Travel experience and health service amongst older people from the perspective of social exclusion

Policy implications of alleviating transport deprivation

Bibliographic Data

ID12287140
AuthorsBocong Yuan (0000-0002-6918-5483, School of Tourism Management Sun Yat‐Sen University Guangzhou China), Tong Zhang (0000-0003-1637-0666, School of Tourism Management Sun Yat‐Sen University Guangzhou China), Jiannan Li (0009-0000-6960-9111, Institute of Advanced Studies in Humanities and Social Sciences Beijing Normal University Zhuhai China, corresponding author)
Year2022
Volume30
Issue6
Pagese4894-e4908
Publication date2022-07-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13902
PMID35790046
OpenAlexW4283814426
LanguageEN
Citations received2
References cited41

The vulnerable population are often faced with the transport deprivation resulting in social exclusion (e.g. lack of access to healthcare service or suffering from lower health service quality). The disparity in travel experience can lead to different results of healthcare service seeking amongst the vulnerable population such as older adults with and without disabilities. This study applies Heckman's two-stage procedure and the data from China Health and Retirement Longitudinal Study. Based on having controlled the influence of individual financial situation and self-rated health, results show that longer travel time is observed in older adults who have paid the visit to the higher class healthcare facilities (HHCF). Besides, the visit to HHCF is negatively associated with disability and positively with travel mode with less discomfort. Further, the relationship between disability and the class of visited healthcare facilities is found to be conditioned on the travel time and travel mode, wherein such relationship could be intensified by longer travel time and be alleviated by travel mode with less discomfort. Therefore, social policies to alleviate transport deprivation are critical for accessing better healthcare services amongst older people with disabilities

Business · Economic growth · Environmental health · Health care · Inclusion and exclusion criteria · Older people · Population · Service (business · Social deprivation · Social exclusion · Global Health Care Issues · Health disparities and outcomes · Medicine · Psychology · Urban Transport and Accessibility · Gerontology · Marketing