About conclusions several realised studies allow use to obtain some conclusions for each sanitary centre studied. However most conclusions are very similar so we have only considered general conclusions that can be applied to any sanitary centre or any other mobility centres such commercial centres, universities, offices, ….

GENERAL ASPECTS TO IMPROVE ACCESS TO HEALTH CENTRES

Structural changes

  • Link territorial planning to mobility: guarantee planning of mobility associated with the scheduled uses in the territory.
  • Create a legal framework that will guarantee accessibility to all health centres by public transport: define accessibility criteria according to the mobility associated with the centre and according to social and sustainability criteria.
  • Disseminate a comparative cost analysis of the different modes of transport, including external costs. Specifically analyse the cost of the availability of land reserved for free parking for employees.
  • Establish, as a recommended hospital personnel practice, in cases where reserved parking facilities are provided, an optional offer, of similar quality to employees, in the form of a public transport ticket, thereby avoiding discrimination favouring private vehicles.
  • Implement associated mobility guidelines for the health centres in the relevant geographic area to contribute to defining accessibility criteria.
  • Inside the organisational chart of each health centre, assign mobility management functions to a given person: create the mobility management figure.
  • Provide the overall health system with the data needed to facilitate access by public transport to hospital centres: pharmacies, primary care centres, home information, general information, webs, publishing of thematic plans: the health network and access thereto.
  • Inform, via transport public network maps, and via general information pertaining to the city or the district, of the hospitals in each area.
  • Boost measures for promoting public transport as a mode of access to the health network: bring hospital centres into sustainable mobility campaigns (car-less days, sustainable mobility week…..),
  • Regulate the drafting of action plans on the modes of transport that serve hospital centres, including the following aspects: increased proximity, comfort, accessibility for persons with reduced mobility, signs, information.
    • Buse Mode:
      • Site bus stops as close as possible to the points of access of the hospital centre,
      • Identify the bus stop according to the hospital it serves,
      • Use one stop for the different lines,
      • Boost modal exchange with the underground and train via information and timetable coordination between the modes,
      • Adapt the bus-stop area to the special needs of travellers and adapt the platform to the height and size of the buses,
      • Adapt and signpost the way between the stop and the hospital centre and viceversa,
      • Try to make lines of access to hospitals more environment-friendly and less noisy (natural gas, bio-fuels…)
    • Train mode (underground and tren):
      • Avoid architectural barriers for access on foot from the inside of the railway carriage to the level of the street,
      • Identify the station according to the hospital it serves,
      • Adapt and signpost the way between the stop and the hospital centre (or hospital feeder centre) and viceversa,
      • Guarantee rail links from the train stations to the hospital centre when the former are more than 1000 m away.
    • Taxi mode:
      • Size the taxi stop to the needs of the service,
      • Adapt and signpost the way between the stop and the hospital and viceversa.
    • Bike Mode:
      • Facilitate safe access by bike,
      • Create bike parking areas.
    • Private vehicle mode:
      • Reserve the parking area closest to the accesses for people with reduced mobility,
      • Boost measures for restricting access in private vehicle once accessibility by public transport modes has been achieved.
    • Internal traffic:
      • Promote the use of ecological and low-noise vehicles in services inside the hospital premises,
      • Address, inside the hospital premises, the possibility of picking up and feeding travellers via the different modes of transport.

Activities in the intrahospital setting:manager's tasks

  • Carry out an analysis of the mobility associated with the centre to guarantee adaptation of access to hospital centres to existing demand.
  • Make sure that access to the public transport network is properly signposted, and guarantee universal accessibility between the hospital and the stop or station.
  • Participate in the making of an action plan for each mode of transport, and represent the hospital in negotiations with organisations and entities that can modify the conditions of access to the centre (administration, transport operators) in order to ensure:
    • That public transport timetables are adapted to be compatible with workers' shifts (so that public transport services are available 15 minutes after the end of the shift),
    • That public transport ticket points of sale are available inside the hospital, - The promotion of special safety and comfort measures (better lighting at stops, more comfortable transport …),
    • That information on services is kept up to date and when possible that real-time information is available on service frequency,
    • universal accessibility to vehicles and transport equipment.
  • Act as a sustainable mobility promoter:
    • Create points of information inside hospitals on public transport offer and timetables,
    • Manage the car-pooling network (collect data on the routes and timetables of different workers to promote the use of shared vehicles),
    • Make proposals geared towards access by employees to the hospital as easy by public transport as it is by private vehicle,
    • Make sure that any of the hospital centre's publications or informative media (web sites) provide information on how to access the centre by public transport.