Er is regelmatig discussie in Nederland rond het laadgedrag van Plug in Hybride Elektrische Voertuigen (PHEV’s) in vergelijking met full electric voertuigen (FEV’s). Veelal gaat het hierbij om de vraag in hoeverre fors-gesubsidieerde PHEV’s veel elektrisch laden en daadwerkelijk veel elektrische kilometers maken. Een veelgehoorde aanklacht is dat PHEV’s relatief weinig zouden laden, veelal op de verbrandingsmotor rijden en als zodanig onterecht in aanmerking komen voor subsidie. De Hogeschool van Amsterdam (HvA) doet onderzoek voor de vier grote gemeenten (G4: Amsterdam, Den Haag, Rotterdam, Utrecht) en de Metropool Regio Amsterdam (MRA) waarbij laadgedrag op het publieke laadnetwerk wordt geëvalueerd. Sinds 2012 zijn hierbij meer dan 2 miljoen laadsessies geregistreerd op meer dan 6000 laadpunten op het publieke laadnetwerk van de G4 en MRA.
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Falls and fall-related injuries among older adults are associated with decreased health. Therefore, fall prevention programs (FPPs) are increasingly important. However, the translation of such complex programs into clinical practice lacks insight into factors that influence implementation. Therefore, the aim of this study was to identify how to optimize and further implement a widely used group-based FPP in the Netherlands among participants, therapists and stakeholders using a mixed methods study. FPP participants and therapists filled out a questionnaire about their experiences with the FPP. Moreover, three focus groups were conducted with FPP participants, one with therapists and one with other stakeholders. Data were analysed according to the thematic analysis approach of Braun and Clarke. Overall, 93% of the 104 FPP participants were satisfied with the FPP and 86% (n = 12) of the therapists would recommend the FPP to older adults with balance or mobility difficulties. Moreover, six themes were identified regarding further implementation: (1) recruiting and motivating older adults to participate; (2) structure and content of the program; (3) awareness, confidence and physical effects; (4) training with peers; (5) funding and costs; and (6) long-term continuation. This study resulted in practical recommendations for optimizing and further implementing FPPs in practice.
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Abstract Aims The involvement of an inter-professional healthcare student team in the review of medications used by geriatric patients could not only provide patients with optimized therapy but also provide students with a valuable inter-professional learning experience. We describe and evaluate the clinical and learning outcomes of an inter-professional student-run mediation review program (ISP). Subject and method A variable team consisting of students in medicine, pharmacy, master advanced nursing practice, and master physician assistant reviewed the medication lists of patients attending a specialized geriatric outpatient clinic. Results During 32 outpatient visits, 188 medications were reviewed. The students identified 14 medication-related problems, of which 4 were not recognized by healthcare professionals. The ISP team advised 95 medication changes, of which 68 (71.6%) were directly implemented. Students evaluated this pilot program positively and considered it educational (median score 4 out of 5) and thought it would contribute to their future inter-professional relationships. Conclusion An inter-professional team of healthcare students is an innovative healthcare improvement for (academic) hospitals to increase medication safety. Most formulated advices were directly incorporated in daily practice and could prevent future medication-related harm. The ISP also offers students a first opportunity to work in an inter-professional manner and get insight into the perspectives and qualities of their future colleagues.
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