Charles Darwin University

CDU eSpace
Institutional Repository

CDU Staff and Student only

Making a case for telehealth: measuring the carbon cost of health-related travel

Ellis, Isabelle K., Cheek, C., Jaffray, L. and Skinner, Timothy C. (2013). Making a case for telehealth: measuring the carbon cost of health-related travel. Rural and Remote Health,13(4):2723-1-2723-7.

Document type: Journal Article
Attached Files (Some files may be inaccessible until you login with your CDU eSpace credentials)
Name Description MIMEType Size Downloads
Download this reading Skinner_40503.pdf Published version application/pdf 187.35KB 482
Reading the attached file works best in Firefox, Chrome and IE 9 or later.

IRMA ID 82794376xPUB211
Title Making a case for telehealth: measuring the carbon cost of health-related travel
Author Ellis, Isabelle K.
Cheek, C.
Jaffray, L.
Skinner, Timothy C.
Journal Name Rural and Remote Health
Publication Date 2013
Volume Number 13
Issue Number 4
ISSN 1445-6354   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84893490278
Start Page 2723-1
End Page 2723-7
Total Pages 7
Place of Publication Melbourne, Australia
Publisher Australian Rural Health Education Network
HERDC Category C1 - Journal Article (DIISR)
Abstract Background:
Telehealth services are promoted to reduce the cost of travel for people living in rural areas. The previous Australian Government, through the national Digital Economy Strategy, invested heavily in telehealth service development, at the same time introducing a carbon pricing mechanism. In planning a range of new telehealth services to a rural community the authors sought to quantify the travel conducted by people from one rural area in Australia to access health care, and to calculate the associated carbon emissions.


A population survey was conducted over a 1-week period of health-related travel events for the year 1 July 2011 to 30 June 2012 of all households on King Island, a community situated between the Australian mainland state of Victoria and the state of Tasmania. Validated emissions calculators were sourced from the Carbon Neutral website, including the vehicle and fuel use calculator and air travel carbon calculator, to calculate the total emissions associated with the fuel burned in tonnes of carbon dioxide equivalent (tCO2e).


Thirty nine percent of the population (625 participants) reported a total of 511 healthcare-related travel events. Participants travelled a total of 346 573 km and generated 0.22 tCO2e per capita. Participants paid the cost of their own travel more than 70% of the time.


Dependence on fossil fuels for transport in a carbon economy has a significant impact on total healthcare carbon emissions. Alternative models of care, such as telehealth, need be developed for an environmentally sustainable healthcare system for rural and remote areas.
Keywords Carbon emissions
Health-related travel
Population survey
Description for Link Link to published version

© copyright

Every reasonable effort has been made to ensure that permission has been obtained for items included in CDU eSpace. If you believe that your rights have been infringed by this repository, please contact

Version Filter Type
Access Statistics: 198 Abstract Views, 482 File Downloads  -  Detailed Statistics
Created: Thu, 07 Aug 2014, 17:10:12 CST