better health by designLearn More

How long will it take you to get to work tomorrow?

Does your journey to work impact on your performance? How? If it does as the evidence suggests, what are you going to do about it?

This paper offers a multi‐perspective examination of commuting drawing upon the literature in transport, planning, geography, economics, psychology, sociology and medicine. It examines statistical evidence on trends in commuting travel behaviour and finds that one in 25 commuters now travels to work in excess of 100 km (both ways) and one in ten commuters now spends over 2 h/day travelling to and from work. Lyons and Chatterjee

In healthcare performance is thought to be largely a factor of policy.

Looking forward, the seven countries we studied face the shared challenge of how to integrate care in an era of specialization and shortages of primary care physicians. Achieving better care coordination will likely require designs that include a mix of formally integrated organizations, co-locating or sharing services, and connecting through information systems. Schoen et al

But on closer quarters performance is highly impacted by the personal choices healthcare professionals make.

Picture by Darren Cowley


  1. IaN watts says:

    We need to be conscious of equating being at work with being in the same location as a patient. The ‘commute’ may be a different matter after we appraise the role of ‘telehealth’. I wonder what the safety and quality trade-offs are.

  2. Thanks for engaging Ian. I’m thinking in particular about health professionals who choose to live along commute away from their hospital or clinic. Is that sustainable if there is a long term commitment to providing the best and actually showing up to work?

    I also have misgiving about telehealth which I believe provides a watered down version of the best that medicine, in my field, has to offer.

Speak Your Mind