The Dutch government decided to implement a road pricing system called, 'paying differently for mobility'. The main idea is that road users have to pay for using the road infrastructure instead of for owning a car. In the future, the price per kilometre will also depend on the time of the day and the location of the travel. Crowded locations and peak hours will be charged at a higher price per kilometre. In this study we examine the expected effect of the proposed road pricing scheme on logistics decisions to supply stores in urban areas based on in-depth interviews with carriers. Based on the revealed logistics reaction to current developments, such as the German LKW Maut, increasing congestion and the high fuel prices in 2008 and the stated reaction to the proposed road pricing scheme, we derive the expected impact of the scheme for urban goods transport in the Netherlands. The expected reactions differ between for-hire carries, shippers and private carriers. In the short term, carriers try to limit logistics changes by passing on extra costs or absorbing the extra costs in their margins. In the longer term, logistics changes are to be expected.
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Proefschrift Marije Sara Holstege: The road to successful geriatric rehabilitation ABSTRACT Objective Although geriatric rehabilitation (GR) is beneficial for restoration of activities and participation after hospitalization of vulnerable older persons, little is known about the optimal organization of care of these postacute facilities. This study examines the relationship of patient volume and service concentration with successful GR (short length of stay and discharge home) in skilled nursing facilities (SNFs). Design A national multicenter retrospective cohort study. Setting and participants All patients indicated for GR in a Dutch SNF. Measurements Nurses filled out digital registration forms from patient records. Patients were studied in 3 predefined diagnostic groups: total joint replacement, traumatic injuries, and stroke. Facility characteristics were obtained by structured telephone interviews with facility managers. Volume was based on the number of discharges in a 3-month period and categorized in low-, medium-, and high-volume facilities. Concentration was defined at the organizational level in which the population consists of 80% or more of 1 or 2 diagnostic groups, with the prerequisite of having a minimum of 10 rehabilitation beds. Results From 88 facilities, 2269 GR patients (mean age 78.2 years [SD 9.7]; 68.2% female) were included. The median length of stay in the SNF was 45 days (interquartile range 23-81), 57% of the patients were discharged home, and 9.8% died during GR. Of patients with total joint replacement (n = 501), concentration was related to successful rehabilitation (odds ratio 5.7; 95% confidence interval 1.3-24.3; P= .020, adjusted for age and gender); this relationship was not found for patients with traumatic injuries or stroke. Volume showed no relation with successful rehabilitation in any of the 3 diagnostic groups. Conclusion This study may indicate that concentration in an SNF, as a proxy for specialization, favors successful GR in total joint replacement. This relationship was not found for the traumatic injuries or stroke groups, or for volume. The relation on functional outcome in GR needs further investigation.
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Voor emissievrije transportsector is het van belang dat bedrijven kunnen beschikken over een goed netwerk om de batterij van hun elektrische vrachtwagen op te laden. In dat kader heeft een consortium van Decisio, EVConsult en Sweco ondersteund door de Hogeschool van Amsterdam een onderzoek uitgevoerd voor het ministerie Infrastructuur en Waterstaat: “Analyse Kosteneffectiviteit Electric Road Systems (ERS) voor Nederland”. Door middel van Electric Road Systems kan de batterij van een elektrische vrachtwagen worden opgeladen tijdens het rijden, bijvoorbeeld via een bovenleiding. Het is dus een vorm van dynamisch laden, wat een alternatief voor, dan wel een aanvulling op, het stationair laden bij een laadpaal is.
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Hoe kan zorgvernieuwing structureel en efficiënt gerealiseerd worden door inzet van 3D-technieken en welke praktische medische vraagstukken worden hiermee opgelost? Dat was een vraag die voortkwam uit experimenten van MST (afdeling Radiotherapie) voor het KIEM-project ‘Zorgvernieuwing door de inzet van 3D’. Hierin is onderzoek gedaan naar state-of-the-art 3D-technieken in de zorg. Op basis hiervan is een roadmap ontwikkeld waarin de kansen voor MST zijn samengevat. Dit heeft MST-intern geleid tot intensieve discussies over de vraag HOE deze 3D-technieken gerealiseerd kunnen worden in de huidige workflow. Uit de roadmap is een selectie gemaakt waar 3D-technieken een duidelijke meerwaarde kunnen bieden, als deze goed geïntegreerd kunnen worden met de ontwikkelende workflow binnen het in het KIEM-project opgezette Medisch-3D-Printlab bij het MST. De uitdaging is enerzijds om 3D-printen succesvol te introduceren en implementeren in de bestaande workflow van verschillende afdelingen in het ziekenhuis, waardoor innovatie in de zorg plaatsvindt en de kwaliteit van deze zorg verbeterd kan worden. Anderzijds een volgende stap in de mogelijkheden van 3Dprinten te verkennen: combinatie harde-zachte materialen. Het MST, Saxion Lectoraat Industrial Design en FabLab Enschede slaan de handen ineen, samen de met nieuwe partners uit de regio Siemonsma Tandtechniek en LAYaLAY om 3D-technieken daadwerkelijk te implementeren binnen de complexe wereld van het ziekenhuis. Doel van dit project is drieledig: 1) Implementatie van nieuwe 3D-technieken uit de roadmap en deze te optimaliseren aan de hand van praktijkcasussen. 2) Het verkennen van kansen binnen verschillende medische disciplines alsmede nieuwe 3Dscan/ printtechnieken (combinatie van harde-zachte materialen). 3) Het bijeenbrengen van nieuwe kennispartners en andere specialismen om dit thema grootschalig uit te werken in een vervolgproject.
Students in Higher Music Education (HME) are not facilitated to develop both their artistic and academic musical competences. Conservatoires (professional education, or ‘HBO’) traditionally foster the development of musical craftsmanship, while university musicology departments (academic education, or ‘WO’) promote broader perspectives on music’s place in society. All the while, music professionals are increasingly required to combine musical and scholarly knowledge. Indeed, musicianship is more than performance, and musicology more than reflection—a robust musical practice requires people who are versed in both domains. It’s time our education mirrors this blended profession. This proposal entails collaborative projects between a conservatory and a university in two cities where musical performance and musicology equally thrive: Amsterdam (Conservatory and University of Amsterdam) and Utrecht (HKU Utrechts Conservatorium and Utrecht University). Each project will pilot a joint program of study, combining existing modules with newly developed ones. The feasibility of joint degrees will be explored: a combined bachelor’s degree in Amsterdam; and a combined master’s degree in Utrecht. The full innovation process will be translated to a transferable infrastructural model. For 125 students it will fuse praxis-based musical knowledge and skills, practice-led research and academic training. Beyond this, the partners will also use the Comenius funds as a springboard for collaboration between the two cities to enrich their respective BA and MA programs. In the end, the programme will diversify the educational possibilities for students of music in the Netherlands, and thereby increase their professional opportunities in today’s job market.
Digital transformation has been recognized for its potential to contribute to sustainability goals. It requires companies to develop their Data Analytic Capability (DAC), defined as their ability to collect, manage and analyze data effectively. Despite the governmental efforts to promote digitalization, there seems to be a knowledge gap on how to proceed, with 37% of Dutch SMEs reporting a lack of knowledge, and 33% reporting a lack of support in developing DAC. Participants in the interviews that we organized preparing this proposal indicated a need for guidance on how to develop DAC within their organization given their unique context (e.g. age and experience of the workforce, presence of legacy systems, high daily workload, lack of knowledge of digitalization). While a lot of attention has been given to the technological aspects of DAC, the people, process, and organizational culture aspects are as important, requiring a comprehensive approach and thus a bundling of knowledge from different expertise. Therefore, the objective of this KIEM proposal is to identify organizational enablers and inhibitors of DAC through a series of interviews and case studies, and use these to formulate a preliminary roadmap to DAC. From a structure perspective, the objective of the KIEM proposal will be to explore and solidify the partnership between Breda University of Applied Sciences (BUas), Avans University of Applied Sciences (Avans), Logistics Community Brabant (LCB), van Berkel Logistics BV, Smink Group BV, and iValueImprovement BV. This partnership will be used to develop the preliminary roadmap and pre-test it using action methodology. The action research protocol and preliminary roadmap thereby developed in this KIEM project will form the basis for a subsequent RAAK proposal.
