spatial accessibility poverty index," Journal of Transport Geography, Elsevier, vol. 82(C).
    2. Shin Takada & So Morikawa & Rika Idei & Hironori Kato, 2021. "Impacts of improvements in rural roads on household income through the enhancement of market accessibility in rural areas of Cambodia," Transportation, Springer, vol. 48(5), pages 2857-2881, October.
    3. Idei, Rika & Kato, Hironori & Morikawa, So, 2020. "Contribution of rural roads improvement on children’s school attendance: Evidence in Cambodia," International Journal of Educational Development, Elsevier, vol. 72(C).
    4. Zhifeng Gao & Ted C. Schroeder, 2009. "Consumer responses to new food quality information: are some consumers more sensitive than others?," Agricultural Economics, International Association of Agricultural Economists, vol. 40(3), pages 339-346, May.
    5. Tin Cheuk Leung, 2013. "What Is the True Loss Due to Piracy? Evidence from Microsoft Office in Hong Kong," The Review of Economics and Statistics, MIT Press, vol. 95(3), pages 1018-1029, July.
    6. Ortega, David L. & Wang, H. Holly & Wu, Laping & Hong, Soo Jeong, 2015. "Retail channel and consumer demand for food quality in China," China Economic Review, Elsevier, vol. 36(C), pages 359-366.
    7. Doherty, Edel & Campbell, Danny, 2011. "Demand for improved food safety and quality: a cross-regional comparison," 85th Annual Conference, April 18-20, 2011, Warwick University, Coventry, UK 108791, Agricultural Economics Society.
    8. Koo, Tay T.R. & Wu, Cheng-Lung (Richard) & Dwyer, Larry, 2010. "Ground travel mode choices of air arrivals at regional destinations: The significance of tourism attributes and destination contexts," Research in Transportation Economics, Elsevier, vol. 26(1), pages 44-53.
    9. Melanie Lefevre, 2011. "Willingness-to-pay for Local Milk-based Dairy Product in Senegal," CREPP Working Papers 1108, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
    10. Kesternich, Iris & Heiss, Florian & McFadden, Daniel & Winter, Joachim, 2013. "Suit the action to the word, the word to the action: Hypothetical choices and real decisions in Medicare Part D," Journal of Health Economics, Elsevier, vol. 32(6), pages 1313-1324.
    11. David Hensher & John Rose & Zheng Li, 2012. "Does the choice model method and/or the data matter?," Transportation, Springer, vol. 39(2), pages 351-385, March.
    12. M. Martin Boyer & Philippe De Donder & Claude Denys Fluet & Marie-Louise Leroux & Pierre-Carl Michaud, 2018. "A Canadian Parlor Room-Type Approach to the Long-Term Care Insurance Puzzle," CIRANO Working Papers 2018s-13, CIRANO.
    13. Mahieu, Pierre-Alexandre & Andersson, Henrik & Beaumais, Olivier & Crastes dit Sourd, Romain & Hess, François-Charles & Wolff, François-Charles, 2017. "Stated preferences: a unique database composed of 1657 recent published articles in journals related to agriculture, environment, or health," Review of Agricultural, Food and Environmental Studies, Institut National de la Recherche Agronomique (INRA), vol. 98(3), November.
    14. Concepcion Roman & Juan Carlos Martin & Raquel Espino, 2011. "Using Stated Preferences (Sp) To Analyze The Service Quality Of Public Transport," ERSA conference papers ersa11p86, European Regional Science Association.
    15. Toşa, Cristian & Sato, Hitomi & Morikawa, Takayuki & Miwa, Tomio, 2018. "Commuting behavior in emerging urban areas: Findings of a revealed-preferences and stated-intentions survey in Cluj-Napoca, Romania," Journal of Transport Geography, Elsevier, vol. 68(C), pages 78-93.
    16. Qin, Pin & Carlsson, Fredrik & Xu, Jintao, 2009. "Forestland Reform in China: What do the Farmers Want? A Choice Experiment on Farmers’ Property Rights Preferences," Working Papers in Economics 370, University of Gothenburg, Department of Economics.
    17. Schipmann, Christin & Qaim, Matin, 2011. "Supply chain differentiation, contract agriculture, and farmers’ marketing preferences: The case of sweet pepper in Thailand," Food Policy, Elsevier, vol. 36(5), pages 667-677.
    18. Han-Shen Chen & Chu-Wei Chen, 2019. "Economic Valuation of Green Island, Taiwan: A Choice Experiment Method," Sustainability, MDPI, vol. 11(2), pages 1-17, January.
    19. Ping Qin & Fredrik Carlsson & Jintao Xu, 2011. "Forest Tenure Reform in China: A Choice Experiment on Farmers’ Property Rights Preferences," Land Economics, University of Wisconsin Press, vol. 87(3), pages 473-487.
    20. Joachim Marti, 2012. "Assessing preferences for improved smoking cessation medications: a discrete choice experiment," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(5), pages 533-548, October.

    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:kap:transp:v:47:y:2020:i:3:d:10.1007_s11116-018-9971-7. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.