Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis

This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities. The study's focus is an out-patient trip to a health care facility, and the source of data is the China Health and Retirement Longitudinal Study (CHARLS) for 2011, 2...

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Main Author: Patrick McCarthy
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-06-01
Series:Journal of Management Science and Engineering
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2096232021000263
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author Patrick McCarthy
author_facet Patrick McCarthy
author_sort Patrick McCarthy
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description This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities. The study's focus is an out-patient trip to a health care facility, and the source of data is the China Health and Retirement Longitudinal Study (CHARLS) for 2011, 2013 and 2015. Based on a random utility framework, the study finds that making a trip to treat an illness or for a check-up increases the likelihood of an out-patient trip by 52 and 31 probability points, respectively. Out-patient visits for which insurance is not relevant, when the individual pays most of the out-of-pocket costs and when the facility is a public facility are also important factors. Diagnosed and other personal health factors have some but much more modest effects on one's trip choice. The analysis also identifies differential modal impacts of health indicators. A series of robustness tests generally confirm the results and identify areas for further research. Including a no-trip option, the biannual survey and infrequent out-patient trip-making mitigate endogeneity concerns. The analysis has broad health policy and transportation implications for an ageing population whose share is increasing.
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spelling doaj.art-1c060a1d3f7c4168ab4b1eaeadc1b9a22022-12-22T01:20:30ZengKeAi Communications Co., Ltd.Journal of Management Science and Engineering2096-23202022-06-0172173196Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysisPatrick McCarthy0School of Economics, Georgia Institute of Technology, Atlanta, 30332, USA; Center for Economics, Finance, and Management, Hunan University, Changsha, 410082, ChinaThis paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities. The study's focus is an out-patient trip to a health care facility, and the source of data is the China Health and Retirement Longitudinal Study (CHARLS) for 2011, 2013 and 2015. Based on a random utility framework, the study finds that making a trip to treat an illness or for a check-up increases the likelihood of an out-patient trip by 52 and 31 probability points, respectively. Out-patient visits for which insurance is not relevant, when the individual pays most of the out-of-pocket costs and when the facility is a public facility are also important factors. Diagnosed and other personal health factors have some but much more modest effects on one's trip choice. The analysis also identifies differential modal impacts of health indicators. A series of robustness tests generally confirm the results and identify areas for further research. Including a no-trip option, the biannual survey and infrequent out-patient trip-making mitigate endogeneity concerns. The analysis has broad health policy and transportation implications for an ageing population whose share is increasing.http://www.sciencedirect.com/science/article/pii/S2096232021000263JELC23C25I12J14R41
spellingShingle Patrick McCarthy
Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis
Journal of Management Science and Engineering
JEL
C23
C25
I12
J14
R41
title Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis
title_full Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis
title_fullStr Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis
title_full_unstemmed Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis
title_short Trip and mode choice decisions to out-patient health care facilities: A longitudinal analysis
title_sort trip and mode choice decisions to out patient health care facilities a longitudinal analysis
topic JEL
C23
C25
I12
J14
R41
url http://www.sciencedirect.com/science/article/pii/S2096232021000263
work_keys_str_mv AT patrickmccarthy tripandmodechoicedecisionstooutpatienthealthcarefacilitiesalongitudinalanalysis