Mobility as a Service (MaaS) is an emerging concept that is being advanced as an effective approach to improve the sustainability of mobility, especially in densely populated urban areas. MaaS can be defined as the integration of various transport modes into a single service, accessible on demand, via a seamless digital planning and payment application. Recent studies have shown the potential reduction in the size of automobile fleets, with corresponding predicted improvements in congestion and environmental impact, that might be realized by the advent of automated vehicles as part of future MaaS systems. However, the limiting assumptions made by these studies point to the difficult challenge of predicting how the complex interactions of user demographics and mode choice, vehicle automation, and governance models will impact sustainable mobility. The work documented in this paper focused on identifying available methodologies for assessing the sustainability impact of potential MaaS implementations from a whole system (STEEP—social, technical, economic, environmental, and political) perspective. In this research, a review was conducted of current simulation tools and models, relative to their ability to support transportation planners, to assess the MaaS concept, holistically, at a city level. The results presented include: a summary of the literature review, a weighted ranking of relevant transportation simulation tools per the assessment criteria, and identification of key gaps in the current state of the art. The gaps include capturing the interaction of demographic changes, mode choice, induced demand, and land use in a single framework that can rapidly explore the impact of alternative MaaS scenarios, on sustainable mobility, for a given city region. These gaps will guide future assessment methodologies for urban mobility systems, and ultimately assist informed decision-making.
INTRODUCTION Patients are interested in receiving text messages (texts) related to their health care. However, anecdotes are emerging of associated problems and it is possible that many of the potential pitfalls are not recognised. AIM To assess clinicians' attitudes and behaviours towards text messaging (texting) with patients. METHODS A voluntary, anonymous, online survey was created and distributed to general practitioners and physiotherapists in New Zealand and to Sports Medicine Fellows and Sports Medicine Registrars in New Zealand and Australia. RESULTS In total, 322 clinicians completed the survey. Texting behaviours relating to accuracy, privacy and security were identified. A range of sensitive and important medical information was frequently conveyed and at times forwarded to third parties. The clinicians generally felt uneasy communicating this way and some felt pressured into it. Most thought that guidelines are insufficient and that they had not received sufficient education on the issues. Most were interested in further education. CONCLUSION This study has demonstrated frequent texting between clinicians and patients. It has highlighted potential risks to the privacy, accuracy and security of medical information. Current guidelines and education may be insufficient. Clinicians were interested in receiving readily available best practice guidelines and education regarding texting.
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