Er is een toename van het aanbod van e-health-toepassingen in Nederland, dat blijkt onder meer uit de e-health monitor 2016 (www.e-health-monitor.nl). Eén van de aanbevelingen uit deze monitor is dat meer onderzoek moet plaatsvinden naar veilige en effectieve e-health-toepassingen. In dit artikel bundelen onderzoekers van verschillende kenniscentra hun ervaringen en beschrijven de door hen geleerde lessen die zijn gebaseerd op diverse onderzoeksprojecten.
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Europe faces significant challenges in maintaining its aging infrastructure due to extreme weather events, fluctuating groundwater levels, and rising sustainability demands. Ensuring the safety and longevity of infrastructure is a critical priority, especially for public organizations responsible for asset management. Digital technologies have the potential to facilitate the scaling and automation of infrastructure maintenance while enabling the development of a data-driven standardized inspection methodology. This extended abstract is the first phase of a study that examines current structural inspection methods and lifecycle monitoring activities of the Dutch public and private entities. The preliminary findings presented here indicate a preference for data-driven approaches, though challenges in data collection, processing, personnel resources and analysis remain. The future work will experiment integrating advanced tools, such as artificial intelligence supported visual inspection, on the existing inspection datasets of these authorities for quantifying their readiness levels to the fully automated digital inspections.
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Abstract Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0.20% before the intervention and 0.27% after the intervention; this difference in slopes was statistically significant (P = 0.027). The decrease of CCQ-mental was 0.97% before the intervention and after the intervention there was an increase of 0.017%; this difference was statistically significant (P = 0.01). No significant difference was found in the slopes of CCQ (P = 0.12) and CCQ-function (P = 0.11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management. Trial registration: Our study is registered in the Dutch Trial Register (national registration of clinical trails, mandatory for publication) with number NTR4098 and can be found at http://www.trialregister.nl/trial/3936.
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Online wijkplatformen worden op veel plaatsen in het land geïntroduceerd. Deze platformen hebben de potentie om thuiswonende ouderen lokaal meer te laten te participeren en om in wijken vraag en aanbod van inwoners bij elkaar te brengen. De implementatie van dergelijke wijkplatformen verloopt echter niet zonder slag of stoot. Onderzoekers van Zuyd Hogeschool brachten gemeenten, zorg- en welzijnsprofessionals, ondernemers en wijkbewoners van diverse initiatieven bij elkaar om samen de belemmerende en bevorderende factoren bij de implementatie van online wijkplatformen in kaart te brengen en aanbevelingen te doen voor een succesvolle implementatie.
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This report was written for the municipality of Apeldoorn as a contribution to Cityloops. It consists of designing and planning tools and provides answers for the municipality of Apeldoorn to enable them to move towards a circular construction economy.
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Designers have grown increasingly interested in social consequences of new technologies. As social impacts become increasingly important it might be fruitful to understand how social impacts develop and how a designer can anticipate these consequences. In health care practices, for instance, it is important to control unintended social impacts at forehand. Social impact is an outcome of the mediating effect of a technology with its social environment. Human behaviour in a social environment can be analysed from the perspective of a social ecological system. To anticipate social impacts simulations of social practices are needed. To simulate practices the persona approach has been adapted to a screenplay approach in which the elements of a social ecology are used to gain a rich description of a social environment. This has been applied for a 'Heart Managers' case. It was concluded that the screenplay approach can be used for a systematic simulation of future social impacts.
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This Whitepaper presents the essence of research into existing and emerging circular business models (CBMs). This results in the identification of seven basic types of CBM, divided into three groups that together form a classification. This Whitepaper consists of three parts. ? The first part discusses the background and explains the circular economy (CE), the connection with sustainability, business models and an overview of circular business models. ? In the second part, an overview is given of the developed classification of CBM, and each basic type is described based on its characteristics. This has resulted in seven knowledge maps. Finally, the last two, more future-oriented models are further explained and illustrated. ? The third part looks back briefly at the reliability of the classification made and then at the aspects of change management in working on and with a CBM.
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This Whitepaper presents the essence of research into existing and emerging circular business models (CBMs). This results in the identification of seven basic types of CBM, divided into three groups that together form a classification. This Whitepaper consists of three parts.▪ The first part discusses the background and explains the circular economy (CE), the connection with sustainability, business models and an overview of circular business models.▪ In the second part, an overview is given of the developed classification of CBM, and each basic type is described based on its characteristics. This has resulted in seven knowledge maps. Finally, the last two, more future-oriented models are further explained and illustrated.▪ The third part looks back briefly at the reliability of the classification made and then at the aspects of change management in working on and with a CBM.
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This research investigates the impact of early facility management involvement on the effective utilization of building information modelling during the operation and maintenance phase. It looks at understanding the factors that encourage building owners to prioritize early facility manager engagement. This research also examined the role of facility managers when involved early in the process, including the stage in which FM should be involved, the additional knowledge and competencies to add value, the main tasks to perform and what barriers should be overcome to involve FM early. Lastly, this research defines the potential added value that early engagement has on the use of BIM in the operational phase. Recognizing that facility managers bear the ultimate responsibility for building management, this study explores how their early engagement can ensure BIM model align with operational needs, maximizing the technology’s benefits throughout a building’s lifespan. By examining the impact of early FM input, this research aims to provide actionable insights for facility managers to contribute to the BIM development process.
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