Objective: This research aimed to study the impact of accessibility and facility location logistics on the decision-making intention to use an elderly care center. Theoretical Framework: The focus was placed on studying the effect of accessibility and facility location logistics on the decision intention with two mediating variables: perceived service quality and perceived hygiene. Method: The research is based on quantitative research. The sample group consisted of 400 elderly people aged 60 years and over who were interested in or considering using an elderly care center in Bangkok and its vicinity. They were selected by convenience sampling. Data collection was conducted through a questionnaire. The data analysis used the structural equation modeling (SEM) technique. Results and Discussion: The results of the analysis revealed that accessibility and facility location logistics had a direct impact on decision intention. In addition, perceived service quality and perceived hygiene acted as significant mediating variables between accessibility and facility location logistics and decision intention. Research Implications: The results of this study have practical implications for helping elderly care centers improve accessibility and locations to increase the satisfaction of the elderly and their families contributing to achieving SDG-related health and well-being goals, as well as theoretical implications for expanding the understanding of the role of logistics and service quality factors in the decision to use elderly care center services. Originality/Value: The value of this research lies in analyzing the role of accessibility and location of elderly care centers, with an emphasis on their relationship with service quality and perceived cleanliness by users.
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