Since the Taiwan High Speed Rail operations, Taiwan's transportation market entered into a new era. Because of its competitive service of speed, convenience, environmental concerns and comfort, the High Speed Rail has not only made significant changes but has played a significant role in Taiwan's transportation. However, Taiwan now is an aging society. Due to the physical constraints among the elderly, demands to redesign the traffic system and maintain transportation safety are essential considerations. In the current market, Taiwan's transportation construction is facing fewer barriers; however, it must still improve, especially considering the health of the elderly. Thus, this study investigates elderly passengers' demands and further examined the relationships among service quality, corporate image, customer satisfaction, and behavioral intention. According to empirical analytical results based on structural equation modeling (N = 341), satisfaction directly affected travel behaviors, while service quality and corporate image played indirect roles. In addition, service quality plays a significant role on the effect of satisfaction. This study provides empirical evidence to indicate the quality of the accessible environment affects not only the effectiveness and efficiency of service quality, but also, the corporate image. The results provide valuable references for critically managing the elderly's usage of the high speed rail transportation service.Generally speaking, positive behavior intention leads to higher levels of customer loyalty. Customer loyalty is an antecedent of long-term validity (e.g., profitability and competitive advantage) and perpetual operation for a company. Regarding the scale of behavioral intention, the intention of repeat purchasing was the most widely adopted index. In 1994, Heskett et al. proposed a service profit chain framework 515 SERVICES FOR THE ELDERLY

Workplace stress (WS) has been found to affect job satisfaction (JS), performance, and turnover intentions (TIs) in developed countries, but there is little evidence from other countries and especially rural areas. In rural Taiwan, especially, there is an insufficient health care workforce, and the situation is getting worse. To demonstrate the relationship, we used a cross-sectional structured questionnaire, and data from 344 licensed professionals in 1 rural regional hospital were analyzed using the structural equation model. The results showed that WS had a positive effect on both TI and job performance (JP) but a negative effect on satisfaction. JS did improve performance. For the staff with an external locus of control, stress affected JP and satisfaction significantly. For the staff with lower perceived job characteristics, JS affected performance significantly. The strategies to decrease stress relating to work load, role conflict, family factors, and working environment should be focused and implemented urgently to lower the turnover rate of health care workers in rural Taiwan.

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