“Dit project/onderzoek/living lab/leer- en innovatienetwerk is medegefinancierd door het Centre of Expertise Preventie in Zorg en Welzijn” Een blauwdruk voor een living lab collectieve belangenbehartiging is enigszins paradoxaal. Het wekt al snel de indruk dat er een pasklaar antwoord ligt dat in elke situatie in praktijk gebracht kan worden en enkel uitgevoerd hoeft of dient te worden. Maar een living lab is, zoals het begrip al suggereert, levendig van aard. Het is inherent aan een living lab dat er ruimte blijft bestaan om te onderzoeken en nieuwe ideeën te vormen over de aard van het lab zelf, zonder vast te zitten in een blauwdruk. Daarom presenteren we hier een aantal uitgangspunten en ideeën die meegenomen kunnen worden om een living lab collectieve belangenbehartiging vorm en inhoud te geven.
Objective: To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older. Methods: A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan–Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI). Results: All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values <0.001, respectively. The AUCs were <0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only “Do the shopping” predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item “Get around in the house” and the IADL item “Do the shopping” significantly predicted mortality. Conclusion: Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.
MULTIFILE
For the development of a circular economy and the reduction of the environmental impact of supply chains, the sharing of reliable information throughout the entire chain is a prerequisite. In practice, this is difficult to realise which blockchain can improve. BCLivingLab aims to explore the application of blockchain technology in supply chain and logistics. The project develops four physical hubs and a virtual repository for blockchain knowledge to support SME’s in developing use-cases and experiment with blockchain applications. The ambition is to build a community of interested stakeholders and to be involved in current and future blockchain initiatives.
For the development of a circular economy and the reduction of the environmental impact of supply chains, the sharing of reliable information throughout the entire chain is a prerequisite. In practice, this is difficult to realise which blockchain can improve. BCLivingLab aims to explore the application of blockchain technology in supply chain and logistics. The project develops four physical hubs and a virtual repository for blockchain knowledge to support SME’s in developing use-cases and experiment with blockchain applications. The ambition is to build a community of interested stakeholders and to be involved in current and future blockchain initiatives.
In order to achieve much-needed transitions in energy and health, systemic changes are required that are firmly based on the principles of regard for others and community values, while at the same time operating in market conditions. Social entrepreneurship and community entrepreneurship (SCE) hold the promise to catalyze such transitions, as they combine bottom-up social initiatives with a focus on financially viable business models. SCE requires a facilitating ecosystem in order to be able to fully realize its potential. As yet it is unclear in which way the entrepreneurial ecosystem for social and community entrepreneurship facilitates or hinders the flourishing and scaling of such entrepreneurship. It is also unclear how exactly entrepreneurs and stakeholders influence their ecosystem to become more facilitative. This research programme addresses these questions. Conceptually it integrates entrepreneurial ecosystem frameworks with upcoming theories on civic wealth creation, collaborative governance, participative learning and collective action frameworks.This multidisciplinary research project capitalizes on a unique consortium: the Dutch City Deal ‘Impact Ondernemen’. In this collaborative research, we enhance and expand current data collection efforts and adopt a living-lab setting centered on nine local and regional cases for collaborative learning through experimenting with innovative financial and business models. We develop meaningful, participatory design and evaluation methods and state-of-the-art digital tools to increase the effectiveness of impact measurement and management. Educational modules for professionals are developed to boost the abovementioned transition. The project’s learnings on mechanisms and processes can easily be adapted and translated to a broad range of impact areas.
