Background: To prevent deterioration after admission to the intensive care unit (ICU), and to improve rehabilitation, the ICU team should use digital technologies to provide comprehensive and practical information alongside personalised support for survivors and their family members. However, a knowledge gap exists on the users’ preferences for such an e-health platform in ICU follow-up services. Objectives: This study aims to explore the opinions and priorities for an e-health platform, including choices in digital elements, according to survivors of critical illness and their family members. Methods: A cross-sectional survey was used among members and other interested individuals of the Dutch volunteer organisation ‘Foundation Family- and Patient-Centred Intensive Care’. An investigator-developed questionnaire was disseminated through the newsletter and social media channels of the Foundation Family- and Patient-Centred Intensive Care. The results of this member consultation were analysed and reported as descriptive statistics on demographic variables and outcome measures in opinions and priorities of the participants. Results: Most of the 227 participants were female (76%), aged 46–55 years (33%), and completed higher education (70%). The participants reported high confidence in advice delivered through an e-health platform (72%). They prioritised the provision of a guide including relevant professionals who may support them during their recovery when using an e-health platform. Conclusions: ICU survivors prioritised the provision of relevant professionals who may support them during their recovery when using an e-health platform; however, selection bias means the population studied is likely to be more digitally connected than the general ICU population. Digital solutions could cater to their information and support needs. For family members, the highest priority reported was receiving help in managing their emotional distress. The development of an e-health platform considering the opinions and priorities of this target group could contribute to a personalised recovery trajectory promoting self-management while including digital elements addressing relevant ICU follow-up services.
MULTIFILE
Far from being negligible in quantity, decentralized energy production delivers a considerable part of the renewable energy production in the Netherlands. Decentralized production takes place by individual households, companies as well as citizen groups. Grassroots initiatives have sprung up in the Netherlands in the last 5 years, in a recent inventory 313 formally instituted local energy cooperatives were found. Cooperatives’ aims are sustainability, strengthening local economy and promoting a democratic governance structure for energy production.The energy industry in the Netherlands has traditionally been dominated by large energy companies, and the Groningen gas field has resulted in a very high dependency on natural gas for both consumer and business households. The climate for grassroots initiatives has improved since the so-called Energy Covenant in 2013. This covenant pertains to an agreement between government, industry representatives, labor unions and non-governmental organizations to arrive at a substantial reduction of energy use, ambitious increase in the production of renewable energy, and new jobs in the renewable energy sector.The covenant also announced new policies to stimulate community energy activities, such as the Zip-code-rose policy . The governmental interest in new forms of energy transition, is also demonstrated by the ‘Experiments Electricity Law’ facility, which gives local business and community initiatives an opportunity to experiment with a local energy system. This policy is meant as a ‘learning facility’; experiences are expected to lead to adaptations in Dutch electricity law and regulation.
