The Dutch food and agricultural market has been focusing on producing efficiently and effectively with the aim of cost minimization and profit maximizing. In addition to positive developments (higher efficiency and more effective production), this market system has created negative impact for nature, the environment and local economies. Collaboration is therefore necessary to set up local food supply chains that are sustainable economically, socially and environmentally.This research seeks optimization of business models in which trade and cooperation between food hubs and health care institutions, such as hospitals and residential care homes, thrive. This optimized business model can serve as a business model template and can contribute to strengthening the market position of local food hubs and affiliated farmers. Furthermore, hospitals can provide patients healthier, more regional and attractive diets. In order to develop and optimize the current business practices of food hubs the research aims to investigate business models and see if modifications of these business models would benefit current practices.
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This dissertation focuses on the ability of frail older persons, living in homes for the elderly, to stay as independent as possible. The quality of life in older adults depends for a great deal on whether they are dependent from care or not, and to what extent they are dependent. Care dependency is directly linked to ADL performance. Older people experience failure when they cannot look after themselves any longer, after a life of hard work and build up independence. From the view of a geriatric physiotherapist, optimalization of physical fitness characteristics like muscle strength, flexibility, aerobic endurance, coordination, and balance is the tool which may improve performance of activities of daily living (ADL).
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