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

机译：发展中国家农村医疗旅行行为：柬埔寨农村案例研究

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摘要

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.
机译：本研究旨在识别个人对设施的卫生服务设施和运输方式的影响因素，使用两个数据集：通过2016年2月至2016年2月至2016年3月之间举行的面对面访谈，其中包含258名当地居民的答复，以及另一个在2016年12月的后续调查中从45名居民收集的另一个。该研究区位于柬埔寨农村，最近改善了道路状况，并实施了卫生部门政策，以协助穷人进入卫生服务。使用嵌套的Logit模型进行了实证分析，由两种旅行模式（私人，共享或行走）和两种类型的公共卫生服务设施（健康中心或推荐医院）组成。结果透露以下情况：（1）摩托车家庭的个人往往使用私人旅游模式访问卫生服务设施，而没有自己的交通处的家庭的个人往往使用共用旅行模式或步行访问健康服务设施，以及（2 ）个人房屋和所选设施之间的旅行距离可能会使人们劝阻访问推荐医院，其中有各种卫生服务，但不影响卫生中心的选择，在靠近住宅区时提供有限的健康服务。这些调查结果表明，需要为卫生服务提供商提供更多功能的健康中心，并为那些不能接受推荐医院的人运营公共交通服务，这将使人们能够更方便地获得必要的卫生服务。

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