Family support and transport cost: understanding health service among older people from the perspective of social-ecological model

Author:

Yuan Bocong,Zhang Tong,Li JiannanORCID

Abstract

Abstract Background This study is to investigate the interaction of family support, transport cost (ex-post), and disabilities on health service seeking behavior among older people from the perspective of social ecological model. Method We conduct a series of regressions including the Poisson model and Multiple logit model. The Heckman two-stage procedure is also conducted to check the robustness. Results Given that health care resources are generally concentrated in densely populated urban areas, access to services of higher-class health care facilities is found associated with higher transport cost (ex-post). Family support could also promote the access to higher-class health care facilities. Although disability may impede such access, this effect may be mitigated by paying higher transport cost (ex-post). Conclusions Alleviating transport deprivation and promoting family support are critical for access to better healthcare services among older people with disabilities.

Funder

National Planning Office of Philosophy and Social Science

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health

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