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Sample records for dutch consumer quality

  1. Patient's experiences with quality of hospital care: the Dutch Consumer Quality Index Cataract Questionnaire.

    NARCIS (Netherlands)

    Stubbe, J.H.; Brouwer, W.; Delnoij, D.M.J.

    2007-01-01

    BACKGROUND: Patients' feedback is of great importance in health care policy decisions. The Consumer Quality Index Cataract Questionnaire (CQI Cataract) was used to measure patients' experiences with quality of care after a cataract operation. This study aims to evaluate the reliability and the dimen

  2. The Dutch Consumer Quality Index: an example of stakeholder involvement in indicator development

    Directory of Open Access Journals (Sweden)

    Rademakers Jany JDJM

    2010-04-01

    Full Text Available Abstract Background Like in several other Western countries, in the Dutch health care system regulated competition has been introduced. In order to make this work, comparable information is required about the performance of health care providers in terms of effectiveness, safety and patient experiences. Without further coordination, external actors will all try to force health care providers to be transparent. For health care providers this might result in a situation in which they have to deliver data for several sets of indicators, defined by different actors. Therefore, in the Netherlands an effort is made to define national sets of performance indicators and related measuring instruments. In this article, the following questions are addressed, using patient experiences as an example: - When and how are stakeholders involved in the development of indicators and instruments that measure the patients' experiences with health care providers? - Does this involvement lead to indicators and instruments that match stakeholders' information needs? Discussion The Dutch experiences show that it is possible to implement national indicator sets and to reach consensus about what needs to be measured. Preliminary evaluations show that for health care providers and health insurers the benefits of standardization outweigh the possible loss of tailor-made information. However, it has also become clear that particular attention should be given to the participation of patient/consumer organisations. Summary Stakeholder involvement is complex and time-consuming. However, it is the only way to balance the information needs of all the parties that ask for and benefit from transparency, without frustrating the health care system.

  3. Explaining purchases of organic meat by Dutch consumers

    NARCIS (Netherlands)

    Verhoef, PC

    2005-01-01

    This study investigates the impact of economic and marketing variables ( quality, price, and distribution), emotions ( fear, empathy, and guilt), social norms, and environment-related variables ( environmental concern, green behaviour, and perceived consumer effectiveness) on Dutch consumers' prefer

  4. Explaining purchases of organic meat by Dutch consumers

    NARCIS (Netherlands)

    Verhoef, PC

    2005-01-01

    This study investigates the impact of economic and marketing variables ( quality, price, and distribution), emotions ( fear, empathy, and guilt), social norms, and environment-related variables ( environmental concern, green behaviour, and perceived consumer effectiveness) on Dutch consumers'

  5. Dutch VULA consumer market services over Cable

    NARCIS (Netherlands)

    Anoniem

    2015-01-01

    KPN offers a virtual unbundled local access wholesale service over its DSL infrastructure. This offer has been accepted by the Dutch Authority Consumer Market. In the report, it is argued that for consumer market services, the Dutch cable providers can develop an equivalent wholesale service from th

  6. Radioactivity in Dutch consumer products

    CERN Document Server

    Janssen, M P M

    2002-01-01

    This study took place within the framework of a general update of the average radiation dose for the Dutch population. It focuses on consumer products in which radionuclides have been intentionally incorporated and on radiation-emitting devices that can be supplied to members of the public without special surveillance. Eleven consumer products were studied in more detail. The radiation from these products determined 90% of the total collective dose due to consumer products in the Netherlands in 1988. Individual and collective doses are presented here for each product. The total collective dose has decreased from 130 personSv in 1988 to 4.6 personSv at present. This reduction was attributed to: a decrease in the number of radioactive products (gas mantles), lower estimates of the number of radioactive products present in the Netherlands thanks to new information (camera lenses, smoke detectors containing Ra-226), replacement of radioactive by non-radioactive products (gas mantles, dental protheses), and a lowe...

  7. Competition in the Dutch consumer credit market

    NARCIS (Netherlands)

    Toolsema-Veldman, Linda

    2002-01-01

    This paper considers the degree of competitiveness of the Dutch consumer credit market. We use the well-known Bresnahan-Lau method that estimates a structural model consisting of a demand relation and a supply relation, based on aggregate data. The level of competition is derived from the estimated

  8. Ethical motivation of Dutch egg consumers

    NARCIS (Netherlands)

    Burrell, A.M.; Vrieze, G.

    2003-01-01

    This paper analyses a representative sample of 356 Dutch egg consumers in order to measure the extent to which ethical principles concerning the welfare of hens in different rearing systems are translated into egg purchasing intentions, and the extent to which declared intentions are expressed in ac

  9. Consumer price sensitivity in Dutch health insurance

    NARCIS (Netherlands)

    M. van Dijk (Machiel); M. Pomp (Marc); R.C.H.M. Douven (Rudy); T. Laske-Aldershof (Trea); F.T. Schut (Erik); W. de Boer (Willem); A. Boo (Anne)

    2008-01-01

    textabstractAim: To estimate the price sensitivity of consumer choice of health insurance firm. Method: Using paneldata of the flows of insured betweenpairs of Dutch sickness funds during the period 1993-2002, we estimate the sensitivity of these flows to differences in insurance premium. Results:

  10. Stakeholder involvement in the development of national indicator sets: the example of the Dutch Consumer Quality Index.

    NARCIS (Netherlands)

    Delnoij, D.M.J.; Rademakers, J.; Groenewegen, P.

    2010-01-01

    Issue/problem: In health-care systems based on regulated competition, such as The Netherlands, consumers and health insurers need comparable information about the performance of healthcare providers in terms of effectiveness, safety and patient experiences. Without further coordination, health-care

  11. Supervisory governance, the case of the Dutch Consumer Authority

    NARCIS (Netherlands)

    Heldeweg, Michiel A.

    2006-01-01

    This article concerns the impact of the Regulation on consumer protection cooperation, especially with regard to the introduction of a public law supervisory authority, on the primarily civil law and self-regulatory Dutch concept of supervision and enforcement in consumer law. The response to this r

  12. Consumer evaluation of complaint handling in the Dutch health insurance market.

    NARCIS (Netherlands)

    Wendel, S.; Jong, J.D. de; Curfs, E.C.

    2011-01-01

    Background: How companies deal with complaints is a particularly challenging aspect in managing the quality of their service. In this study we test the direct and relative effects of service quality dimensions on consumer complaint satisfaction evaluations and trust in a company in the Dutch health

  13. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten; LS Sportontw. & Managing Social Issues; UU LEG Research USG Public Matters Managing Social Issues; LS Management van Cultuur en Zingeving

    2014-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to ex

  14. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten; LS Sportontw. & Managing Social Issues; UU LEG Research USG Public Matters Managing Social Issues; LS Management van Cultuur en Zingeving

    2014-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to ex

  15. The Dutch health insurance reform: consumer mobility.

    NARCIS (Netherlands)

    Jong, J.D. de; Groenewegen, P.P.; Rijken, M.

    2006-01-01

    On 1 January 2006, a number of far-reaching changes in the Dutch health insurance system came into effect. There is now one type of health care insurance for all. The standard package is compulsory for everyone who lives in The Netherlands or pays wage tax in The Netherlands. In the new system of ma

  16. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten

    2015-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to ex

  17. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten

    2015-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to

  18. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten; LS Sportontw. & Managing Social Issues; UU LEG Research USG Public Matters Managing Social Issues; LS Management van Cultuur en Zingeving

    2014-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to

  19. Creating sport consumers in Dutch sport policy

    NARCIS (Netherlands)

    van der Roest, Jan Willem; Vermeulen, Jeroen; van Bottenburg, Maarten

    2015-01-01

    This article deals with the tension between the association logic and the market logic that appears in the domain of voluntary sport clubs (VSCs). We present a qualitative analysis of sport policy texts of fifteen Dutch national sport organizations (NSOs) and the national umbrella organization to ex

  20. Consumers' quality perception

    DEFF Research Database (Denmark)

    Bech, Anne C.; Grunert, Klaus G.; Bredahl, Lone;

    2001-01-01

    Much has been said about food quality, and the disussion is endless because the notion of quality changes along with the changes in our life and society. This underlines the complexity of the issue of food quality. Today food production in Europe is highly concentrated, and the global market is r...... framework, the Total Food Quality Model, which we believe is useful in understanding consumers perception of food quality. We will then illustrate applications of the model using two recent examples of the quality perception of meat and fish.......Much has been said about food quality, and the disussion is endless because the notion of quality changes along with the changes in our life and society. This underlines the complexity of the issue of food quality. Today food production in Europe is highly concentrated, and the global market...... of quality and the ability of producers to react to changes in consumers' perception of quality may form the basis of market success or failure, independent of whether you are a local or multinational producer. This chapter deals with the analysis of consumers' quality perception. We will introduce a general...

  1. Food quality and the consumers

    DEFF Research Database (Denmark)

    Lassen, Jesper

    1993-01-01

    Executive Summary: 1. Consumers and professionals in the food sector will differ in the way they view food quality. Professionals have knowledge and resources to establish quality based on objective criteria. Consumers lack both, and they are typically concerned with many different products....... Quality perception is therefore the best way to describe how consumers relate to the quality of food products. 2. The way consumers perceive quality is only imperfectly related to how they act on the market. There are many reasons why food choice can deviate from consumer intentions: lack of economic...... resources, of means of transportation, of time, of knowledge. Consumers' shopping behaviour is therefore an imperfect indicator of the quality consumers want, insufficient way of communicating consumer wishes to the food sector. 3. The fact that the food producer may be separated from the consumer...

  2. Vulnerable Consumers in the Deregulated Dutch Health System

    NARCIS (Netherlands)

    Booltink, L.; Genugten, M.L. van; Lako, C.J.

    2015-01-01

    Public service deregulation is favoured for motivating providers to offer consumers better price-quality services. Consequently, consumers are enabled to make informed choices and choose for the best service provider. However, recent publications reveal that consumers are not capable of exercising o

  3. Vulnerable Consumers in the Deregulated Dutch Health System

    OpenAIRE

    Booltink, L.; Genugten, M.L. van; Lako, C.J.

    2015-01-01

    Public service deregulation is favoured for motivating providers to offer consumers better price-quality services. Consequently, consumers are enabled to make informed choices and choose for the best service provider. However, recent publications reveal that consumers are not capable of exercising optimal choice behaviour. Despite these concerns, evidence is lacking on the extent to which potentially vulnerable consumers make use of the core element of deregulation—switching health plans. Thi...

  4. Consumer evaluation of complaint handling in the Dutch health insurance market

    Directory of Open Access Journals (Sweden)

    Wendel Sonja

    2011-11-01

    Full Text Available Abstract Background How companies deal with complaints is a particularly challenging aspect in managing the quality of their service. In this study we test the direct and relative effects of service quality dimensions on consumer complaint satisfaction evaluations and trust in a company in the Dutch health insurance market. Methods A cross-sectional survey design was used. Survey data of 150 members of a Dutch insurance panel who lodged a complaint at their healthcare insurer within the past 12 months were surveyed. The data were collected using a questionnaire containing validated multi-item measures. These measures assess the service quality dimensions consisting of functional quality and technical quality and consumer complaint satisfaction evaluations consisting of complaint satisfaction and overall satisfaction with the company after complaint handling. Respondents' trust in a company after complaint handling was also measured. Using factor analysis, reliability and validity of the measures were assessed. Regression analysis was used to examine the relationships between these variables. Results Overall, results confirm the hypothesized direct and relative effects between the service quality dimensions and consumer complaint satisfaction evaluations and trust in the company. No support was found for the effect of technical quality on overall satisfaction with the company. This outcome might be driven by the context of our study; namely, consumers get in touch with a company to resolve a specific problem and therefore might focus more on complaint satisfaction and less on overall satisfaction with the company. Conclusions Overall, the model we present is valid in the context of the Dutch health insurance market. Management is able to increase consumers' complaint satisfaction, overall satisfaction with the company, and trust in the company by improving elements of functional and technical quality. Furthermore, we show that functional and

  5. Quality systems in Dutch health care institutions.

    NARCIS (Netherlands)

    Casparie, A.F.; Sluijs, E.M.; Wagner, C.; Bakker, D.H. de

    1997-01-01

    The implementation of quality systems in Dutch health care was supervised by a national committee during 1990-1995. To monitor the progress of implementation a large survey was conducted in the beginning of 1995. The survey enclosed all subsectors in health care. A postal questionnaire-derived fr

  6. Consumer perception of bread quality.

    Science.gov (United States)

    Gellynck, Xavier; Kühne, Bianka; Van Bockstaele, Filip; Van de Walle, Davy; Dewettinck, Koen

    2009-08-01

    Bread contains a wide range of important nutritional components which provide a positive effect on human health. However, the consumption of bread is declining during the last decades. This is due to factors such as changing eating patterns and an increasing choice of substitutes like breakfast cereals and fast foods. The aim of this study is to investigate consumer's quality perception of bread towards sensory, health and nutrition attributes. Four consumer segments are identified based on these attributes. The different consumer segments comprise consumers being positive to all three quality aspects of bread ("enthusiastic") as wells as consumers perceiving bread strongly as "tasteless", "non-nutritious" or "unhealthy". Moreover, factors are identified which influence the consumers' quality perception of bread. The results of our study may help health professionals and policy makers to systematically inform consumers about the positive effects of bread based on its components. Furthermore, firms can use the results to build up tailor-made marketing strategies.

  7. Consumer demand and quality assurance

    DEFF Research Database (Denmark)

    Grunert, Klaus G; Wognum, Nel; Trienekens, Jacques

    2011-01-01

    Consumers differ in their demands, and this mau have implications for the type of supply chain governance that is most suitable for serving them. We present a segmentation of pork consumers in the EU based on their food-related lifestyles and demand for different pork products. We then present...... an inventory of pork chain governance and quality management systems, also resulting from a pan-European study, and attempt to match types of chains to consumer segments, arguing that the type of quality demanded by the consumers has implications especially for the quality management system governing the chain...

  8. Food-related lifestyle and health attitudes of Dutch vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers

    NARCIS (Netherlands)

    Hoek, A.C.; Luning, P.A.; Stafleu, A.; Graaf, de C.

    2004-01-01

    The aim was to investigate socio-demographic characteristics, and attitudes to food and health of vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers in The Netherlands. The sample used for this study (participants > or =18 years) was taken from the Dutch National Food

  9. Food-related lifestyle and health attitudes of Dutch vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers

    NARCIS (Netherlands)

    Hoek, A.C.; Luning, P.A.; Stafleu, A.; Graaf, C. de

    2004-01-01

    The aim was to investigate socio-demographic characteristics, and attitudes to food and health of vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers in the Netherlands. The sample used for this study (participants ≥18 years) was taken from the Dutch National Food

  10. Food-related lifestyle and health attitudes of Dutch vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers

    NARCIS (Netherlands)

    Hoek, A.C.; Luning, P.A.; Stafleu, A.; Graaf, de C.

    2004-01-01

    The aim was to investigate socio-demographic characteristics, and attitudes to food and health of vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers in The Netherlands. The sample used for this study (participants > or =18 years) was taken from the Dutch National Food C

  11. Consumer behaviour towards vegetables: a study on domestic processing of broccoli and carrots by Dutch households.

    Science.gov (United States)

    Bongoni, R; Verkerk, R; Dekker, M; Steenbekkers, L P A

    2015-06-01

    Preferences for sensory properties (e.g. taste and texture) are assumed to control cooking behaviour with respect to vegetables. Conditions such as the cooking method, amount of water used and the time-temperature profile determine the nutritional quality (e.g. vitamins and phytochemicals) of cooked vegetables. Information on domestic processing and any underlying motives can be used to inform consumers about cooking vegetables that are equally liked and are nutrient-rich. Two online self-reporting questionnaires were used to identify domestic processing conditions of broccoli and carrots by Dutch households. Questions on various aspects of domestic processing and consumer motives were included. Descriptive data analysis and hierarchical cluster analysis were performed for both vegetables, separately, to group consumers with similar motives and behaviour towards vegetables. Approximately 70% of consumers boiled vegetables, 8-9% steamed vegetables, 10-15% stir fried raw vegetables and 8-10% stir fried boiled vegetables. Mainly texture was used as a way to decide the 'doneness' of the vegetables. For both vegetables, three clusters of consumers were identified: texture-orientated, health-orientated, or taste-orientated. The texture-orientated consumers are identified as the most prevalent (56-59%) group in the present study. Statistically significant associations are found between domestic processing conditions and clusters, whereas no such association are found between demographic details and clusters. A wide variation in domestic processing of broccoli and carrots is found in the present study. Mainly sensory properties (i.e. texture and taste) determined the domestic processing conditions. The findings of the present study can be used to optimise cooking to yield vegetables that meet consumer's specific sensory preference and are higher in nutrients, and as well as to communicate with target consumer groups. © 2014 The British Dietetic Association Ltd.

  12. Quality and cost of healthcare : A cross-national comparison of American and Dutch attitudes

    NARCIS (Netherlands)

    Lindenthal, J.J.; Lako, C.J.; van der Waal, M.A.E.; Tijmstra, T.; Andela, M.; Schneider, Mareleyn

    Objective: To compare attitudes of consumers in America and Holland toward the quality and cost of healthcare. Study Design: Data were derived from one American (n = 466) and two Dutch (n = 260, n = 1629) surveys. Patients and Methods: Questionnaires were completed by respondents. Pairwise

  13. Quality and cost of healthcare : A cross-national comparison of American and Dutch attitudes

    NARCIS (Netherlands)

    Lindenthal, J.J.; Lako, C.J.; van der Waal, M.A.E.; Tijmstra, T.; Andela, M.; Schneider, M.

    1999-01-01

    Objective: To compare attitudes of consumers in America and Holland toward the quality and cost of healthcare. Study Design: Data were derived from one American (n = 466) and two Dutch (n = 260, n = 1629) surveys. Patients and Methods: Questionnaires were completed by respondents. Pairwise compariso

  14. Consumer perception of bread quality

    Directory of Open Access Journals (Sweden)

    Ľudmila Nagyová

    2009-01-01

    Full Text Available The aim of this paper is to evaluate consumers’ perception of bread quality in Slovakia. Bread belongs to essential foodstuffs and we all have it served on our table every day.Cereal products keep their importance in people’s nutrition mainly because of their preventive effects on health. They saturate about 40 % of the daily energy need of an average European, who in ave­ra­ge acquires from cereals about 30 % of proteins, vitamin B1, niatin and phosphorus, around 1/6 of fats (out of it 19 % of linol acid, almost 60 % of saccharides, Ľ iron and about 13 % of vitamin B2 and calcium. If we add some cereal fiber which is an effective prevention factor of cardiovascular di­sea­ses, metabolic and oncological diseases of colon and anus, we will get a complex picture about positive effects of cereals in our nutrition. If we were to mark any foodstuff which has been accompanying the mankind in the course of history, it could be bread. Its consummation is spread in the whole world. Only the ones who once suffered from its lack have recognized its value.It results from our research that consumers in Slovakia prefer consuming the wheat-ray bread (38.5 %. The respondents – consumers prefer at choosing buying bread in terms of the external, subjective factors, the overall shape when choosing bread (45 % and dark color of crust (25 %. They showed minimum interest in white color crust and packaging size. In terms of the internal, objective factors, the most important factor for respondents, for women as well as for men was freshness of foodstuffs followed by fiber (with a big difference (12.82 %.Almost 60 % of bread consumers claimed that they did not have any possibility to obtain the required information regarding bread in supermarkets and hypermarkets because it is not possible to find professional staff providing them with the required information. A different situation is in the classical, small, self-service, and

  15. Supervisory governance
    The case of the Dutch Consumer Authority

    Directory of Open Access Journals (Sweden)

    Michiel A. Heldeweg

    2006-06-01

    Full Text Available This article concerns the impact of the Regulation on consumer protection cooperation, especially with regard to the introduction of a public law supervisory authority, on the primarily civil law and self-regulatory Dutch concept of supervision and enforcement in consumer law. The response to this regulation has been to introduce a dual system of enforcement (separating civil law and public law enforcement in which the new Dutch Consumer Authority is to act in accordance with the subsidiarity principle (intervening only when the market itself fails to respond adequately. The major question is whether this new ‘hybrid’ concept of dualism and subsidiarity will be sustainable or if a full ‘publicisation’ of Dutch consumer protection law should be expected. Important determining factors are the positioning of the Consumer Authority in both the European network and in several national networks with both public and private law partners. A key issue is how responsibility for consumer protection will be distributed through these networks. Finding a balance between, especially, the role of the European Commission (in the European network and ministerial responsibility (for the Consumer Authority is necessary to enable the Consumer Authority to create sufficient trust within these networks so as to make dualism and subsidiarity possible.

  16. Piloting a generic cancer consumer quality index in six European countries.

    NARCIS (Netherlands)

    Wind, A.; Roeling, M.P.; Heerink, J.; Sixma, H.; Presti, P.; Lombardo, C.; Harten, W. van

    2016-01-01

    Background: Accounting for patients’ perspective has become increasingly important. Based on the Consumer Quality Index method (founded on Consumer Assessment of Healthcare Providers and Systems) a questionnaire was recently developed for Dutch cancer patients. As a next step, this study aimed to

  17. Consumer driven supply chains: the case of Dutch organic tomato

    NARCIS (Netherlands)

    Anastasiadis, F.; Dam, van Y.K.

    2014-01-01

    Supply chain management refers to the efficient integration of various processes involved in turning resources into consumer products. Effectiveness of the supply chain is more easily understood in terms of Value Chain Management, and the integration of processes that turn resources into consumer va

  18. Consumer perception of meat quality and safety

    DEFF Research Database (Denmark)

    Brunsø, Karen; Grunert, Klaus G.; Bredahl, Lone

    2003-01-01

    The evaluation of meat quality and safety is not an easy task for consumers. In this article, the Total Food Quality Model will be introduced as a framework for understanding how consumers perceive meat quality, and results from a Danish study dealing with consumer perception and experience of beef...... will be presented. Consumers form expectations about the eating quality of meat at the point of purchase, based on prior experience and information available in the shopping environment, while the eating quality is experienced in the home during and after meal preparation. Results show that consumers have...

  19. Associations between company at dinner and daily diet quality in Dutch men and women from the NQplus study

    NARCIS (Netherlands)

    Lee, van L.; Geelen, M.M.E.E.; Hooft Van Huysduynen, E.J.C.; Vries, de J.H.M.; Veer, van 't P.; Feskens, E.J.M.

    2016-01-01

    BACKGROUND/OBJECTIVES: Consuming the evening meal in the company of others has been associated with overall diet quality. Nevertheless, studies on the association between type of company at dinner and diet quality in adults are scarce.
    SUBJECTS/METHODS: Dutch men (n = 895) and women (n = 845)

  20. The relationship between consumer insight and provider-consumer agreement regarding consumer's quality of life.

    Science.gov (United States)

    Hasson-Ohayon, Ilanit; Roe, David; Kravetz, Shlomo; Levy-Frank, Itamar; Meir, Taly

    2011-10-01

    This study examined the relationship between insight and mental health consumers and providers agreement regarding consumers rated quality of life (QoL). Seventy mental health consumers and their 23 care providers filled-out parallel questionnaires designed to measure consumer QoL. Consumers' insight was also assessed. For most QoL domains, agreement between consumers and providers was higher for persons with high insight. For the Psychological well being dimension a negative correlation was uncovered for persons with low insight indicating disagreement between consumer and provider. These findings are discussed within the context of the literature on insight and agreement between consumer and provider as related to the therapeutic alliance.

  1. Food-related lifestyle and health attitudes of Dutch vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers.

    Science.gov (United States)

    Hoek, Annet C; Luning, Pieternel A; Stafleu, Annette; de Graaf, Cees

    2004-06-01

    The aim was to investigate socio-demographic characteristics, and attitudes to food and health of vegetarians, non-vegetarian consumers of meat substitutes, and meat consumers in The Netherlands. The sample used for this study (participants > or =18 years) was taken from the Dutch National Food Consumption Survey, 1997/1998. Vegetarians (n = 63) and consumers of meat substitutes (n = 39) had similar socio-demographic profiles: higher education levels, higher social economic status, smaller households, and more urbanised residential areas, compared to meat consumers (n = 4313). Attitudes to food were assessed by the food-related lifestyle instrument. We found that vegetarians (n = 32) had more positive attitudes towards importance of product information, speciality shops, health, novelty, ecological products, social event, and social relationships than meat consumers (n = 1638). The health consciousness scale, which was used to assess attitudes to health, supported earlier findings that vegetarians are more occupied by health. Food-related lifestyle and health attitudes of meat substitute consumers (n = 17) were predominantly in-between those from vegetarians and meat consumers. The outcome of this study suggests that in strategies to promote meat substitutes for non-vegetarian consumers, the focus should not only be on health and ecological aspects of foods.

  2. Quality management systems and clinical outcomes in Dutch nursing homes.

    NARCIS (Netherlands)

    Wagner, C.; Klein Ikkink, K.; Wal, G. van der; Spreeuwenberg, P.; Bakker, D.H. de; Groenewegen, P.P.

    2006-01-01

    The objective of the article is to explore the impact quality management systems and quality assurance activities in nursing homes have on clinical outcomes. The results are based on a cross-sectional study in 65 Dutch nursing homes. The management of the nursing homes as well as the residents (N =

  3. Quality management systems and clinical outcomes in Dutch nursing homes

    NARCIS (Netherlands)

    Wagner, Cordula; Klein Ikkink, Karen; Wal, Gerrit van der; Spreeuwenberg, Peter; Bakker, Dinny Herman de; Groenewegen, Peter Paulus

    2006-01-01

    The objective of the article is to explore the impact quality management systems and quality assurance activities in nursing homes have on clinical outcomes. The results are based on a cross-sectional study in 65 Dutch nursing homes. The management of the nursing homes as well as the residents (N= 1

  4. Consumer demand and quality assurance

    DEFF Research Database (Denmark)

    Grunert, Klaus G; Wognum, Nel; Trienekens, Jacques

    2011-01-01

    Consumers differ in their demands, and this mau have implications for the type of supply chain governance that is most suitable for serving them. We present a segmentation of pork consumers in the EU based on their food-related lifestyles and demand for different pork products. We then present an......, and that these implications are different for fresh meat and processed meat. The paper closes with a call for more collaboration between chain researchers and consumer researchers.......Consumers differ in their demands, and this mau have implications for the type of supply chain governance that is most suitable for serving them. We present a segmentation of pork consumers in the EU based on their food-related lifestyles and demand for different pork products. We then present...

  5. Consumer choice in the Dutch health insurance market.

    NARCIS (Netherlands)

    Maat, M.J.P. van der; Jong, J.D. de

    2010-01-01

    Background: In the last decades, health care reforms based on introducing managed competition have been implemented in several countries. The policy assumption is that managed competition leads to lower prices and increases the quality of health care. However, not much is known about the underlying

  6. Consumer choice in the Dutch health insurance market.

    NARCIS (Netherlands)

    Maat, M.J.P. van der; Jong, J.D. de

    2010-01-01

    Background: In the last decades, health care reforms based on introducing managed competition have been implemented in several countries. The policy assumption is that managed competition leads to lower prices and increases the quality of health care. However, not much is known about the underlying

  7. Consuming America : A Data-Driven Analysis of the United States as a Reference Culture in Dutch Public Discourse on Consumer Goods, 1890-1990

    NARCIS (Netherlands)

    Wevers, M.J.H.F.

    2017-01-01

    Consuming America offers a data-driven, longitudinal analysis of the historical dynamics that have underpinned a long-term, layered cultural-historical process: the emergence of the United States as a dominant reference culture in Dutch public discourse on consumer goods between 1890 and 1990. The

  8. Effects of Consumer Involvement, Consumer Knowledge, and Consumer Education on Decision Quality and Consumer Loyalty in Cosmetics Industry

    OpenAIRE

    Han, Ching-Cheng

    2008-01-01

    This study examines the effects of consumer education, consumer knowledge, and consumer involvement on decision quality and consumer loyalty. First, the research gives an overview of the industrial background and literature review. In addition, the relationships between each construct are indicated based on the pervious researches. A quantitative research in the form of online questionnaire was conducted and results are analysed. Finally, the conclusion and limitation of the study is reported...

  9. Consumers' food choice and quality perception

    DEFF Research Database (Denmark)

    Brunsø, Karen; Fjord, Thomas Ahle; Grunert, Klaus G.

    There is a long tradition of research into consumers' food choice and quality perception. In the last few years, however, these topics have received even more attention due to the intense debate about such issues as ethical considerations in relation to food production and quality, food scandals...... and the resulting food scares among consumers, genetic modification of foods, and animal welfare (or, rather, non-welfare), which has made questions regarding food quality and consumers' supposedly rational or irrational food choices even more urgent. Increased interest in health and quality stands in stark...... contrast to a perceived unwillingness to pay the higher prices this implies, and scepticism about industrial food production stands in contrast to busy lifestyles and a resulting demand for convenience. However, while the topics of food quality perception and choice have certainly become more complex...

  10. Stormwater quality characteristics in (Dutch) urban areas

    NARCIS (Netherlands)

    Frans van de Ven; Jeroen G. Langeveld; ir. Floris Boogaard; Nick van de Giesen

    2014-01-01

    Stormwaters, flowing into storm sewers, are known to significantly increase the annual pollutant loads entering urban receiving waters and this results in significant degradation of the receiving water quality. Knowledge of the characteristics of stormwater pollution enables urban planners to

  11. Stormwater quality characteristics in (Dutch) urban areas

    NARCIS (Netherlands)

    Boogaard, Floris C.; Ven, Frans van de; Langeveld, Jeroen G.; Giesen, Nick van de

    2014-01-01

    Stormwaters, flowing into storm sewers, are known to significantly increase the annual pollutant loads entering urban receiving waters and this results in significant degradation of the receiving water quality. Knowledge of the characteristics of stormwater pollution enables urban planners to inc

  12. Consumer preferences for apple quality traits

    OpenAIRE

    2013-01-01

    This study investigates the marginal values consumers place on apple quality traits as part of a larger SCRI project whose goal is to increase the long-term economic sustainability of Rosacea crops by increasing the U.S. per-capita consumption of fruits. Information on consumers’ preferences and the value they place on fruit quality is important and may help breeders better establish trait priorities and make the breeding process more efficient. We conducted sensory tasting tests and experime...

  13. Organic pork: Consumer quality perception: Final report

    DEFF Research Database (Denmark)

    Scholderer, Joachim; Nielsen, Niels Asger; Bredahl, Lone;

    2004-01-01

    tasting each sample, consumers rated experienced quality on four dimensions (including taste, tenderness, juiciness, and overall acceptability) as well as willingness to pay. Highly significant differences were found between label information conditions, following the same pattern on all dependent...... juiciness, overall acceptability, and willingness to pay, with organic pork receiving consistently lower ratings than conventional pork, irrespective of label information. There were no differences between actual meat types regarding expected quality or perceived tenderness. No significant interactions were...

  14. The Consumer Quality Index Hip Knee Questionnaire measuring patients' experience with quality of care after a total hip or knee arthroplasty.

    NARCIS (Netherlands)

    Stubbe, J.H.; Gelsema, T.; Delnoij, D.M.J.

    2007-01-01

    Background: The Dutch Consumer Quality Index Hip Knee Questionnaire (CQI Hip Knee) was used to assess patients' experiences with and evaluations of quality of care after a total hip (THA) or total knee arthroplasty (TKA). The aim of this study is to evaluate the construct validity and internal consi

  15. Monitoring activities in the Dutch National Air Quality Monitoring Network in 2000 and 2001

    NARCIS (Netherlands)

    Elzakker BG van; LLO

    2001-01-01

    The Dutch National Air Quality Monitoring Network (LML in Dutch) is one of the responsibilities of the Air Research Laboratory of the National Institute of Public Health and the Environment. The main objectives of the LML are to monitor ambient air quality, facilitate implementation of air quality

  16. Monitoring activities in the Dutch National Air Quality Monitoring Network in 2000 and 2001

    NARCIS (Netherlands)

    Elzakker BG van; LLO

    2001-01-01

    The Dutch National Air Quality Monitoring Network (LML in Dutch) is one of the responsibilities of the Air Research Laboratory of the National Institute of Public Health and the Environment. The main objectives of the LML are to monitor ambient air quality, facilitate implementation of air quality s

  17. Psychometric properties of the Dutch version of the hospital-level consumer assessment of health plans survey (R) instrument

    NARCIS (Netherlands)

    O.A. Arah; A.H.A. ten Asbroek; D.M.J. Delnoij; J.S. de Koning; P.J.A. Stam; A.H. Poll; B. Vriens; P.F. Schmidt; N.S. Klazinga

    2006-01-01

    Objectives. To assess the reliability and validity of a translated version of the American Hospital-level Consumer Assessment of Health Plans Survey (R) (H-CAHPS) instrument for use in Dutch health care. Data Sources/Study Setting. Primary survey data from adults aged 18 years or more who were recen

  18. Limits to growth in organic sales : price elasticity of consumer demand for organic food in Dutch supermarkets

    NARCIS (Netherlands)

    Bunte, F.H.J.; Galen, van M.A.; Kuiper, W.E.; Bakker, J.H.

    2007-01-01

    This report determines how sensitive consumer demand for organic products is to changes in the prices of organic products. The report is based on the analysis of scanner data for supermarkets in ten Dutch communities. In the framework of the analysis, an experiment has been performed in which the pr

  19. Limits to growth in organic sales : price elasticity of consumer demand for organic food in Dutch supermarkets

    NARCIS (Netherlands)

    Bunte, F.H.J.; Galen, van M.A.; Kuiper, W.E.; Bakker, J.H.

    2007-01-01

    This report determines how sensitive consumer demand for organic products is to changes in the prices of organic products. The report is based on the analysis of scanner data for supermarkets in ten Dutch communities. In the framework of the analysis, an experiment has been performed in which the

  20. Metrical Segmentation in Dutch: Vowel Quality or Stress?

    Science.gov (United States)

    Quene, Hugo; Koster, Mariette L.

    1998-01-01

    Examines metrical segmentation strategy in Dutch. The first experiment shows that stress strongly affects Dutch listeners' ability and speed in spotting Dutch monosyllabic words in disyllabic nonwords. The second experiment finds the same stress effect when only the target words are presented without a subsequent syllable triggering segmentation.…

  1. Dutch healthcare reform: did it result in performance improvement of health plans? A comparison of consumer experiences over time

    Directory of Open Access Journals (Sweden)

    Rademakers Jany

    2009-09-01

    Full Text Available Abstract Background Many countries have introduced elements of managed competition in their healthcare system with the aim to accomplish more efficient and demand-driven health care. Simultaneously, generating and reporting of comparative healthcare information has become an important quality-improvement instrument. We examined whether the introduction of managed competition in the Dutch healthcare system along with public reporting of quality information was associated with performance improvement in health plans. Methods Experiences of consumers with their health plan were measured in four consecutive years (2005-2008 using the CQI® health plan instrument 'Experiences with Healthcare and Health Insurer'. Data were available of 13,819 respondents (response = 45% of 30 health plans in 2005, of 8,266 respondents (response = 39% of 32 health plans in 2006, of 8,088 respondents (response = 34% of 32 health plans in 2007, and of 7,183 respondents (response = 31% of 32 health plans in 2008. We performed multilevel regression analyses with three levels: respondent, health plan and year of measurement. Per year and per quality aspect, we estimated health plan means while adjusting for consumers' age, education and self-reported health status. We tested for linear and quadratic time effects using chi-squares. Results The overall performance of health plans increased significantly from 2005 to 2008 on four quality aspects. For three other aspects, we found that the overall performance first declined and then increased from 2006 to 2008, but the performance in 2008 was not better than in 2005. The overall performance of health plans did not improve more often for quality aspects that were identified as important areas of improvement in the first year of measurement. On six out of seven aspects, the performance of health plans that scored below average in 2005 increased more than the performance of health plans that scored average and/or above average in

  2. Quality assurance, information tracking, and consumer labeling.

    Science.gov (United States)

    Caswell, Julie A

    2006-01-01

    Reducing marine-based public health risk requires strict control of several attributes of seafood products, often including location and conditions of catch or aquaculture, processing, and handling throughout the supply chain. Buyers likely will also be interested in other attributes of these products such as eco-friendliness or taste. Development of markets for improved safety, as well as for other quality attributes, requires an effective certification and tracking of these attributes as well as their communication to buyers. Several challenges must be met if labeling, particularly consumer labeling, is to support the development of markets for improved seafood safety.

  3. Parenting Practices and Quality of Life in Dutch and Portuguese Adolescents : A Cross-Cultural Study

    NARCIS (Netherlands)

    Nunes, Cristina; Bodden, Denise; Lemos, Ida; Lorence, Barbara; Jimenez, Lucia; Bodden, Denise

    2014-01-01

    The aim of this study was to examine differences in Quality of life (QoL) and parenting practices, as well as the impact of parenting practices on QoL in Dutch and Portuguese adolescents. A total of 168 Portuguese (44.64% girls, 55.36% boys) and 155 Dutch adolescents (55.68% girls, 44.32% boys) aged

  4. Parenting Practices and Quality of Life in Dutch and Portuguese Adolescents: A Cross-Cultural Study

    NARCIS (Netherlands)

    Nunes, C.; Bodden, D.H.M.; Lemos, I.; Lorence, B.; Jimenez, L.

    2014-01-01

    The aim of this study was to examine differences in Quality of life (QoL) and parenting practices, as well as the impact of parenting practices on QoL in Dutch and Portuguese adolescents. A total of 168 Portuguese (44.64% girls, 55.36% boys) and 155 Dutch adolescents (55.68% girls, 44.32% boys) aged

  5. Parenting Practices and Quality of Life in Dutch and Portuguese Adolescents : A Cross-Cultural Study

    NARCIS (Netherlands)

    Nunes, Cristina; Bodden, Denise; Lemos, Ida; Lorence, Barbara; Jimenez, Lucia; Bodden, Denise|info:eu-repo/dai/nl/297688499

    2014-01-01

    The aim of this study was to examine differences in Quality of life (QoL) and parenting practices, as well as the impact of parenting practices on QoL in Dutch and Portuguese adolescents. A total of 168 Portuguese (44.64% girls, 55.36% boys) and 155 Dutch adolescents (55.68% girls, 44.32% boys) aged

  6. Relating consumer perceptions of pork quality to physical product characteristics

    DEFF Research Database (Denmark)

    Bredahl, Lone; Grunert, Klaus G.; Fertin, Claus

    , wholesomeness, nutritional value, freshness, ju and leanness of the meat. 5. Results also reveal a moderate accordance between quality expectations and quality experience, meaning that the quality expectations consumers derive are not fully predictive of the quality that will be experienced upon consuming......1. Consumers form expectations about the quality of meat at the point of purchase based on the quality cues that are available to them in the shop. These expectations can either be confirmed or disconfirmed during consumption, depending on how cap the consumers actually are of predicting...... the quality that they will perceived when preparing and consuming the meat. 2. The study uses the Total Food Quality Model as a frame of reference to investigate how consumers' quality expectations and quality experience with regard to pork are formed, how they are interrelated, and how both of them...

  7. Food quality and safety: Consumer perception and demand

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2005-01-01

    Research on consumer quality perception is reviewed using the Total Food Quality Model as a structuring device. The relationship between food safety and quality is addressed, and is discussed in the context of research on consumer risk perception. Quality and safety perception is linked to food...... choice and consumer demand, addressing questions of price perception and the validity of willingness-to-pay measurements. It is concluded that food quality and safety are central issues in today's food economics, though many research questions remain to be addressed. Udgivelsesdato: SEP 1...

  8. Consumer trust in sources of physician quality information.

    Science.gov (United States)

    Alexander, Jeffrey A; Hearld, Larry R; Hasnain-Wynia, Romana; Christianson, Jon B; Martsolf, Grant R

    2011-08-01

    Trust in the source of information about physician quality is likely to be an important factor in how consumers use that information in encounters with their doctor or in decisions about choice of provider. In this article, the authors use survey data from a nationally representative sample of 8,140 individuals with chronic illness to examine variation in consumer trust in different sources of physician quality information and how market segmentation factors explain such variation. The authors find that consumers place greater trust in physicians and hospitals relative to institutional sources and personal sources. The level of trust, however, varies considerably across consumers as a function of demographic, socioeconomic, behavioral/lifestyle factors but is not related to measures of context. These results suggest that the sources of public reports comparing physician quality may be a barrier to the use of quality data by consumers in the ways envisioned by supporters of greater quality transparency.

  9. Measuring Dutch consumers' willingness-to-pay for ethically-improved foods and supply chains through the performance of experimental auctions

    DEFF Research Database (Denmark)

    Costa, Ana I.A.

    This paper presents the outcome of a pilot study on Dutch consumers' willingness-to-pay for fresh fish originating from production systems with different levels of ethical attributes, as estimated through the performance of experimental auctions. Fifteen Dutch citizens living in Noord-Holland and......This paper presents the outcome of a pilot study on Dutch consumers' willingness-to-pay for fresh fish originating from production systems with different levels of ethical attributes, as estimated through the performance of experimental auctions. Fifteen Dutch citizens living in Noord......-Holland and being regular consumers of fresh fish were selected to participate in this study. Two experimental sessions were held in December 2003. Information regarding the subjects, their knowledge about fish production systems and the perceived relevance of different ethical attributes was collected prior...... to the actual auction rounds. The ethical attributes assessed were selected based on the outcome of a previous collage and focus group study. The type of auction mechanism employed was the second-price, sealed bid auction. The results obtained indicate that Dutch consumers might be willing to pay more...

  10. Beef quality attributes: A systematic review of consumer perspectives.

    Science.gov (United States)

    Henchion, Maeve M; McCarthy, Mary; Resconi, Virginia C

    2017-06-01

    Informed by quality theory, this systematic literature review seeks to determine the relative importance of beef quality attributes from a consumer perspective, considering search, experience and credence quality attributes. While little change is anticipated in consumer ranking of search and experience attributes in the future, movement is expected in terms of ranking within the credence category and also in terms of the ranking of credence attributes overall. This highlights an opportunity for quality assurance schemes (QAS) to become more consumer focused through including a wider range of credence attributes. To capitalise on this opportunity, the meat industry should actively anticipate new relevant credence attributes and researchers need to develop new or better methods to measure them. This review attempts to identify the most relevant quality attributes in beef that may be considered in future iterations of QAS, to increase consumer satisfaction and, potentially, to increase returns to industry.

  11. Between marketing and financial support: Dutch municipal policy instruments to improve the quality of private housing stock

    NARCIS (Netherlands)

    Tambach, M.; Meijer, F.; Visscher, H.

    2011-01-01

    Dutch municipalities are faced with an ageing private housing stock, of which parts show a diversity of quality backlogs, including their energy quality. Dutch municipalities are in the process of developing a combination of communicative and economic policy instruments to seduce private homeowners

  12. Between marketing and financial support: Dutch municipal policy instruments to improve the quality of private housing stock

    NARCIS (Netherlands)

    Tambach, M.; Meijer, F.; Visscher, H.

    2011-01-01

    Dutch municipalities are faced with an ageing private housing stock, of which parts show a diversity of quality backlogs, including their energy quality. Dutch municipalities are in the process of developing a combination of communicative and economic policy instruments to seduce private homeowners

  13. The Social Construction of the Dutch Air Quality Clash : How Road Expansions Bit the Dust Against Particulate Matter

    NARCIS (Netherlands)

    N.T. Arnoldussen (Tobias)

    2016-01-01

    markdownabstractFrom a small policy issue in the 1990s, air quality became a hotly debated public problem in Dutch law and politics in 2004. During the political and legal clash over air quality in the years 2004 - 2010, Dutch infrastructure development and road expansion grinded to all but a halt o

  14. Certification and Minimum Quality Standards when Some Consumers are Uninformed

    NARCIS (Netherlands)

    Buehler, B.; Schuett, F.

    2012-01-01

    Abstract: We compare certification to a minimum quality standard (MQS) policy in a duopolistic industry where firms incur quality-dependent fixed costs and only a fraction of consumers observes the quality of the offered goods. Compared to the unregulated outcome, both profits and social welfare

  15. Certification and minimum quality standards when some consumers are uninformed

    NARCIS (Netherlands)

    Buehler, B.; Schütt, F.

    2014-01-01

    We compare certification to a minimum quality standard (MQS) policy in a duopolistic industry where firms incur quality-dependent fixed costs and only a fraction of consumers observe the quality of the offered goods. Compared to the unregulated outcome, both profits and social welfare would increase

  16. Consumer Evaluations of Food Risk Management Quality in Europe

    NARCIS (Netherlands)

    Kleef, van E.; Houghton, J.R.; Krystallis, A.; Pfenning, U.; Rowe, G.; Dijk, van H.; Lans, van der I.A.; Frewer, L.J.

    2007-01-01

    In developing and implementing appropriate food risk management strategies, it is important to understand how consumers evaluate the quality of food risk management practices. The aim of this study is to model the underlying psychological factors influencing consumer evaluations of food risk managem

  17. The Importance of Relationships with Parents and Best Friends for Adolescents' Romantic Relationship Quality: Differences between Indigenous and Ethnic Dutch Adolescents

    Science.gov (United States)

    Ha, Thao; Overbeek, Geertjan; de Greef, Marieke; Scholte, Ron H. J.; Engels, Rutger C. M. E.

    2010-01-01

    This study examined how the quality of relationships with parents and friends were related to intimacy, commitment, and passion in adolescents' romantic relationships for indigenous Dutch and ethnic Dutch adolescents. Self-report survey data were used from 444 (88.9%) indigenous Dutch and 55 (11.1%) ethnic Dutch adolescents between 12 and 18 years…

  18. Consumer Motives as Supply Chain Drivers: The Case of Dutch Organic Tomato

    NARCIS (Netherlands)

    Anastasiadis, F.; Dam, van Y.K.

    2012-01-01

    The consumer is one of the most important stakeholders in the supply chain (SC), mainly due to the fact that all the other participants involved in the SC should work in fulfilling a customer request. Moreover, the information generated at the consumer level is critical with respect to the design of

  19. The Influence of Negative Newspaper Coverage on Consumer Confidence : The Dutch Case

    NARCIS (Netherlands)

    Hollanders, D.A.; Vliegenthart, R.

    2009-01-01

    This paper studies the empirical relationship between the real economy, consumer confidence and economic news coverage in national newspapers for the Netherlands during the period 1990-2008. Media-attention for economic developments Granger-causes consumer confidence, with more negative news

  20. The influence of negative newspaper coverage on consumer confidence: the Dutch case

    NARCIS (Netherlands)

    Hollanders, D.; Vliegenthart, R.

    2011-01-01

    This paper studies the empirical relationship between the real economy, consumer confidence and economic news coverage in national newspapers for the Netherlands during the period 1990-2009. Media-attention for economic developments is associated with consumer confidence, with more negative news

  1. Evaluation of beef eating quality by Irish consumers.

    Science.gov (United States)

    McCarthy, S N; Henchion, M; White, A; Brandon, K; Allen, P

    2017-10-01

    A consumer's decision to purchase beef is strongly linked to its sensory properties and consistent eating quality is one of the most important attributes. Consumer taste panels were held according to the Meat Standards Australia guidelines and consumers scored beef according to its palatability attributes and completed a socio-demographic questionnaire. Consumers were able to distinguish between beef quality on a scale from unsatisfactory to premium with high accuracy. Premium cuts of beef scored significantly higher on all of the scales compared to poorer quality cuts. Men rated grilled beef higher on juiciness and flavour scales compared to women. Being the main purchaser of beef had no impact on rating scores. Overall the results show that consumers can judge eating quality with high accuracy. Further research is needed to determine how best to communicate inherent benefits that are not visible into extrinsic eating quality indicators, to provide the consumer with consistent indications of quality at the point of purchase. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Consumer-perceived quality in 'traditional' food chains

    DEFF Research Database (Denmark)

    Krystallis, Athanasios; Chryssochoidis, George; Scholderer, Joachim

    2007-01-01

    and to develop the profile of different consumer segments in relation to these perceptions. The substantial findings of the survey include the fact that, despite their enormous per capita consumption, the majority of consumers are not particularly involved in the meat-purchasing process. Rather they attach......Recent food scares have increased consumer concern about meat safety. However, the Greek 'traditional' meat supply chain from producers to local butchers does not seem to realise the pressing consumer demand for certified meat quality. Or is it that, in such food chains, this demand is not so...... pressing yet? The present paper seeks to answer this question based on a survey conducted in the Athens area, involving a sample of 268 participants responsible for food purchasing decisions. The survey mainly aims to develop an integrated model of factors that affect consumer-perceived meat quality...

  3. Reguliere vitamine A-supplementen veilig voor zwangeren die spaarzaam leverproducten gebruiken [Dutch vitamin A additives (1200 RE/day) safe for pregnant women consuming little liver products

    NARCIS (Netherlands)

    Berg, H. van den; Hulshof, K.F.A.M.; Deslypere, J.P.

    1996-01-01

    Objective. To determine how much vitamin A is consumed through liver and liver products by non-pregnant and pregnant women aged 16-50 years, and to determine the implications for the use of multivitamin products. Design. Secondary analysis on data from representative database Dutch National Food Con

  4. Consumer-perceived quality in 'traditional' food chains

    DEFF Research Database (Denmark)

    Krystallis, Athanasios; Chryssochoidis, George; Scholderer, Joachim

    2007-01-01

    Recent food scares have increased consumer concern about meat safety. However, the Greek 'traditional' meat supply chain from producers to local butchers does not seem to realise the pressing consumer demand for certified meat quality. Or is it that, in such food chains, this demand is not so...... pressing yet? The present paper seeks to answer this question based on a survey conducted in the Athens area, involving a sample of 268 participants responsible for food purchasing decisions. The survey mainly aims to develop an integrated model of factors that affect consumer-perceived meat quality...... importance to visual intrinsic quality cues evaluated in a pre-purchasing context. In this respect, intrinsic quality cues are assigned a role similar to that of quality certification; coupled with the choice of traditional channels and the resulting personal relation with the butcher, they can be understood...

  5. Quality assessment in small businesses: the case of Dutch culinary ...

    African Journals Online (AJOL)

    Defining quality in culinary restaurant small businesses deserves increased attention in order to further develop professionalism within this segment. For this ... Most important determinants of quality were 'product quality' and 'service quality'.

  6. The impact of sensory quality of pork on consumer preference.

    Science.gov (United States)

    Aaslyng, Margit D; Oksama, Marjatta; Olsen, Eli V; Bejerholm, Camilla; Baltzer, Maiken; Andersen, Grethe; Bredie, Wender L P; Byrne, Derek V; Gabrielsen, Gorm

    2007-05-01

    Danish consumers from Roskilde, a town near the Danish capital Copenhagen (n=213), and from Holstebro, a provincial town in the north-western part of Jutland (n=162), rated nine different samples of pork on an unstructured hedonic scale from "do not like at all" to "like very much". The samples represented variation in raw meat quality (pH, IMF and carcass weight), muscle (LD and BF), origin (Danish/French Pay Basque), cooking method (pan/oven) and end point temperature (65°C/75°C). The meat was described by sensory profiling and chemical and physical analysis (pH, fat, water, colour, fatty acid composition). All the consumers preferred tender, juicy meat with a fried flavour and no off-flavours. However, within this description there were differences. The consumers from Holstebro put more emphasis on tenderness and the absence of off-flavours, while the consumers in Roskilde preferred the fried flavour. The young consumers put less emphasis on tenderness, compared with consumers aged over 30 years, but preferred instead some crumbliness in the meat. A segmentation of the consumers showed that about 6% of the consumers were only influenced by flavour attributes in their preference. In contrast, 12% of the consumers were mainly influenced by texture irrespective of flavour attributes other than sour-like taste. Most of the consumers were, however, influenced by both flavour and texture as well as appearance.

  7. Quality indicators for the hospital transfusion chain : A national survey conducted in 100 dutch hospitals

    NARCIS (Netherlands)

    Zijlker-Jansen, Pauline Y.; Janssen, M. P.; van Tilborgh-de Jong, A. J W; Schipperus, M. R.; Wiersum-Osselton, J. C.

    2015-01-01

    Background: The 2011 Dutch Blood Transfusion Guideline for hospitals incorporates seven internal quality indicators for evaluation of the hospital transfusion chain. The indicators aim to measure guideline compliance as shown by the instatement of a hospital transfusion committee and transfusion saf

  8. Competition and quality indicators in the health care sector : Empirical evidence from the Dutch hospital sector

    NARCIS (Netherlands)

    Croes, Ramsis; Krabbe, Yvonne; Mikkers, Misja

    2017-01-01

    There is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be characterized as a

  9. Competition and quality indicators in the health care sector: empirical evidence from the Dutch hospital sector

    NARCIS (Netherlands)

    Croes, R.R.; Krabbe-Alkemade, Y.J.F.M.; Mikkers, M.C.

    2017-01-01

    textabstractThere is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be

  10. Quality of life and behavioral functioning in Dutch pediatric patients with hereditary spherocytosis

    NARCIS (Netherlands)

    M. Teunissen (Myra); A. Hijmans (Anneke); M.H. Cnossen (Marjon); M.B. Bronner (Madelon); M.A. Grootenhuis (Martha); M.A.D. Peters (Marjolein)

    2014-01-01

    textabstractThe objective of this study was to evaluate health-related quality of life (HRQoL) and behavioral functioning in pediatric patients with hereditary spherocytosis (HS). A cross-sectional study was conducted in 132 Dutch children and adolescents with HS and aged 8-18 years of whom 48

  11. Quality of life and behavioral functioning in Dutch pediatric patients with hereditary spherocytosis

    NARCIS (Netherlands)

    M. Teunissen (Myra); A. Hijmans (Anneke); M.H. Cnossen (Marjon); M.B. Bronner (Madelon); M.A. Grootenhuis (Martha); M.A.D. Peters (Marjolein)

    2014-01-01

    textabstractThe objective of this study was to evaluate health-related quality of life (HRQoL) and behavioral functioning in pediatric patients with hereditary spherocytosis (HS). A cross-sectional study was conducted in 132 Dutch children and adolescents with HS and aged 8-18 years of whom 48 under

  12. Quality of Austrian and Dutch Falls-Prevention Information: A Comparative Descriptive Study

    Science.gov (United States)

    Schoberer, Daniela; Mijnarends, Donja M.; Fliedner, Monica; Halfens, Ruud J. G.; Lohrmann, Christa

    2016-01-01

    Objectives: The aim of this study was to evaluate and compare the quality of written patient information material available in Austrian and Dutch hospitals and nursing homes pertaining to falls prevention. Design: Comparative descriptive study design Setting: Hospitals and nursing homes in Austria and the Netherlands. Method: Written patient…

  13. Sensationalism in front page photographs : Content analysis of Dutch popular and quality newspapers

    NARCIS (Netherlands)

    Schaap, Gabi; Pleijter, Alexander

    2012-01-01

    GABI SCHAAP & ALEXANDER PLEIJTER Sensationalism in front page photographs: Content analysis of Dutch popular and quality newspapers Sensation in the news has been a longtime cause for social and scientific debate. Sensational news is thought to substitute 'serious' information needed for serious cit

  14. Policy changes in Dutch higher education : Quality in diversity: what works?

    NARCIS (Netherlands)

    Kappe, Rutger; Poell, Pierre

    2015-01-01

    Presentation at EFYE Conference, Bergen, Norway. Overview: •Dutch higher education in a nutshell •Quality in diversity: Strategic agenda for higher education Focus on: student-study fit •Moving forward enrolment date •Matching activities •First results

  15. Sensationalism in front page photographs : Content analysis of Dutch popular and quality newspapers

    NARCIS (Netherlands)

    Schaap, Gabi; Pleijter, Alexander

    2012-01-01

    GABI SCHAAP & ALEXANDER PLEIJTER Sensationalism in front page photographs: Content analysis of Dutch popular and quality newspapers Sensation in the news has been a longtime cause for social and scientific debate. Sensational news is thought to substitute 'serious' information needed for serious cit

  16. Sensationalism in front page photographs : Content analysis of Dutch popular and quality newspapers

    NARCIS (Netherlands)

    Schaap, Gabi; Pleijter, Alexander

    2012-01-01

    GABI SCHAAP & ALEXANDER PLEIJTER Sensationalism in front page photographs: Content analysis of Dutch popular and quality newspapers Sensation in the news has been a longtime cause for social and scientific debate. Sensational news is thought to substitute 'serious' information needed for serious

  17. [Assessing the quality of the medical learning environment, comparison of two validated Dutch questionnaires].

    Science.gov (United States)

    Brand, P L P; Jaarsma, A D C; Schönrock-Adema, J

    2017-01-01

    - Assessing the quality of the medical learning environment is an important part of the quality cycle of postgraduate medical education programmes.- The quality of the medical learning environment is primarily assessed by systematically documenting the experiences of doctors-in-training (residents).- For this purpose, several questionnaires have been developed, two of which have been specifically developed for use in the Dutch clinical learning environment.- D-RECT is a commonly-used, 50-item questionnaire (11 subscales), developed from qualitative research on the optimal learning environment for ObGyn residents.- SPEED ('Training Thermometer') is a recently developed 15-item, 3-domain (i.e., content, atmosphere and organisation of training) instrument, based on a generic theoretical framework of human interaction.- Both D-RECT and SPEED are validated instruments to be used to reliably assess the clinical learning environment for Dutch residents in postgraduate medical education programmes.

  18. Consumer perception of eatable oils quality in SR

    Directory of Open Access Journals (Sweden)

    Ľudmila Nagyová

    2010-01-01

    Full Text Available The aim of the paper is to highlight the perception of the quality of edible oils and preferences of the Slovak consumers for the oil purchase as well as the factors that can affect the purchase of oil, respectively the consumer decision-making. In order to obtain primary data was used the method of questionnaire investigation. In the questionnaire research there were 664 respondents from all over Slovakia involved. The results of marketing research showed the different approaches to assessing the quality by Slovak consumers. Nearly 54% of respondents connect the food quality with health certificate, high-quality ingredients and freshness. Brand quality SK is known by 58% of respondents. The raw material from which is oil produced, oil clarity, thermal stability and color are features that respondents prefer when purchasing the edible oils. To know the content of essential fatty acids was interesting only for 7.44% of the respondents. Slovak consumers prefer sunflower, olive and rapeseed oil.

  19. The perception of food quality. Profiling Italian consumers.

    Science.gov (United States)

    Mascarello, Giulia; Pinto, Anna; Parise, Nicoletta; Crovato, Stefania; Ravarotto, Licia

    2015-06-01

    This study aims to analyse the elements which, according to Italian consumers, contribute most to defining the quality of a food product. A sample of 1000 consumers, in charge of purchases for the household, was interviewed by telephone. The data analysis has made it possible to categorise Italian consumers into two main groups: on the one hand those who mainly use criteria associated with organoleptic elements, and, on the other, those who make their choice based on place and methods of production. Both categories were studied with a view to identifying their distinctive socio-demographic and behavioural features. Geographical provenance, age, propensity to read the label on products, scientific knowledge and self-assessment of knowledge on food safety-related issues emerged as the main differences between the two groups. The perception of quality appears to affect purchase decisions and dietary patterns. The description of the consumer groups who use the same elements to define quality provided a useful insight into consumer choices and potential risk-exposure behaviours. The study of these aspects is therefore relevant for the purpose of designing effective and targeted communication actions, not only for companies but also for public institutions in charge of safeguarding public health. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Consumer-resource dynamics: quantity, quality, and allocation.

    Directory of Open Access Journals (Sweden)

    Wayne M Getz

    Full Text Available BACKGROUND: The dominant paradigm for modeling the complexities of interacting populations and food webs is a system of coupled ordinary differential equations in which the state of each species, population, or functional trophic group is represented by an aggregated numbers-density or biomass-density variable. Here, using the metaphysiological approach to model consumer-resource interactions, we formulate a two-state paradigm that represents each population or group in a food web in terms of both its quantity and quality. METHODOLOGY AND PRINCIPAL FINDINGS: The formulation includes an allocation function controlling the relative proportion of extracted resources to increasing quantity versus elevating quality. Since lower quality individuals senescence more rapidly than higher quality individuals, an optimal allocation proportion exists and we derive an expression for how this proportion depends on population parameters that determine the senescence rate, the per-capita mortality rate, and the effects of these rates on the dynamics of the quality variable. We demonstrate that oscillations do not arise in our model from quantity-quality interactions alone, but require consumer-resource interactions across trophic levels that can be stabilized through judicious resource allocation strategies. Analysis and simulations provide compelling arguments for the necessity of populations to evolve quality-related dynamics in the form of maternal effects, storage or other appropriate structures. They also indicate that resource allocation switching between investments in abundance versus quality provide a powerful mechanism for promoting the stability of consumer-resource interactions in seasonally forcing environments. CONCLUSIONS/SIGNIFICANCE: Our simulations show that physiological inefficiencies associated with this switching can be favored by selection due to the diminished exposure of inefficient consumers to strong oscillations associated with the

  1. Innovation of food production systems : product quality and consumer acceptance

    NARCIS (Netherlands)

    Jongen, W.M.F.; Meulenberg, M.T.G.

    1998-01-01

    he quality of food products, as perceived by consumers, is a main driving force behind today's innovations in the food industry. Product development represents large investments of companies both in money and human resources and has to be accomplished in a highly competitive market situation. Conseq

  2. Dutch hospitals provide reliable "one click" patient information using a Quality Window.

    Science.gov (United States)

    Van Rooy, Yvonne

    2014-01-01

    In 2014, the Dutch Association of Hospitals (Nederlandse Vereniging van Ziekenhuizen, NVZ) launched the "Quality Window" at general hospitals across the Netherlands. The Quality Window is an online platform for patients which shares a hospital's current and previous scores on ten quality indicators, from patient experience to employee satisfaction. The Quality Window therefore responds to the growing demand for information and transparency when it comes to hospital care and performance. Not only can patients access helpful information about a hospital's quality through the Quality Window, they can also compare results with other hospitals, the national average, and more. Many hospitals also take the opportunity to expand on how indicators work in practice and the actions being taken towards improvement. The Quality Window was developed with the help of hospitals and patients. Over the coming years it will be expanded to university hospitals across the country. General hospitals will also begin developing Quality Windows for specific patient groups, such as cancer patients.

  3. Quality of routine spirometry tests in Dutch general practices.

    NARCIS (Netherlands)

    Schermer, T.R.J.; Crockett, A.J.; Poels, P.J.P.; Dijke, J.J. van; Akkermans, R.P.; Vlek, H.F.; Pieters, W.R.

    2009-01-01

    BACKGROUND: Spirometry is an indispensable tool for diagnosis and monitoring of chronic airways disease in primary care. AIM: To establish the quality of routine spirometry tests in general practice, and explore associations between test quality and patient characteristics. DESIGN OF STUDY: Analysis

  4. Competition and quality indicators in the health care sector: empirical evidence from the Dutch hospital sector.

    Science.gov (United States)

    Croes, R R; Krabbe-Alkemade, Y J F M; Mikkers, M C

    2017-01-03

    There is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be characterized as a system involving managed competition and mandatory healthcare insurance. Information about the quality of care provided by hospitals has been publicly available since 2008. In this paper, we evaluate the relationship between quality scores for three diagnosis groups and the market power indicators of hospitals. We estimate the impact of competition on quality in an environment of liberalized pricing. For this research, we used unique price and production data relating to three diagnosis groups (cataract, adenoid and tonsils, bladder tumor) produced by Dutch hospitals in the period 2008-2011. We also used the quality indicators relating to these diagnosis groups. We reveal a negative relationship between market share and quality score for two of the three diagnosis groups studied, meaning that hospitals in competitive markets have better quality scores than those in concentrated markets. We therefore conclude that more competition is associated with higher quality scores.

  5. Consumer mobility in the Dutch health insurance system: the role of collectives.

    NARCIS (Netherlands)

    Brabers, A.E.M.; Reitsma-van Rooijen, M.; Jong, J.D. de

    2012-01-01

    Background: In the last decades, health care reforms based on introducing managed competition have been implemented in several countries. The policy assumption is that managed competition leads to lower prices and increases the quality of health care. In The Netherlands the system of managed competi

  6. Consumer mobility in the Dutch health insurance system: the role of collectives.

    NARCIS (Netherlands)

    Brabers, A.E.M.; Reitsma-van Rooijen, M.; Jong, J.D. de

    2012-01-01

    Background: In the last decades, health care reforms based on introducing managed competition have been implemented in several countries. The policy assumption is that managed competition leads to lower prices and increases the quality of health care. In The Netherlands the system of managed

  7. Exploring consumer understanding and preferences for pharmacy quality information

    Directory of Open Access Journals (Sweden)

    Shiyanbola OO

    2014-12-01

    Full Text Available Objective: To describe consumer understanding of pharmacy quality measures and consumer preferences for pharmacy quality information. Methods: Semi-structured focus group design was combined with survey methods. Adults who filled prescription medications for self-reported chronic illnesses at community pharmacies discussed their understanding of Pharmacy Quality Alliance approved quality measures. Questions examined preference of pharmacy quality information rating systems (e.g. stars versus percentages and desired data display/formats. During the focus group, participants completed a survey examining their understanding of each pharmacy quality measure. All focus group discussions were transcribed verbatim. Data were analyzed using thematic analysis and descriptive statistics. Results: Thirty-four individuals participated (mean age= 62.85; SD=16.05. Participants were unfamiliar with quality measures information and their level of understanding differed for each quality measure. Surveys indicated 94.1% understood “Drug-Drug Interactions” and “Helping Patients Get Needed Medications” better than other measures (e.g., 76.5% understood “Suboptimal Treatment of Hypertension in Patients with Diabetes”. Qualitative analysis indicated participants preferred an overall pharmacy rating for quick access and use. However, participants also wanted quality measures information displayed by health conditions. Participants favored comparison of their pharmacy to city data instead of state data. Most participants liked star ratings better than percentages, letter grades, or numerical ratings. Conclusions: Individuals who have a chronic illness and regularly use community pharmacies are interested in pharmacy quality measures. However, specific quality measures were not understood by some participants. Participants had specific preferences for the display of pharmacy quality information which will be helpful in the design of appropriate quality

  8. The importance of relationships with parents and best friends for adolescents' romantic relationship quality: Differences between indigenous and ethnic Dutch adolescents

    NARCIS (Netherlands)

    Ha, P.T.; Overbeek, G.J.; Greef, M. de; Scholte, R.H.J.; Engels, R.C.M.E.

    2010-01-01

    This study examined how the quality of relationships with parents and friends were related to intimacy, commitment, and passion in adolescents' romantic relationships for indigenous Dutch and ethnic Dutch adolescents. Self-report survey data were used from 444 (88.9%) indigenous Dutch and 55 (11.1%)

  9. Marketing the move to a poor neighborhood, researching consumer oriented housing development strategies in a Dutch urban renewal project

    NARCIS (Netherlands)

    Bosch, E.

    2011-01-01

    Urban renewal in Dutch deprived neighbourhoods often consists of demolishing cheaper rental dwellings to build more expensive dwellings for sale. This fits the planning consensus that poor neighbourhoods should become socioeconomically mixed areas, which has become central to Dutch urban renewal pol

  10. Marketing the move to a poor neighborhood, researching consumer oriented housing development strategies in a Dutch urban renewal project

    NARCIS (Netherlands)

    Bosch, E.

    2011-01-01

    Urban renewal in Dutch deprived neighbourhoods often consists of demolishing cheaper rental dwellings to build more expensive dwellings for sale. This fits the planning consensus that poor neighbourhoods should become socioeconomically mixed areas, which has become central to Dutch urban renewal

  11. Marketing the move to a poor neighborhood, researching consumer oriented housing development strategies in a Dutch urban renewal project

    NARCIS (Netherlands)

    Bosch, E.

    2011-01-01

    Urban renewal in Dutch deprived neighbourhoods often consists of demolishing cheaper rental dwellings to build more expensive dwellings for sale. This fits the planning consensus that poor neighbourhoods should become socioeconomically mixed areas, which has become central to Dutch urban renewal pol

  12. Made in the USA: the import of American Consumer Assessment of Health Plan Surveys (CAHPS) into the Dutch social insurance system.

    NARCIS (Netherlands)

    Delnoij, D.; Asbroek, G. ten; Arah, O.; Koning, J. de; Stam, P.; Poll, A.; Klazinga, N.S.

    2004-01-01

    Background: In the Dutch social insurance system, based on regulated competition, sickness funds should attract clients by contracting efficient and qualitatively good services. For that sake, sickness funds need information about their own performance and about the quality of care they contract, as

  13. Made in the USA: the import of American Consumer Assessment of Health Plan Surveys (CAPHS) into the Dutch social insurance system.

    NARCIS (Netherlands)

    Delnoij, D.M.J.; Asbroek, G. ten; Arah, O.; Koning, J. de; Stam. P.; Poll, A.; Vriens, B.; Schmidt, P.; Klazinga, N.S.

    2006-01-01

    Background: In the Dutch social insurance system, based on regulated competition, sickness funds should attract clients by contracting efficient and qualitatively good services. For that sake, sickness funds need information about their own performance and about the quality of care they contract, as

  14. Quality and availability of organic foods by Slovak consumers

    Directory of Open Access Journals (Sweden)

    Martina Fikselová

    2013-11-01

    Full Text Available The increasing consumer demand for organic products caused that the organic food market has expanded in all continents of the world. Organic foods represent a specific segment of the food market. Currently land area farmed organically in Slovakia represents 9% of the total agricultural land. In this work we identified organic foods purchase by Slovak consumers, the availability, reasons of purchase and quality assortment of organic foods at the Slovak market. Questionnaire survey involved 271 respondents. The Hierarchical multiple factor analysis was used for the segregation and classification of consumers into representative groups. The group of respondents was based on algorithms divided into three groups. In the first group of respondents, prevalent are responses that assortment is not sufficient and no answer, in the second group think that organic food assortment is not sufficient, and in the third group of respondents also dominates opinion that is not sufficient. At the question of organic food quality in all three groups is prevalent opinion that it is rather high, in the first group nearly the third of respondents considered the quality of organic foods as rather low, in the second group of respondents is rate: „rather low“ response and „rather high“ almost equal. In the third group of respondents strongly dominated response that the quality of organic food is rather high. Regarding the availability of organic products at the Slovak market, 16% of respondents considered it to be sufficient, 54% of consumers considered assortment as not enough available for all. We also analyzed the reasons of buying organic food. 42% of respondents reported that the main reason for buying organic food is a concern for the environment and landscape, 33% of respondents state it is a pleasure and the opportunity to try something unusual, 11% reported confidence in the quality of organic food and 7% their health care. Environmental education in

  15. Deciding on PSA-screening - Quality of current consumer information on the Internet.

    Science.gov (United States)

    Korfage, Ida J; van den Bergh, Roderick C N; Essink-Bot, Marie-Louise

    2010-11-01

    Given that screening for prostate cancer has the potential to reduce prostate cancer mortality at the expense of considerable overdiagnosis and overtreatment, the availability of core consumer information - correct, balanced and supportive of autonomous decision-making - is a must. We assessed the quality of consumer information available through the Internet per November 2009 and its possible contribution to informed decision-making by potential screenees. Consumer information on PSA-screening was sought through the Internet in November 2009. Materials had to be targeted at potential consumers, offered by not-for-profit organisations, released in 2005 or after, in English or Dutch. Per material 2 of the authors assessed independently from each other whether standardised pre-defined topics were addressed, whether the content was correct and which approach was taken towards the decision-making process about uptake. Twenty-three materials were included, of which 11 were released (shortly) after the results of 2 large randomized-controlled trials (RCTs) that evaluated the effectiveness of screening for prostate cancer had been published in March 2009. That a PSA-test result can be abnormal because of non-cancerous conditions (false positive) and that it may miss prostate cancer (false negative) was not addressed in 2/23 and 8/23 materials, respectively. The risk of overdiagnosis and overtreatment was not mentioned in 6 out of 23. PSA-screening was presented as a usual thing to do in some materials, whereas other materials emphasised the voluntary nature of PSA-screening ('it is your decision'). The content of 19/23 materials was considered sufficiently informative according to the pre-defined criteria, 12/23 materials were considered supportive of informed decision-making by men. Most materials of not-for-profit organizations supplied adequate information about PSA-screening, whilst the degree of persuasion towards uptake reflected variations in opinions on men

  16. The perception of quality mapping product and service quality to consumer perceptions

    CERN Document Server

    Kenyon, George N

    2015-01-01

    Exploring the concept of quality management from a new point of view, this book presents a holistic model of how consumers judge the quality of products. It links consumer perceptions of quality to the design and delivery of the final product, and presents models and methods for improving the quality of these products and services. It offers readers an improved understanding of how and why the design process must consider how the consumer will perceive a product or service. In order to facilitate the presentation and understanding of these concepts, illustrations and case examples are also provided throughout the book.   This book provides an invaluable resource for managers, designers, manufacturers, professional practitioners and academics interested in quality management. It also offers a useful supplementary text for marketing and quality management courses.

  17. Marketing the move to a poor neighborhood, researching consumer oriented housing development strategies in a Dutch urban renewal project

    OpenAIRE

    Bosch, E.

    2011-01-01

    Urban renewal in Dutch deprived neighbourhoods often consists of demolishing cheaper rental dwellings to build more expensive dwellings for sale. This fits the planning consensus that poor neighbourhoods should become socioeconomically mixed areas, which has become central to Dutch urban renewal policy. However, due to the gradual diminution of the post war housing shortage, the demand for more expensive dwellings in unpopular neighbourhoods has dwindled. In the last decade some developers an...

  18. Possibilities of implementation of bioavailability methods for organic contaminants in the Dutch Soil Quality Assessment Framework.

    Science.gov (United States)

    Brand, Ellen; Lijzen, Johannes; Peijnenburg, Willie; Swartjes, Frank

    2013-10-15

    In the Netherlands, risk assessment of contaminated soils is based on determining the total contaminant concentration. If this measured soil concentration exceeds the Soil Quality Standards (SQS) a higher tier risk evaluation must be performed. Experiences from the field have given rise to the perception that performing risk evaluations based on (measured) total concentrations may lead to an inaccurate assessment of the actual risks. Assuming that only the bioavailable fraction is capable of exerting adverse effects in the soil ecosystem, it is suggested, that by taking bioavailability into account in a (higher tier) risk evaluation, a more effect-based risk assessment can be performed. Bioavailability has been a subject of research for several decades. However up to now bioavailability has not been implemented in the Dutch Soil Quality Assessment Framework. First actions were taken in the Netherlands to determine whether the concept of bioavailability could be implemented in the risk assessment of contaminated soils and to find out how bioavailability can become part of the Dutch Soil Quality Assessment Framework. These actions have led to a concrete proposal for implementation of bioavailability methods in the risk assessment of organic contaminants in soils. This paper focuses on the chemical prediction of bioavailability for ecological risk assessment of contaminated soils.

  19. Consumers' quality perception of national branded, national store branded, and imported store branded beef

    DEFF Research Database (Denmark)

    Banovic, Marija; Grunert, Klaus G.; Barreira, Maria Madalena;

    2010-01-01

    This study investigated the differences in the consumers' quality perception of national branded, national store branded, and imported store branded beef. Partial Least Squares analysis is used for modelling the quality perception process. Results show that consumers perceived national branded...

  20. Online subjective testing for consumer-photo quality evaluation

    Science.gov (United States)

    Saad, Michele A.; McKnight, Patrick; Quartuccio, Jacob; Nicholas, David; Jaladi, Ramesh; Corriveau, Philip

    2016-07-01

    We take a look at crowdsourcing for subjective image quality evaluation using real image stimuli with nonsimulated distortions. Our aim is to scale the task of subjectively rating images while ensuring maximal data validity and accuracy. While previous work has begun to explore crowdsourcing for quality assessment, it has either used images that are not representative of popular consumer scenarios or used crowdsourcing to collect data without comparison to experiments in a controlled environment. Here, we address the challenges imposed by the highly variable online environment, using stimuli that are subtle and more complex than has traditionally been used in quality assessment experiments. In a series of experiments, we vary different design parameters and demonstrate how they impact the subjective responses obtained. Of the parameters examined are stimulus display mode, study length, stimulus habituation, and content homogeneity/heterogeneity. Our method was tested on a database that was rated in a laboratory test previously. Once our design parameters were chosen, we rated a database of consumer photographs and are making this data available to the research community.

  1. Switching health insurers: the role of price, quality and consumer information search

    NARCIS (Netherlands)

    L.H.H.M. Boonen (Lieke); T. Laske-Aldershof (Trea); F.T. Schut (Erik)

    2015-01-01

    markdownabstract__Abstract__ We examine the impact of price, service quality and information search on people’s propensity to switch health insurers in the competitive Dutch health insurance market. Using panel data from annual household surveys and data on health insurers’ premiums and quality rat

  2. Patients' experiences with quality of hospital care: The Consumer Quality Index Cataract Questionnaire

    NARCIS (Netherlands)

    J.H. Stubbe; W. Brouwer (Wendy); D.M.J. Delnoij (Diana)

    2007-01-01

    textabstractBackground. Patients' feedback is of great importance in health care policy decisions. The Consumer Quality Index Cataract Questionnaire (CQI Cataract) was used to measure patients' experiences with quality of care after a cataract operation. This study aims to evaluate the reliability a

  3. The "Consumer Report" version of Earth Science Data Quality description

    Science.gov (United States)

    Vicente, G. A.

    2014-12-01

    The generation, delivery and access of Earth Observation (EO) data quality information is a difficult problem because it is not uniquely defined, user dependent, difficult to be quantified, handled differently by different teams and perceived differently by data providers and data users. Initiatives such as the International Organization for Standards (ISO) 19115 and 19157 are important steps forward but difficult to implement, too complex and out of reach for the majority of data producers and users. This is because most users only want a quick and intelligible way to compare data sets from different providers to find the ones that best fit their interest. Therefore we need to simplify the problem by focusing on a few relevant quality parameters and develop a common framework to deliver them. This work is intended to tap into the data producers and user's knowledge and expertise on data quality for the development and adoption of a "Consumer Report" version of a "Data Quality Matrix". The goal is to find the most efficient and friendly approach to displays a selected number of quality parameters rated to each product and to target group of users.

  4. Microbiological and Chemical Quality of Feta Cheeses Consumed in Van

    Directory of Open Access Journals (Sweden)

    Enise Akel

    2016-11-01

    Full Text Available This study is aimed to determine the microbiological and chemical quality of Feta cheeses which are consumed in Van city center. In this study, a total of 50 Feta cheese samples were used as material. At the result of microbiological analysis of Feta cheeses, the mean number of total aerobic mesophilic bacteria, lactic acid bacteria, coliform, Escherichia coli, micrococcus/staphylococcus, coagulase positive Staphylococcus aureus, Clostridium perfringens, Enterobacteriaceae, yeast and mold were found as 5.49 log cfu/g, 5.20 log cfu/g, 0.78 log cfu/g, 0.10 log cfu/g, 0.58 log cfu/g, 0.53 log cfu/g, 0.08 log cfu/g, 0.96 log cfu/g, 5.18 log cfu/g, respectively. At the result of chemical analysis, the mean value of pH, titratable acidity, dry matter, fat, fat in dry matter, salt and salt in dry matter were found as 4.38, 1.41% LA, 41.21%, 18.12%, 44.18%, 8.36% and 20.42%, respectively. All of the samples were found conforming to the standards in terms of titratable acidity. On the other hand, 8%, 52% and 100% of samples were found unsuitable in terms of coagulase positive S. aureus, pH and salt in dry matter, respectively. As a result, it was concluded that Feta cheeses examined are inadequate in terms of microbiological and chemical quality and they could pose a risk to producers and consumers. The implementation of the HACCP system based on GMP at all stages of the food chain will play an active role for food safety, public health and the protection of consumer rights.

  5. The Effect of Consumer Ethnocentrism on Perceived Domestic Product Quality and Purchase Intentions among Young Consumers in Jakarta, Indonesia

    OpenAIRE

    Edi Purwanto

    2014-01-01

    The purpose of this study is to investigate the effects of consumer ethnocentrism on perceived domestic product quality, the effects of consumer ethnocentrism on domestic product purchase intentions, and the effects of perceived domestic product quality on domestic product purchase intentions especially in Indonesia domestic market. The measurement model is examined using a data set of 110 young customers in Jakarta, Capital of Indonesia, and tested via structural equation modeling and the st...

  6. Oral health related quality of life among imprisoned Dutch forensic psychiatric patients.

    Science.gov (United States)

    Buunk-Werkhoven, Yvonne A B; Dijkstra, Arie; Schaub, Rob M H; van der Schans, Cees P; Spreen, Marinus

    2010-01-01

    Because dental health and oral pathology may affect forensic psychiatric patients' well being, it is important to be able to assess oral health related quality of life (OH-QoL) in these patients. Two studies were conducted among Dutch forensic psychiatric male patients to assess the psychometric properties and some potential predictors of the Oral Health Impact Profile-14 (OHIP-14) as a measure of OH-QoL. Study 1 involved 40 patients who completed the OHIP-14 before receiving professional dental care and were retested 3 months later. The internal consistency was good, the test-retest correlations were fair, and over the 3 months follow-up no significant changes in OH-QoL were observed. Study 2 consisted of 39 patients who completed an improved version of the original OHIP-14, as well as measures to validate of the OHIP. Dental anxiety and unhealthy dentition jointly explained 26.7% of the variance in OH-QoL, and the better patients performed their oral hygiene behavior, the better their OH-QoL. It is concluded that the Dutch OHIP-14 is a useful instrument, and that nurses, especially in forensic nursing, should pay particularly attention to dental anxiety when encouraging patients to visit OH professionals and to perform adequate oral hygiene self-care.

  7. Three issues in consumer quality perception and acceptance of dairy products

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bech-Larsen, Tino; Bredahl, Lone

    2000-01-01

    It is argued that consumer quality perception of dairy products is characterised by four major dimensions: hedonic, health-related, convenience-related and process-related quality. Two of these, viz. health and process-related quality, are credence dimensions, ie, a matter of consumer trust...... in communication provided. Drawing on five different empirical studies on consumer quality perception of dairy products, three issues related to the communication on credence quality dimensions are discussed: providing credible information, the role of consumer attitudes, and inference processes in quality...... perception. Organic products, functional products, and products involving genetic modification are used as examples....

  8. The governance of quality management in dutch health care: new developments and strategic challenges.

    Science.gov (United States)

    Maarse, J A M; Ruwaard, D; Spreeuwenberg, C

    2013-01-01

    This article gives a brief sketch of quality management in Dutch health care. Our focus is upon the governance of guideline development and quality measurement. Governance is conceptualized as the structure and process of steering of quality management. The governance structure of guideline development in the Netherlands can be conceptualized as a network without central coordination. Much depends upon the self-initiative of stakeholders. A similar picture can be found in quality measurement. Special attention is given to the development of care standards for chronic disease. Care standards have a broader scope than guidelines and take an explicit patient perspective. They not only contain evidence-based and up-to-date guidelines for the care pathway but also contain standards for self-management. Furthermore, they comprise a set of indicators for measuring the quality of care of the entire pathway covered by the standard. The final part of the article discusses the mission, tasks and strategic challenges of the newly established National Health Care Institute (Zorginstituut Nederland), which is scheduled to be operative in 2013.

  9. Quality of life in rehabilitation outpatients : normal values and a comparison with the general Dutch population and psychiatric patients

    NARCIS (Netherlands)

    Schrier, Ernst; Schrier, Irene; Geertzen, Jan H. B.; Dijkstra, Pieter U.

    2016-01-01

    To provide Dutch normal values for rehabilitation outpatients with chronic pain or musculoskeletal diseases utilizing the World Health Organization Quality of Life questionnaire abbreviated version (WHOQOL-BREF) and analyse influence of diagnosis and patient characteristics on normal values and incr

  10. Measuring the quality of infection control in Dutch nursing homes using a standardized method; the Infection prevention RIsk Scan (IRIS)

    NARCIS (Netherlands)

    Willemsen, I.; Nelson-Melching, J.; Hendriks, Y.; Mulders, A.; Verhoeff, S.; Kluytmans-Vandenbergh, M.; Kluytmans, J.

    2014-01-01

    BACKGROUND: We developed a standardised method to assess the quality of infection control in Dutch Nursing Home (NH), based on a cross-sectional survey that visualises the results. The method was called the Infection control RIsk Infection Scan (IRIS). We tested the applicability of this new tool in

  11. External Quality Assessment in The Netherlands: time to introduce commutable survey specimens. Lessons from the Dutch "Calibration 2000" project.

    NARCIS (Netherlands)

    Baadenhuijsen, H.; Kuypers, A.W.H.M.; Weykamp, C.W.; Cobbaert, C.; Jansen, R.

    2005-01-01

    The performance of suitable secondary reference material for the use of trueness control of six routinely measured clinical enzymes in the Dutch External Quality Assessment (EQA) scheme is described. The reference material of choice was selected using the split-patient-sample between-field method (t

  12. Consumers' expected quality and intention to purchase high quality pork meat.

    Science.gov (United States)

    Papanagiotou, P; Tzimitra-Kalogianni, I; Melfou, K

    2013-03-01

    Expected quality is believed to be one of the most important factors that influence consumers' intention to purchase food. The present study seeks to explore the concept of pork meat expected quality and compare it with self-stated consumer intention to purchase pork meat. The aim is attempted by means of a field research conducted in Greece, following a conjoint analytic procedure. Results show that quality expectations comply with intention to buy pork, in many aspects. However, several differences have been identified. More specifically, country of origin and marbling appear to be more important for respondents' purchase decisions than they are for their quality evaluations, while the opposite appears to be true for price. Finally, socio-demographic factors such as gender, level of education, place of purchase and consumption habits seem to influence perceptions. Copyright © 2012 Elsevier Ltd. All rights reserved.

  13. Switching health insurers: the role of price, quality and consumer information search

    NARCIS (Netherlands)

    L.H.H.M. Boonen (Lieke); T. Laske-Aldershof (Trea); F.T. Schut (Erik)

    2015-01-01

    markdownabstract__Abstract__ We examine the impact of price, service quality and information search on people’s propensity to switch health insurers in the competitive Dutch health insurance market. Using panel data from annual household surveys and data on health insurers’ premiums

  14. Application of the Benthic Ecosystem Quality Index 2 to benthos in Dutch transitional and coastal waters

    Science.gov (United States)

    van Loon, W. M. G. M.; Boon, A. R.; Gittenberger, A.; Walvoort, D. J. J.; Lavaleye, M.; Duineveld, G. C. A.; Verschoor, A. J.

    2015-09-01

    The Benthic Ecosystem Quality Index 2 (BEQI2) is the Dutch multi-metric index (MMI) for assessing the status and trend of benthic invertebrates in transitional and coastal waters for the Water Framework Directive (WFD). It contains the same indicators, i.e. species richness, Shannon index and AMBI, as in the multivariate m-AMBI. The latter MMI has been adopted by several European countries in the context of WFD implementation. In contrast to m-AMBI, the BEQI2 calculation procedure has been strongly simplified and consists of two steps, i.e. the separate indicator values are normalized using their long-term reference values resulting in three Ecological Quality Ratios (EQRs), which are subsequently averaged to give one BEQI2 value. Using this method only small numbers of samples need to be analysed by Dutch benthos laboratories annually, without the necessity to co-analyse a larger historical dataset. BEQI2 EQR values appeared to correlate quantitatively very well with m-AMBI EQR values. In addition, a data pooling procedure has been added to the BEQI2 tool which enables the pooling of small core samples (0.01-0.025 m2) into larger standardized data pools of 0.1 m2 in order to meet the data requirements of the AMBI indicator and to obtain comparable reference values. Furthermore, the BEQI2 tool automatically and efficiently converts species synonym names into standardized species names. The BEQI2 tool has been applied to all Dutch benthos data monitored by Rijkswaterstaat in the period of 1991-2010 in the transitional and coastal waters and salt lakes and these results are reported here for the first time. Reference values for species richness and Shannon index (99 percentile values) and AMBI reference values (1 percentile values) were estimated for all water body-ecotopes and are discussed. BEQI2 results for all these water bodies are discussed in view of natural and human pressures. The pressure sensitivity of the BEQI2 for sewage and dredging/dumping, via the

  15. Quality indicators for pharmaceutical care: a comprehensive set with national scores for Dutch community pharmacies.

    Science.gov (United States)

    Teichert, Martina; Schoenmakers, Tim; Kylstra, Nico; Mosk, Berend; Bouvy, Marcel L; van de Vaart, Frans; De Smet, Peter A G M; Wensing, Michel

    2016-08-01

    Background The quality of pharmaceutical care in community pharmacies in the Netherlands has been assessed annually since 2008. The initial set has been further developed with pharmacists and patient organizations, the healthcare inspectorate, the government and health insurance companies. The set over 2012 was the first set of quality indicators for community pharmacies which was validated and supported by all major stakeholders. The aims of this study were to describe the validated set of quality indicators for community pharmacies and to report their scores over 2012. In subanalyses the score development over 5 years was described for those indicators, that have been surveyed before and remained unchanged. Methods Community pharmacists in the Netherlands were invited in 2013 to provide information for the set of 2012. Quality indicators were mapped by categories relevant for pharmaceutical care and defined for structures, processes and dispensing outcomes. Scores for categorically-measured quality indicators were presented as the percentage of pharmacies reporting the presence of a quality aspect. For numerical quality indicators, the mean of all reported scores was expressed. In subanalyses for those indicators that had been questioned previously, scores were collected from earlier measurements for pharmacies providing their scores in 2012. Multilevel analysis was used to assess the consistency of scores within one pharmacy over time by the intra-class correlation coefficient (ICC). Results For the set in 2012, 1739 Dutch community pharmacies (88 % of the total) provided information for 66 quality indicators in 10 categories. Indicator scores on the presence of quality structures showed relatively high quality levels. Scores for processes and dispensing outcomes were lower. Subanalyses showed that overall indicators scores improved within pharmacies, but this development differed between pharmacies. Conclusions A set of validated quality indicators provided

  16. Health Related Quality of Life in a Dutch Rehabilitation Population: Reference Values and the Effect of Physical Activity

    Science.gov (United States)

    Jaarsma, Eva A.; Dijkstra, Pieter U.; Geertzen, Jan H. B.; Dekker, Rienk

    2017-01-01

    Purpose To establish reference values for Health Related Quality of Life (HRQoL) in a Dutch rehabilitation population, and to study effects of patient characteristics, diagnosis and physical activity on HRQoL in this population. Method Former rehabilitation patients (3169) were asked to fill in a questionnaire including the Dutch version of the RAND-36. Differences between our rehabilitation patients and Dutch reference values were analyzed (t-tests). Effects of patient characteristics, diagnosis and movement intensity on scores on the subscales of the RAND-36 were analyzed using block wise multiple regression analyses. Results In total 1223 patients (39%) returned the questionnaire. HRQoL was significantly poorer in the rehabilitation patients compared to Dutch reference values on all subscales (phealth change (p = 0.197). Longer time between questionnaire and last treatment was associated with a smaller health change (p = 0.035). Higher age negatively affected physical functioning (phealth change (p = 0.001). Diagnosis affected outcomes on all subscales except role limitations physical, and mental health (p ranged health (p ranged HRQoL is poorer in rehabilitation patients compared to Dutch reference values. Physical components of HRQoL are affected by diagnosis. In rehabilitation patients an association between movement intensity and HRQoL was found. For clinical purposes, results of this study can be used as reference values for HRQoL in a rehabilitation setting. PMID:28060949

  17. Consumer perception of the quality of beef resulting from various fattening regimes

    DEFF Research Database (Denmark)

    Brunsø, Karen; Bredahl, Lone; Grunert, Klaus G.;

    2005-01-01

    The evaluation of meat quality and safety is not a straightforward task for consumers. In this article, the Total Food Quality Model will be introduced as a framework for understanding how consumers perceive meat quality, and results from a Danish study of consumer perception and experience...... have difficulty in evaluating meat quality based on visual stimuli (as in a shopping situation), resulting in uncertainty and dissatisfaction, and reveal a need for consumer education as regards the evaluation of eating quality during shopping. Udgivelsesdato: JUN...

  18. Consumers' quality perception of national branded, national store branded, and imported store branded beef

    DEFF Research Database (Denmark)

    Banovic, Marija; Grunert, Klaus G.; Barreira, Maria Madalena

    2010-01-01

    This study investigated the differences in the consumers' quality perception of national branded, national store branded, and imported store branded beef. Partial Least Squares analysis is used for modelling the quality perception process. Results show that consumers perceived national branded...... Carnalentejana beef, as better on all quality cues and quality aspects than the other two store branded beefs. Preference for Carnalentejana beef stayed highly consistent even after the blind test, where consumers differentiated this beef from the other two beef brands on all sensory dimensions: taste......, tenderness, and juiciness, and chose it as the preferred one. Consumers utilized more perceived intrinsic cues to infer expected eating quality of store branded beefs....

  19. Differences in health and taste attitudes and reported behaviour among Finnish, Dutch and British consumers: a cross-national validation of the Health and Taste Attitude Scales (HTAS).

    Science.gov (United States)

    Roininen, K; Tuorila, H; Zandstra, E H; de Graaf, C; Vehkalahti, K; Stubenitsky, K; Mela, D J

    2001-08-01

    The Health and Taste Attitude Scales (HTAS) developed by Roininen, Lähteenmäki and Tuorila in 1999 measure the importance of health and taste aspects of foods in the food choice process. These multi-item scales consist of sets of statements, ranging from "strongly disagree" to "strongly agree", which further divide into three Health (General health interest, Light product interest and Natural product interest) and three Taste (Craving for sweet foods, Using food as a reward and Pleasure) sub-scales. Finnish (N=467), Dutch (N=477), and British (N=361) respondents completed a questionnaire which contained four components: the HTAS, a separate "paper and pencil task" of choosing a food for a snack; pleasantness, healthiness and frequency of consumption of eight foods; and the Restraint Eating Scale of the Dutch Eating Behaviour Questionnaire (DEBQ). The latter three components were included in order to validate various aspects of the HTAS. The factor structure of HTAS was found to be equal in all three countries. However, there were some minor differences in factor loadings among countries, e.g. the Natural product interest and Pleasure sub-scale items had lower factor loadings in the UK than in Finland and The Netherlands. Finnish respondents had the most positive attitude towards light products. Dutch and British respondents scored higher on all Taste sub-scales than their Finnish counterparts. Respondents' health-related attitudes were good predictors of their "healthy food choices" in the snack task and self-reported consumption. Two of the Taste sub-scales (Craving for sweet foods and Using food as a reward) predicted well respondents' self-reported consumption of, for example, full-fat chocolate bars. All the Health and two of the Taste sub-scales proved to be useful tools for characterizing consumer attitudes within and between countries.

  20. Three issues in consumer quality perception and acceptance of dairy products

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bech-Larsen, Tino; Bredahl, Lone

    2000-01-01

    It is argued that consumer quality perception of dairy products is characterised by four major dimensions: hedonic, health-related, convenience-related and process-related quality. Two of these, viz. health and process-related quality, are credence dimensions, ie, a matter of consumer trust in co...

  1. The EFQM excellence model: European and Dutch experiences with the EFQM approach in health care. European Foundation for Quality Management.

    Science.gov (United States)

    Nabitz, U; Klazinga, N; Walburg, J

    2000-06-01

    One way to meet the challenges in creating a high performance organization in health care is the approach of the European Foundation for Quality Management (EFQM). The Foundation is in the tradition of the American Malcolm Baldrige Award and was initiated by the European Commission and 14 European multi-national organizations in 1988. The essence of the approach is the EFQM Model, which can be used as a self-assessment instrument on all levels of a health care organization and as an auditing instrument for the Quality Award. In 1999 the EFQM Model was revised but its principles remained the same. In The Netherlands many health care organizations apply the EFQM Model. In addition to improvement projects, peer review of professional practices, accreditation and certification, the EFQM Approach is used mainly as a framework for quality management and as a conceptualization for organizational excellence. The Dutch National Institute for Quality, the Instituut Nederlandse Kwaliteit, delivers training and supports self-assessment and runs the Dutch quality award programme. Two specific guidelines for health care organizations, 'Positioning and Improving' and 'Self-Assessment', have been developed and are used frequently. To illustrate the EFQM approach in The Netherlands, the improvement project of the Jellinek Centre is described. The Jellinek Centre conducted internal and external assessments and received in 1996, as the first health care organization, the Dutch Quality Prize.

  2. The Consumer Quality Index Hip Knee Questionnaire measuring patients' experiences with quality of care after a total hip or knee arthroplasty

    Directory of Open Access Journals (Sweden)

    Delnoij Diana MJ

    2007-04-01

    Full Text Available Abstract Background The Dutch Consumer Quality Index Hip Knee Questionnaire (CQI Hip Knee was used to assess patients' experiences with and evaluations of quality of care after a total hip (THA or total knee arthroplasty (TKA. The aim of this study is to evaluate the construct validity and internal consistency reliability of this new instrument and to assess its ability to measure differences in quality of care between hospitals. Methods Survey data of 1,675 subjects who underwent a THA or TKA were used to evaluate the psychometric properties. Exploratory factor analyses were performed and item-total correlations and inter-factor correlations were calculated to assess the construct validity of the instrument. Reliability analyses included tests of internal consistency (Cronbach's alpha coefficients. Finally, multilevel analyses were performed to assess the ability of the instrument to discriminate between hospitals in quality of care. Results Exploratory factor analyses indicated that the survey consisted of 21 items measuring five aspects of care (i.e. communication with nurses, communication with doctors, communication with general practitioner, communication about new medication, and pain control. Cronbach's alpha coefficients ranged from 0.76 to 0.90 indicating good internal consistency. The survey's ability to discriminate between hospitals was partly supported by multilevel analysis. Two scales (i.e. communication with nurses and communication with doctors were able to measure differences between hospitals with respect to patients' experiences with quality of care. Logistic multilevel analyses indicated that hospitals explained part of the variation between patients in receiving information. Conclusion These findings suggest that the CQI Hip Knee is reliable and valid for use in Dutch health care. Health care providers or health plans can use this survey to measure patients' experiences with hospital care and to identify variations in care

  3. Consumer perception of meat quality and implications for product development in the meat sector

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bredahl, Lone; Brunsø, Karen

    In the first part of the paper, the Total Food Quality Model is used as a frame of reference for analysing the way in which consumers perceive meat quality, drawing mainly on European studies involving beef and pork. The way in which consumers form expectations about quality at the point of purch......, differentiation by taste, healthiness and convenience, and by process characteristics like organic production and animal welfare....... for consumer satisfaction and repeat purchase intent is addressed. In the second part of the paper, and building on the insights obtained on subjective quality perception, possibilities for consumer-oriented product development in the meat sector are addressed. Issues dealt with here are branding...

  4. Consumer perception of meat quality and implications for product development in the meat sector

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bredahl, Lone; Brunsø, Karen

    2004-01-01

    In the first part of the paper, the Total Food Quality Model is used as a frame of reference for analysing the way in which consumers perceive meat quality, drawing mainly on European studies involving beef and pork. The way in which consumers form expectations about quality at the point of purch......, differentiation by taste, healthiness and convenience, and by process characteristics like organic production and animal welfare....... for consumer satisfaction and repeat purchase intent is addressed. In the second part of the paper, and building on the insights obtained on subjective quality perception, possibilities for consumer-oriented product development in the meat sector are addressed. Issues dealt with here are branding...

  5. Consumer perception of meat quality and implications for product development in the meat sector

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bredahl, Lone; Brunsø, Karen

    2004-01-01

    for consumer satisfaction and repeat purchase intent is addressed. In the second part of the paper, and building on the insights obtained on subjective quality perception, possibilities for consumer-oriented product development in the meat sector are addressed. Issues dealt with here are branding......In the first part of the paper, the Total Food Quality Model is used as a frame of reference for analysing the way in which consumers perceive meat quality, drawing mainly on European studies involving beef and pork. The way in which consumers form expectations about quality at the point......, differentiation by taste, healthiness and convenience, and by process characteristics like organic production and animal welfare....

  6. Consumer perception of meat quality and implications for product development in the meat sector

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Bredahl, Lone; Brunsø, Karen

    for consumer satisfaction and repeat purchase intent is addressed. In the second part of the paper, and building on the insights obtained on subjective quality perception, possibilities for consumer-oriented product development in the meat sector are addressed. Issues dealt with here are branding......In the first part of the paper, the Total Food Quality Model is used as a frame of reference for analysing the way in which consumers perceive meat quality, drawing mainly on European studies involving beef and pork. The way in which consumers form expectations about quality at the point......, differentiation by taste, healthiness and convenience, and by process characteristics like organic production and animal welfare....

  7. Associations between structural quality aspects and process quality in Dutch early childhood education and care settings

    NARCIS (Netherlands)

    Slot, P.L.; Leseman, P.P.M.; Verhagen, J.; Mulder, H.

    2015-01-01

    The relationship between structural quality and process quality in early childhood education and care (ECEC) has been addressed in several studies. However, the findings are not conclusive. The present study was conducted in the Netherlands, which has a strongly regulated mid-quality ECEC system reg

  8. European beef consumers' interest in a beef eating-quality guarantee

    DEFF Research Database (Denmark)

    Verbeke, Wim; Van Wezemael, Lyn; de Barcellos, Marcia Dutra

    2010-01-01

    . The development of a beef quality grading and guarantee system, backed up by objective knowledge that is obtained through muscle profiling research, can allow the beef industry to meet these consumer demands. A qualitative consumer study has been carried out with beef consumers in France, Spain, United Kingdom...... and Germany to assess their opinions about beef muscle profiling and their interest in a beef eating-quality guarantee. Findings indicate that both concepts are well accepted by European beef consumers, although not unconditional. Besides acknowledging the opportunity to purchase beef with guaranteed......Consumer demand in relation to food is increasingly shifting towards products that are safe, nutritious, and of good eating quality. Beef consumers are demanding for experience quality that matches their quality expectations formed prior to consumption, particularly with respect to beef tenderness...

  9. Description and earlier quality review of the Dutch educational system (primary and secondary education)

    NARCIS (Netherlands)

    Scheerens, Jaap; Scheerens, J; Luyten, H.; van Ravens, J.

    2011-01-01

    The chapter starts out with a brief overview of the structure of the Dutch education system. As compared to other national educational systems the Dutch secondary school system is strongly differentiated, featuring several separate school categories and sub-categories. Next, attention is paid to oth

  10. Patient-centeredness and quality management in Dutch diabetes care organizations after a 1-year intervention

    Directory of Open Access Journals (Sweden)

    Campmans-Kuijpers MJ

    2016-10-01

    Full Text Available Marjo JE Campmans-Kuijpers,1 Lidwien C Lemmens,2 Caroline A Baan,2 Guy EHM Rutten1 1Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, 2Centre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, Bilthoven, Utrecht, the Netherlands Background: More focus on patient-centeredness in care for patients with type 2 diabetes requests increasing attention to diabetes quality management processes on patient-centeredness by managers in primary care groups and outpatient clinics. Although patient-centered care is ultimately determined by the quality of interactions between patients and clinicians at the practice level, it should be facilitated at organizational level too. This nationwide study aimed to assess the state of diabetes quality management on patient-centeredness at organizational level and its possibilities to improve after a tailored intervention.Methods: This before–after study compares the quality management on patient-centeredness within Dutch diabetes care groups and outpatient clinics before and after a 1-year stepwise intervention. At baseline, managers of 51 diabetes primary care groups and 28 outpatient diabetes clinics completed a questionnaire about the organization’s quality management program. Patient-centeredness (0%–100% was operationalized in six subdomains: facilitating self-management support, individualized care plan support, patients’ access to medical files, patient education policy, safeguarding patients’ interests, and formal patient involvement. The intervention consisted of feedback and benchmark and if requested a telephone call and/or a consultancy visit. After 1 year, the managers completed the questionnaire again. The 1-year changes were examined by dependent (non parametric tests.Results: Care groups improved significantly on patient-centeredness (from 47.1% to 53.3%; P=0.002, and on its subdomains “access to

  11. Virgin olive oil color and perceived quality among consumers in emerging olive-growing countries

    OpenAIRE

    A. GÁMBARO; Raggio, L.; Ellis, A. C.; Amarillo, M.

    2014-01-01

    Five virgin olive oil samples were evaluated by 122 consumers for their color acceptability and expected quality on 9-point structured scales. A description of the attributes expected in the different oils was obtained from the responding consumers by means of a check-all-that-apply questionnaire consisting of a list of 17 possible virgin olive oil attributes. Hierarchical cluster analysis led to the identification of two consumer clusters with distinct behavior. Whereas one consumer cluster ...

  12. Effect of Fish Oil Supplementation on Quality of Life in a General Population of Older Dutch Subjects: A Randomized, Double-Blind, Placebo-Controlled Trial.

    NARCIS (Netherlands)

    Rest, van de O.; Geleijnse, J.M.; Kok, F.J.; Staveren, van W.A.; OldeRikkert, M.G.M.; Beekman, A.T.F.; Groot, de C.P.G.M.

    2009-01-01

    OBJECTIVES: To investigate the effect of eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) supplementation on quality of life (QOL). DESIGN: Randomized, double-blind, placebo-controlled trial. SETTING: Independently living individuals from the general older Dutch population. PARTICIPANTS:

  13. Effect of fish oil supplementation on quality of life in a general population of older Dutch subjects: a randomized, double-blind, placebo-controlled trial.

    NARCIS (Netherlands)

    Rest, O. van de; Geleijnse, J.M.; Kok, F.J.; Staveren, W.A. van; Olde Rikkert, M.G.M.; Beekman, A.T.; Groot, L.C. de

    2009-01-01

    OBJECTIVES: To investigate the effect of eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) supplementation on quality of life (QOL). DESIGN: Randomized, double-blind, placebo-controlled trial. SETTING: Independently living individuals from the general older Dutch population. PARTICIPANTS:

  14. Effect of fish oil supplementation on quality of life in a general population of older Dutch subjects: a randomized, double-blind, placebo-controlled trial

    NARCIS (Netherlands)

    Rest, van de O.; Geleijnse, J.M.; Kok, F.; Staveren, van W.A.; Olderikkert, M.G.M.; Beekman, A.T.F.; Groot, de L.C.P.G.M.

    2009-01-01

    OBJECTIVES: To investigate the effect of eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) supplementation on quality of life (QOL). DESIGN: Randomized, double-blind, placebo-controlled trial. SETTING: Independently living individuals from the general older Dutch population. PARTICIPANTS:

  15. Patient-centeredness and quality management in Dutch diabetes care organizations after a 1-year intervention

    Science.gov (United States)

    Campmans-Kuijpers, Marjo JE; Lemmens, Lidwien C; Baan, Caroline A; Rutten, Guy EHM

    2016-01-01

    Background More focus on patient-centeredness in care for patients with type 2 diabetes requests increasing attention to diabetes quality management processes on patient-centeredness by managers in primary care groups and outpatient clinics. Although patient-centered care is ultimately determined by the quality of interactions between patients and clinicians at the practice level, it should be facilitated at organizational level too. This nationwide study aimed to assess the state of diabetes quality management on patient-centeredness at organizational level and its possibilities to improve after a tailored intervention. Methods This before–after study compares the quality management on patient-centeredness within Dutch diabetes care groups and outpatient clinics before and after a 1-year stepwise intervention. At baseline, managers of 51 diabetes primary care groups and 28 outpatient diabetes clinics completed a questionnaire about the organization’s quality management program. Patient-centeredness (0%–100%) was operationalized in six subdomains: facilitating self-management support, individualized care plan support, patients’ access to medical files, patient education policy, safeguarding patients’ interests, and formal patient involvement. The intervention consisted of feedback and benchmark and if requested a telephone call and/or a consultancy visit. After 1 year, the managers completed the questionnaire again. The 1-year changes were examined by dependent (non) parametric tests. Results Care groups improved significantly on patient-centeredness (from 47.1% to 53.3%; P=0.002), and on its subdomains “access to medical files” (from 42.0% to 49.4%), and “safeguarding patients’ interests” (from 58.1% to 66.2%). Outpatient clinics, which scored higher at baseline (66.7%) than care groups, did not improve on patient-centeredness (65.6%: P=0.54) or its subdomains. “Formal patient involvement” remained low in both care groups (23.2%) and

  16. The Structure and Quality of Social Network Support among Mental Health Consumers of Clubhouse Programs

    Science.gov (United States)

    Pernice-Duca, Francesca M.

    2008-01-01

    This study explored the structure and quality of social network support among a group of adult consumers of community-based mental health programs known as "clubhouses". The structure and quality of social network support was also examined by diagnosis, specifically between consumers living with and without schizophrenia. The study…

  17. Improving behaviour in self-testing (IBIS: Study on frequency of use, consequences, information needs and use, and quality of currently available consumer information (protocol

    Directory of Open Access Journals (Sweden)

    de Vries Nanne K

    2010-08-01

    Full Text Available Abstract Background Self-tests are available to consumers for more than 25 conditions, ranging from infectious diseases to cardiovascular risk factors. Self-tests are defined as in-vitro tests on body materials such as blood, urine, faeces, or saliva that are initiated by consumers to diagnose a particular disorder or risk factor without involving a medical professional. In 2006, 16% of a sample of Dutch Internet users had ever used at least one self-test and 17% intended to use a self-test in the future. The objectives of this study are to determine (1 the frequency of self-test use, (2 the consumers' reasons for using or not using a self-test, (3 the information that is used by self-testers in the different self-test stages and the consumers' interpretation of the quality of this information, (4 the consumers' response to self-test results in terms of their confidence in the result, reassurance by the test result, and follow-up behaviour, (5 the information consumers report to need in the decision making process of using or not using a self-test, and in further management on the basis of the self-test result, and (6 the quality of the currently available consumer information on a selected set of self-tests. Methods Mixed methods study with (1 a cross-sectional study consisting of a two-phase Internet-questionnaire, (2 semi-structured interviews with self-testers and consumers who intend to use a self-test, and (3 the assessment of the quality of consumer information of self-tests. The Health Belief Model and the Theory of Planned Behaviour will serve as the theoretical basis for the questionnaires and the interview topic guides. Conclusions The self-testing area is still in a state of flux and therefore it is expected that self-test use will increase in the future. To the best of our knowledge, this is the first study which combines quantitative and qualitative research to identify consumers' information needs and use concerning self

  18. Improving behaviour in self-testing (IBIS): Study on frequency of use, consequences, information needs and use, and quality of currently available consumer information (protocol).

    Science.gov (United States)

    Grispen, Janaica E J; Ickenroth, Martine H P; de Vries, Nanne K; Dinant, Geert-Jan; Ronda, Gaby; van der Weijden, Trudy

    2010-08-03

    Self-tests are available to consumers for more than 25 conditions, ranging from infectious diseases to cardiovascular risk factors. Self-tests are defined as in-vitro tests on body materials such as blood, urine, faeces, or saliva that are initiated by consumers to diagnose a particular disorder or risk factor without involving a medical professional. In 2006, 16% of a sample of Dutch Internet users had ever used at least one self-test and 17% intended to use a self-test in the future. The objectives of this study are to determine (1) the frequency of self-test use, (2) the consumers' reasons for using or not using a self-test, (3) the information that is used by self-testers in the different self-test stages and the consumers' interpretation of the quality of this information, (4) the consumers' response to self-test results in terms of their confidence in the result, reassurance by the test result, and follow-up behaviour, (5) the information consumers report to need in the decision making process of using or not using a self-test, and in further management on the basis of the self-test result, and (6) the quality of the currently available consumer information on a selected set of self-tests. Mixed methods study with (1) a cross-sectional study consisting of a two-phase Internet-questionnaire, (2) semi-structured interviews with self-testers and consumers who intend to use a self-test, and (3) the assessment of the quality of consumer information of self-tests. The Health Belief Model and the Theory of Planned Behaviour will serve as the theoretical basis for the questionnaires and the interview topic guides. The self-testing area is still in a state of flux and therefore it is expected that self-test use will increase in the future. To the best of our knowledge, this is the first study which combines quantitative and qualitative research to identify consumers' information needs and use concerning self-testing, and the consumers' actual follow-up behaviour based

  19. Unfair contract terms and the consumer: ECJ case-law, foreign literature and their impact on Dutch law

    NARCIS (Netherlands)

    Hondius, E.H.|info:eu-repo/dai/nl/068302371

    2016-01-01

    Summary: In the late twentieth century, most European states have adopted legislation on unfair contract terms. The Directive 93/13/EEC on unfair terms in consumer contracts has effectively made the European Court of Justice (ECJ) the final arbiter in interpreting much of this legislation. The

  20. Pasta Fortified with Potato Juice: Structure, Quality, and Consumer Acceptance.

    Science.gov (United States)

    Kowalczewski, Przemysław; Lewandowicz, Grażyna; Makowska, Agnieszka; Knoll, Ismena; Błaszczak, Wioletta; Białas, Wojciech; Kubiak, Piotr

    2015-06-01

    The potential of potato juice in relieving gastrointestinal disorders has already been proven. Work continues on implementation of this active component into products that are widely consumed. In this article, results of an attempt to fortify pasta with potato juice are presented and discussed. Fortification is performed using fresh and dried juice. The influence of the addition on culinary properties of the final product, such as cooking weight and cooking loss, as well as microstructure, color, texture, and consumer acceptance were evaluated. It was found that potato juice can be used for fortification of pasta both in its fresh and dried forms, however the effects on different responses depend on the potato juice form used. The addition of potato juice influenced the color of the product reducing its lightness and shifting color balances from green to red, yellow color saturation was decreased as well. Changes in color were more significant in the case of fresh juice addition. The firmness and microstructure of pasta was also influenced. The surface microstructure of pasta containing fresh potato juice was different from that of the other 2 products being a likely explanation of the lower cooking loss observed in its case. In contrast, the consistency of dough was strengthened by addition of dried potato juice. Principal components analysis indicated that the color change had the most pronounced effect on consumer acceptance. Other physicochemical changes were slightly less significant. Nevertheless, sensory evaluation proved that functional pasta produced with fresh potato juice finds consumer acceptance comparable with that of classic pasta.

  1. Mutations in the Foodstuff Quality Perception of the New Consumers in Romania

    Directory of Open Access Journals (Sweden)

    Dorin Popescu

    2011-11-01

    Full Text Available In the current context of the market, very complex and dynamic, we can observe the crystallization of a new generation of consumers, with a specific behavior and a particular manner of approaching the quality unlike the one of traditional consumer. The concept of quality, perceived by the traditional consumer in the classical, deterministic and objective sense, loses its facets nowadays and transcends into another dimension, in the vision of the new consumer, in which the perception of quality in a predominantly subjective manner, comes first. This paper presents the objectives of a research project that we intend to develop, in order to highlight the mutations that occurred in the foodstuff quality perception of the new consumers from Romania. We focused on foodstuff because it is a customary part of our daily lives, that shouldn’t be approached merely as a common factor for meeting physiological needs of macro and micro-nutrients, but from a holistic perspective in terms of its social and identity functions and the effects on individual health. Another important goal of the project is to improve the standard of education and culture in foodstuff consumption and to give to the new consumers from Romania the skills for an objective assessment of food quality. We believe that all these could lead to the conversion of the new consumers of foodstuff in ethical and responsible consumers.

  2. Improvements in the quality of co-ordination of nursing care following implementation of the Resident Assessment Instrument in Dutch nursing homes.

    NARCIS (Netherlands)

    Achterberg, W.P.; Holtkamp, C.C.M.; Kerkstra, A.; Pot, A.M.; Ooms, M.E.; Ribbe, M.W.

    2001-01-01

    Aim: To study the effect of implementation of the Resident Assessment Instrument (RAI) on the quality of co-ordination of nursing care in Dutch nursing homes. Background: The Resident Assessment Instrument (RAI) was designed to improve the quality of care and quality of life in nursing homes. Until

  3. Improvements in the quality of co-ordination of nursing care following implementation of the Resident Assessment Instrument in Dutch nursing homes.

    NARCIS (Netherlands)

    Achterberg, W.P.; Holtkamp, C.C.M.; Kerkstra, A.; Pot, A.M.; Ooms, M.E.; Ribbe, M.W.

    2001-01-01

    Aim: To study the effect of implementation of the Resident Assessment Instrument (RAI) on the quality of co-ordination of nursing care in Dutch nursing homes. Background: The Resident Assessment Instrument (RAI) was designed to improve the quality of care and quality of life in nursing homes. Until

  4. Modeling relationship quality and consumer loyalty in virtual communities.

    Science.gov (United States)

    Lin, Wen-Kung; Chiu, Chou-Kang; Tsai, Yuan-Hui

    2008-10-01

    This study examines the formation of consumer loyalty in the context of online games. The test results indicate that both satisfaction and commitment positively influence loyalty. Virtual power status, relational interacting behavior, incentive utility, and feature enhancement positively influence satisfaction, while power status, relational interacting behavior, and incentive utility also positively influence commitment. Last, the moderating effects of gender and the implications of the findings are discussed.

  5. Consumer involvement in Quality Use of Medicines (QUM projects – lessons from Australia

    Directory of Open Access Journals (Sweden)

    Monteith Gregory R

    2005-12-01

    Full Text Available Abstract Background It is essential that knowledge gained through health services research is collated and made available for evaluation, for policy purposes and to enable collaboration between people working in similar areas (capacity building. The Australian Quality Use of Medicine (QUM on-line, web-based project database, known as the QUMmap, was designed to meet these needs for a specific sub-section of health services research related to improving the use of medicines. Australia's National Strategy for Quality Use of Medicines identifies the primacy of consumers as a major principle for quality use of medicines, and aims to support consumer led research. The aim of this study was to determine how consumers as a group have been represented in QUM projects in Australia. A secondary aim was to investigate how the projects with consumer involvement fit into Australia's QUM policy framework. Method Using the web-based QUMmap, all projects which claimed consumer involvement were identified and stratified into four categories, projects undertaken by; (a consumers for consumers, (b health professionals for consumers, (c health professionals for health professionals, and (d other. Projects in the first two categories were then classified according to the policy 'building blocks' considered necessary to achieve QUM. Results Of the 143 'consumer' projects identified, the majority stated to be 'for consumers' were either actually by health professionals for health professionals (c or by health professionals for consumers (b (47% and 40% respectively. Only 12 projects (9% were directly undertaken by consumers or consumer groups for consumers (a. The majority of the health professionals for consumers (b projects were directed at the provision of services and interventions, but were not focusing on the education, training or skill development of consumers. Conclusion Health services research relating to QUM is active in Australia and the projects are

  6. 78 FR 26301 - Approval and Promulgation of Air Quality Implementation Plans; Illinois; Consumer Products and...

    Science.gov (United States)

    2013-05-06

    ... AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; Illinois; Consumer Products and AIM Rules AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA... for additional consumer products categories into the State's SIP. Finally, EPA is proposing to approve...

  7. Consumer perceptions of food quality and safety and their relation to traceability

    NARCIS (Netherlands)

    Rijswijk, van W.; Frewer, L.J.

    2008-01-01

    Purpose - The research presented here aims to gain understanding of consumers¿ perceptions of the concepts of food quality and safety, two concepts that play an important role in how consumers perceive food, and that are used in decision making. Design/methodology/approach - Qualitative

  8. Untrained consumer assessment of the eating quality of beef: 1. A single composite score can predict beef quality grades.

    Science.gov (United States)

    Bonny, S P F; Hocquette, J-F; Pethick, D W; Legrand, I; Wierzbicki, J; Allen, P; Farmer, L J; Polkinghorne, R J; Gardner, G E

    2016-11-10

    Quantifying consumer responses to beef across a broad range of demographics, nationalities and cooking methods is vitally important for any system evaluating beef eating quality. On the basis of previous work, it was expected that consumer scores would be highly accurate in determining quality grades for beef, thereby providing evidence that such a technique could be used to form the basis of and eating quality grading system for beef. Following the Australian MSA (Meat Standards Australia) testing protocols, over 19 000 consumers from Northern Ireland, Poland, Ireland, France and Australia tasted cooked beef samples, then allocated them to a quality grade; unsatisfactory, good-every-day, better-than-every-day and premium. The consumers also scored beef samples for tenderness, juiciness, flavour-liking and overall-liking. The beef was sourced from all countries involved in the study and cooked by four different cooking methods and to three different degrees of doneness, with each experimental group in the study consisting of a single cooking doneness within a cooking method for each country. For each experimental group, and for the data set as a whole, a linear discriminant function was calculated, using the four sensory scores which were used to predict the quality grade. This process was repeated using two conglomerate scores which are derived from weighting and combining the consumer sensory scores for tenderness, juiciness, flavour-liking and overall-liking, the original meat quality 4 score (oMQ4) (0.4, 0.1, 0.2, 0.3) and current meat quality 4 score (cMQ4) (0.3, 0.1, 0.3, 0.3). From the results of these analyses, the optimal weightings of the sensory scores to generate an 'ideal meat quality 4 score (MQ4)' for each country were calculated, and the MQ4 values that reflected the boundaries between the four quality grades were determined. The oMQ4 weightings were far more accurate in categorising European meat samples than the cMQ4 weightings, highlighting that

  9. Consumer evaluation of fish quality as basis for fish market segmentation

    DEFF Research Database (Denmark)

    Verbeke, Wim; Vermeir, Iris; Brunsø, Karen

    2007-01-01

    This paper focuses on consumer evaluation of fish quality and its association with fish consumption, risk and benefit beliefs and information processing variables. Cross-sectional data were collected from a sample of 429 consumers in March 2003 in Belgium. Two dimensions shape fish quality...... evaluation: personal relevance attached to fish quality and self-confidence in fish quality evaluation, which allow segmenting the market in four fish consumer segments. The segments are typified as Uninvolved, Uncertain, Self-confident and Connoisseurs, and have distinctive behavioural, attitudinal...... and socio-demographic profiles. The Uninvolved are mainly young males, have the lowest fish consumption level, weakest belief in health benefits from eating fish, and lowest interest in both search and credence information cues. Uncertain fish consumers are mainly females, with a tendency of lower education...

  10. Bottled water: United States consumers and their perceptions of water quality

    National Research Council Canada - National Science Library

    Hu, Zhihua; Morton, Lois Wright; Mahler, Robert L

    2011-01-01

    Consumption of bottled water is increasing worldwide. Prior research shows many consumers believe bottled water is convenient and has better taste than tap water, despite reports of a number of water quality incidents with bottled water...

  11. Dutch healthcare reform: did it result in performance improvement of health plans? A comparison of consumer experiences over time.

    NARCIS (Netherlands)

    Hendriks, M.; Spreeuwenberg, P.; Rademakers, J.; Delnoij, D.M.J.

    2009-01-01

    BACKGROUND: Many countries have introduced elements of managed competition in their healthcare system with the aim to accomplish more efficient and demand-driven health care. Simultaneously, generating and reporting of comparative healthcare information has become an important quality-improvement

  12. Bottled Water: United States Consumers and Their Perceptions of Water Quality

    OpenAIRE

    Mahler, Robert L.; Lois Wright Morton; Zhihua Hu

    2011-01-01

    Consumption of bottled water is increasing worldwide. Prior research shows many consumers believe bottled water is convenient and has better taste than tap water, despite reports of a number of water quality incidents with bottled water. The authors explore the demographic and social factors associated with bottled water users in the U.S. and the relationship between bottled water use and perceptions of the quality of local water supply. They find that U.S. consumers are more likely to report...

  13. Bottled Water: United States Consumers and Their Perceptions of Water Quality

    OpenAIRE

    Mahler, Robert L.; Lois Wright Morton; Zhihua Hu

    2011-01-01

    Consumption of bottled water is increasing worldwide. Prior research shows many consumers believe bottled water is convenient and has better taste than tap water, despite reports of a number of water quality incidents with bottled water. The authors explore the demographic and social factors associated with bottled water users in the U.S. and the relationship between bottled water use and perceptions of the quality of local water supply. They find that U.S. consumers are more likely to report...

  14. Consumer Willingness to Pay for Quality Attributes of Fresh Seafood

    DEFF Research Database (Denmark)

    Nguyen, Thong Tien; Haider, Wolfgang; Solgaard, Hans Stubbe

    2015-01-01

    We applied a labeled choice experiment (LCE) to investigate consumer demand and choice behavior for fresh seafood in a retail market. The LCE was conducted for a large number of seafood alternatives (i.e., seafood species) labeled by the respective seafood name (e.g., cod, salmon, mussels). Consu...... allows respondents to evaluate choice alternatives through both attribute judgment and alternative comparison. Exploring a variety of product alternatives is also meaningful to firms with multiple products (e.g., fresh seafood retailers) or firms with many direct competitors......., production method, and country of origin), and the rank ordered-intrinsic value were estimated for each seafood alternative within classes and the entire market. The WTP estimate in our study is expected to be more accurate than those derived from studies based on single product alternatives because the LCE...

  15. Using Web sites on quality health care for teaching consumers in public libraries.

    Science.gov (United States)

    Oermann, Marilyn H; Lesley, Marsha L; VanderWal, Jillon S

    2005-01-01

    More and more consumers are searching the Internet for health information. Health Web sites vary in quality, though, and not all consumers are aware of the need to evaluate the information they find on the Web. Nurses and other health providers involved in patient education can evaluate Web sites and suggest quality sites for patients to use. This article describes a project we implemented in 2 public libraries to educate consumers about quality health care and patient safety using Web sites that we had evaluated earlier. Participants (n = 103) completed resources on health care quality, questions patients should ask about their diagnoses and treatment options, changes in Medicare and Medicare options or ways to make their health benefits work for them, and tips to help prevent medical errors. Most consumers were highly satisfied with the Web sites and the information they learned on quality care from these resources. Many participants did not have Internet access at home or work and instead used the library to search the Web. Information about the Web sites used in this project and other sites on quality care can be made available in libraries and community settings and as part of patient education resources in hospitals. The Web provides easy access for consumers to information about patient safety initiatives and health care quality in general.

  16. 78 FR 66655 - Consumer Information; Uniform Tire Quality Grading Standards

    Science.gov (United States)

    2013-11-06

    ... limit to encourage you to write your primary comments in a concise fashion. However, you may attach... Executive Order 12866 requires each agency to write all rules in plain language. Application of the....gov.bts/files/subject_areas/statistical_policy_and_research/data_quality_guidelines/index.html . How...

  17. Assessment of Consumers' Satisfaction with the Automotive Product Quality

    Science.gov (United States)

    Amineh, Hadi; Kosach, Nataliya

    2016-01-01

    Relevance of article is caused by the fact that customer's satisfaction currently serves as the mechanism allowing the carmakers to be competitive in the market. The paper describes issues of assessment of the quality of products manufactured by automobile companies. The assessment is based on widely applicable complex characteristics of the…

  18. Consumer attitudes to food quality products : emphasis on Southern Europe

    NARCIS (Netherlands)

    Klopcic, M.; Kuipers, A.; Hocquette, J.F.

    2012-01-01

    Quality foods, such as traditional, EU certified, organic and health claimed are part of a growing trend towards added value in the agri-food sector. In these foods, elements of production, processing, marketing, agro-tourism and speciality stores are combined. Paramount above all is the link to the

  19. Consumer attitudes to food quality products : emphasis on Southern Europe

    NARCIS (Netherlands)

    Klopcic, M.; Kuipers, A.; Hocquette, J.F.

    2012-01-01

    Quality foods, such as traditional, EU certified, organic and health claimed are part of a growing trend towards added value in the agri-food sector. In these foods, elements of production, processing, marketing, agro-tourism and speciality stores are combined. Paramount above all is the link to the

  20. Consumers and Food Choice: Quality, Nutrition and Genes

    NARCIS (Netherlands)

    Tijskens, L.M.M.; Iztok Ostan, I.; Borut Poljsak, B.; Simcic, M.

    2010-01-01

    The quantity and quality of food needed for reproduction differs from nutritional needs for health and longevity. The choice of food type and amount is driven by our genetic need for growth and reproduction, not for long term health. So, fast digestible food, rich in energy is searched for. We

  1. Consumers and Food Choice: Quality, Nutrition and Genes

    NARCIS (Netherlands)

    Tijskens, L.M.M.; Iztok Ostan, I.; Borut Poljsak, B.; Simcic, M.

    2010-01-01

    The quantity and quality of food needed for reproduction differs from nutritional needs for health and longevity. The choice of food type and amount is driven by our genetic need for growth and reproduction, not for long term health. So, fast digestible food, rich in energy is searched for. We human

  2. Measuring consumers' attitudes towards service quality in restaurants

    OpenAIRE

    Marinković, Veljko; Senić, Vladimir; Dimitrovski, Darko

    2013-01-01

    Recently, the trend of dining in restaurants has become quite prominent in Serbia. Frequent restaurant visits are not only the reflection of satisfying hedonistic needs, but also the result of increasing commitments of everyday life and adjustment to the European business hours. Being a complex category, restaurant service also includes atmosphere and professional relationship of staff towards guests, in addition to quality food and exceptional service. The aim of this paper is to identify el...

  3. Client's Perspective on Quality of Audiology Care: development of the Consumer quality index (CQI) Audiology Care for measuring client experiences.

    NARCIS (Netherlands)

    Hendriks, M.; Dahlhaus-Booij, J.; Plass, A.M.

    2017-01-01

    Objective: Clients’ perspective on the quality of audiology care has not been investigated thoroughly. Research has focused primarily on satisfaction with, and limitations of hearing aids. We developed a Consumer Quality Index (CQI) questionnaire ‘Audiology Care’ to systematically assess client

  4. U. S. consumer perceptions of U. S. and Canadian beef quality grades.

    Science.gov (United States)

    Tedford, J L; Rodas-González, A; Garmyn, A J; Brooks, J C; Johnson, B J; Starkey, J D; Clark, G O; Derington, A J; Collins, J A; Miller, M F

    2014-08-01

    A U.S. consumer (n = 642) study (Baltimore, MD; Phoenix, AZ; and Lubbock, TX) was conducted to compare consumer sensory scores of U.S. beef (83 USDA Choice [Choice] and 96 USDA Select [Select]) and Canadian beef (77 AAA and 82 AA) strip loins. Strip loins (n = 338) were obtained from beef processors in Canada and the United States and were wet aged until 21 d postmortem at 2°C. Marbling scores were assigned at 21 d and loins were paired according to quality grades and marbling score. Strip loins were fabricated into 2.54-cm thick steaks; steaks were vacuum packaged and frozen until further evaluations. Proximate analysis was performed to compare fat, moisture, and protein. Choice and Canadian AAA had similar marbling scores and intramuscular fat. Both Choice and Canadian AAA had greater (P grades (P > 0.05). Consumers' opinions did not differ when comparing equivalent grades (Choice with Canadian AAA and Select with Canadian AA), but they rated Choice and Canadian AAA more palatable than Select and Canadian AA for all sensory attributes (P grade carcasses (Choice and Canadian AAA) than lower quality grade carcasses (Select and Canada AA). Additionally, consumers gave their opinion of Canadian beef, where its quality and safety were rated as "good" to "excellent" for both attributes (76.72% and 88.36%, respectively; P grades; however, strip loin steaks from higher quality grades were more palatable than lower quality grades according to consumer scores for eating quality traits.

  5. Tomato quality: from the field to the consumer : interactions between genotype, cultivation and postharvest conditions

    NARCIS (Netherlands)

    Farneti, B.

    2014-01-01

    The preservation of product quality in the marketing chain is of great importance for the final financial result of all stakeholders and consumer satisfaction. Improve product quality management requires an understanding of the various aspects of product and requires the availability of techniques t

  6. The Consumer Quality Index in an accident and emergency department : Internal consistency, validity and discriminative capacity

    NARCIS (Netherlands)

    Bos, Nanne; Sturms, Leontien M.; Stellato, Rebecca K.; Schrijvers, Augustinus J P; van Stel, Henk F.

    2015-01-01

    Background: Patients' experiences are an indicator of health-care performance in the accident and emergency department (A&E). The Consumer Quality Index for the Accident and Emergency department (CQI A&E), a questionnaire to assess the quality of care as experienced by patients, was investigated. Th

  7. Product quality. An investigation into the concept and how it is perceived by consumers.

    NARCIS (Netherlands)

    Steenkamp, J.E.B.M.

    1989-01-01

    The objectives of the present work are (1) to review the literature on product quality from different perspectives, (2) to develop a model that describes the way consumers form judgments about product quality, and (3) to investigate the proposed model empirically. In addition, price-perceived qualit

  8. European beef consumers' interest in a beef eating-quality guarantee

    DEFF Research Database (Denmark)

    Verbeke, Wim; Van Wezemael, Lyn; de Barcellos, Marcia Dutra

    2010-01-01

    from this study indicate good opportunities for the development of a beef eating-quality guarantee system in Europe. As an increase in consumers' satisfaction with beef products could lead to higher consumption rates and industry profitability, the introduction of an eating-quality guarantee system can...

  9. Product quality : an investigation into the concept and how it is perceived by consumers

    NARCIS (Netherlands)

    Steenkamp, J.B.E.M.

    1989-01-01

    The objectives of the present work are (1) to review the literature on product quality from different perspectives, (2) to develop a model that describes the way consumers form judgments about product quality, and (3) to investigate the proposed model empirically. In addition, price-perceiv

  10. Comparative health care information: consumer quality index (CQI) information on differences between providers.

    NARCIS (Netherlands)

    Damman, O.C.; Stubbe, J.H.; Triemstra, A.H.M.; Spreeuwenberg, P.; Delnoij, D.M.J.

    2007-01-01

    Background: Public reporting on health care performances has become an important quality-improvement instrument. In the Netherlands, consumer quality index (CQI) questionnaires are currently being used to assess patients’ experiences with various domains of the health care system. An important quest

  11. Product quality : an investigation into the concept and how it is perceived by consumers

    NARCIS (Netherlands)

    Steenkamp, J.B.E.M.

    1989-01-01

    The objectives of the present work are (1) to review the literature on product quality from different perspectives, (2) to develop a model that describes the way consumers form judgments about product quality, and (3) to investigate the proposed model empirically. In addition,

  12. Tomato quality: from the field to the consumer : interactions between genotype, cultivation and postharvest conditions

    NARCIS (Netherlands)

    Farneti, B.

    2014-01-01

    The preservation of product quality in the marketing chain is of great importance for the final financial result of all stakeholders and consumer satisfaction. Improve product quality management requires an understanding of the various aspects of product and requires the availability of techniques

  13. Seek and ye shall find: consumer search for objective health care cost and quality information.

    Science.gov (United States)

    Sick, Brian; Abraham, Jean M

    2011-01-01

    Significant investments have been made in developing and disseminating health care provider cost and quality information on the Internet with the expectation that stronger consumer engagement will lead consumers to seek providers who deliver high-quality, low-cost care. However, prior research shows that the awareness and use of such information is low. This study investigates how the information search process may contribute to explaining this result. The analysis reveals that the Web sites most likely to be found by consumers are owned by private companies and provide information based on anecdotal patient experiences. Web sites less likely to be found have government or community-based ownership, are based on administrative data, and contain a mixture of quality, cost, and patient experience information. Searches for information on hospitals reveal more cost and quality information based on administrative data, whereas searches that focus on clinics or physicians are more likely to produce information based on patient narratives.

  14. The Choice of Canned Whole Peeled Tomatoes is Driven by Different Key Quality Attributes Perceived by Consumers Having Different Familiarity with the Product.

    Science.gov (United States)

    Frez-Muñoz, Lucía; Steenbekkers, Bea Lpa; Fogliano, Vincenzo

    2016-12-01

    Canned whole peeled tomatoes are a premium tomato product; however, no information is available about the key intrinsic and extrinsic quality attributes perceived by consumers when buying this product. This research considered consumers differing in the level of familiarity with peeled tomatoes, that is, knowledge, frequency of consumption, and availability of this product, on 3 markets: Chile (low), The Netherlands (medium), and Italy (high). The perceptions and preferences of each group were studied using first focus groups and subsequently conjoint analysis in order to identify the key quality attributes leading their preferences for this product. Focus groups identified 7 intrinsic attributes (color, packing medium, tomato consistency, acidity level, sweetness level, extra ingredients, and intensity of product taste), and 5 extrinsic attributes (packaging material, product type, country of origin, brand, and label design). Significant variations according to the familiarity were found. The conjoint analyses showed that color of tomatoes was the most important intrinsic quality attribute for all groups, while packaging material was the most important extrinsic quality attribute for Chileans and Dutch, being a glass container or a can with easy open the preferred packaging for respective groups. In contrast, country of origin was the most important parameter for Italians. We concluded that intrinsic and extrinsic attributes were strongly influenced by the degree of familiarity with canned whole peeled tomatoes.

  15. [Microbiological quality of wheat flour consumed in Morocco].

    Science.gov (United States)

    Ennadir, Jihane; Hassikou, Rachida; Ohmani, Farida; Hammamouchi, Jamila; Bouazza, Fatima; Qasmaoui, Aicha; Mennane, Zakaria; Touhami, Amina Ouazzani; Charof, Reda; Khedid, Khadija

    2012-02-01

    Cereal products (soft and hard wheat) are a basic staple food in the Moroccan diet. A total of 60 samples of two types of wheat flours used for human consumption were collected; 30 samples among this collection were obtained from various households using Moroccan varieties of wheat produced in traditional flour mills. The rest of the samples were purchased from retail wheat flour sources in the Rabat and Sale city markets. Standard plate counts (SPC), total and faecal coliforms, Clostridium, Salmonella spp., Shigella spp., Staphylococcus aureus, Listeria monocytogenes, yeast, lactic acid bacteria, and molds, were carried out to assess the microbiological quality of wheat flour. Microbiological interpretation of the criteria was performed according to standards implemented by the Codex Alimentarius Commission. Most frequent counts, in traditional and industrial wheat flour, were total aerobic mesophilic bacteria with an average 4 × 104 and 2.5 × 104 cfu/g, respectively. The results showed higher coliform and fungi counts in house than in commercial samples. Pathogenic flora as Salmonella spp., Shigella spp., S. aureus, L. monocytogenes, and Clostridium were not detected in all investigated samples. Bacterial strains isolated from both flours belong to the following genera: Enterobacter spp., Serratia spp., Klebsiella spp., Pantoea spp., Leclercia spp., Proteus spp. The most frequent genus of the investigated isolates was Aspergillus (81 %). Microbial counts were lower than the limit laid down in the Codex Alimentarius, attributing to these flours a satisfactory microbiological quality.

  16. Quality of care in the intensive care unit from the perspective of patient's relatives: development and psychometric evaluation of the consumer quality index 'R-ICU'.

    Science.gov (United States)

    Rensen, Ans; van Mol, Margo M; Menheere, Ilse; Nijkamp, Marjan D; Verhoogt, Ellen; Maris, Bea; Manders, Willeke; Vloet, Lilian; Verharen, Lisbeth

    2017-01-24

    The quality standards of the Dutch Society of Intensive Care require monitoring of the satisfaction of patient's relatives with respect to care. Currently, no suitable instrument is available in the Netherlands to measure this. This study describes the development and psychometric evaluation of the questionnaire-based Consumer Quality Index 'Relatives in Intensive Care Unit' (CQI 'R-ICU'). The CQI 'R-ICU' measures the perceived quality of care from the perspective of patients' relatives, and identifies aspects of care that need improvement. The CQI 'R-ICU' was developed using a mixed method design. Items were based on quality of care aspects from earlier studies and from focus group interviews with patients' relatives. The time period for the data collection of the psychometric evaluation was from October 2011 until July 2012. Relatives of adult intensive care patients in one university hospital and five general hospitals in the Netherlands were approached to participate. Psychometric evaluation included item analysis, inter-item analysis, and factor analysis. Twelve aspects were noted as being indicators of quality of care, and were subsequently selected for the questionnaire's vocabulary. The response rate of patients' relatives was 81% (n = 455). Quality of care was represented by two clusters, each showing a high reliability: 'Communication' (α = .80) and 'Participation' (α = .84). Relatives ranked the following aspects for quality of care as most important: no conflicting information, information from doctors and nurses is comprehensive, and health professionals take patients' relatives seriously. The least important care aspects were: need for contact with peers, nuisance, and contact with a spiritual counsellor. Aspects that needed the most urgent improvement (highest quality improvement scores) were: information about how relatives can contribute to the care of the patient, information about the use of meal-facilities in the hospital, and

  17. Consumer behaviour with regard to food innovation: Quality perception and decision-making

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2005-01-01

    concern about food safety and new insights in human nutrition. Topics covered include changing markets, consumer perception of product quality, quality function deployment, the use of new and improved technology in food production, logistics and information technology, the role of regulation......This is a fully rewritten and extended version of the successful textbook "Innovation of food production systems". It focuses on consumer-driven food product innovation using a systems-oriented approach. It integrates marketing and consumer science with technological aspects such as processing......, logistics and information technology, and presents an integrated view of how new food product development is to be situated in a chain-oriented approach. Attention is also paid to the impact of changes in the environment of the agri-food system on food innovation, such as the changing consumer, the growing...

  18. Consumer behaviour with regard to food innovation: Quality perception and decision-making

    DEFF Research Database (Denmark)

    Grunert, Klaus G.

    2005-01-01

    This is a fully rewritten and extended version of the successful textbook "Innovation of food production systems". It focuses on consumer-driven food product innovation using a systems-oriented approach. It integrates marketing and consumer science with technological aspects such as processing......, logistics and information technology, and presents an integrated view of how new food product development is to be situated in a chain-oriented approach. Attention is also paid to the impact of changes in the environment of the agri-food system on food innovation, such as the changing consumer, the growing...... concern about food safety and new insights in human nutrition. Topics covered include changing markets, consumer perception of product quality, quality function deployment, the use of new and improved technology in food production, logistics and information technology, the role of regulation...

  19. Quality of life in adulthood after resection of a sacrococcygeal teratoma in childhood: a Dutch multicentre study.

    Science.gov (United States)

    Kremer, Marijke E B; Dirix, Marc; Koeneman, Margot M; van Baren, Robertine; Heij, Hugo A; Wijnen, Marc H W A; Wijnen, René M H; van der Zee, David C; van Heurn, L W Ernest

    2015-05-01

    Children treated for sacrococcygeal teratoma (SCT) may experience functional sequelae later in life. It is not known whether SCT and associated problems affect the patient's general quality of life (QoL). In a national survey, we evaluated general QoL in adults treated for SCT during childhood and compared the results to reference values for the Dutch population. The records of patients aged ≥18 years treated for an SCT in one of the six paediatric surgical centres in the Netherlands from 1970 to 1993 were retrospectively reviewed; patient characteristics were retrieved from medical records. General QoL was evaluated using the Short Form 36 Health Survey (SF-36). The means of the eight SF-36 domain scores of patients treated for SCT were compared to reference values for the Dutch population (n=757, aged 18-43 years). Linear regression analysis was used to adjust for differences in baseline characteristics between both groups. 46 of 51 patients treated for SCT during childhood (90.2%), with a mean age of 26.3 years (range 18.3-41.1), returned completed SF-36 questionnaires. Their scores on all SF-36 subcategories were equivalent to those of the Dutch reference population. No significant differences in the scores of the SF-36 subcategories were found after linear regression analysis adjusting for differences in age, sex and living status between both groups. The long-term QoL of patients treated for SCT during childhood does not differ from that of the general population. Moreover, patients do not show impairment in social, physical or emotional functioning in adulthood. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  20. Consumer evaluation of fish quality as basis for fish market segmentation

    DEFF Research Database (Denmark)

    Verbeke, Wim; Vermeir, Iris; Brunsø, Karen

    2007-01-01

    evaluation: personal relevance attached to fish quality and self-confidence in fish quality evaluation, which allow segmenting the market in four fish consumer segments. The segments are typified as Uninvolved, Uncertain, Self-confident and Connoisseurs, and have distinctive behavioural, attitudinal...... a strong interest in both search and credence cues, as well as in a fish quality label. The segments do not differ with respect to risk perception about fish....

  1. Consumer preferences of student population as a determinant of successful milk quality management

    Directory of Open Access Journals (Sweden)

    Jelena Kristić

    2015-11-01

    Full Text Available The final result of milk quality management is a superior product with high quality levels of all intrinsic and extrinsic components. To achieve this, most activities in the management process should be directed towards the quality components that are recognized by the average consumer of milk. To determine these factors, an indicative research was carried out on a sample of 1,157 respondents among the young population. Regarding the intrinsic components, the results indicate that young consumers mostly appreciate the taste and milk fat content in the range 2.8-3.2 %, whereas regarding the extrinsic components they value price and the origin of products, that is, the origin of milk. The last component has not been fully used in promotional efforts of producers in their advertising of milk, especially in a sub segment of urban young consumers. A stronger emphasis of this would help producers to differentiate themselves, and achieve competitive advantage on domestic and international markets.

  2. Quality management system in trade - internationalization of marketing relations with consumers

    Directory of Open Access Journals (Sweden)

    Sreten Cuzovic

    2011-08-01

    Full Text Available The aim of marketing management is to satisfy the needs and desires of consumers. A lot of factors have influenced the consumers and their purchasing. Besides price and assortment factors there are requirements of consumers to the quality of a product. It means that a product should possess physical, chemical, designing, aesthetic, ecological and other desirable properties that should be expressed before the use of products. Because of this, the quality in the theory and practice of management is beginning to affirm itself. This has been particularly expressed by the introduction of ISO 9000 which makes possible the internationalization of quality system and circulation of goods and services without “physical-fiscal-technical” barriers.

  3. Quality management system in trade: Internationalization of marketing relations with consumers

    Directory of Open Access Journals (Sweden)

    Jovanović Gvozden

    2014-01-01

    Full Text Available The aim of marketing management is to satisfy the needs and desires of consumers. A lot of factors have influenced the consumers and their purchasing. Besides price and assortment factors there are requirements of consumers for the quality of a product. It means that a product should possess physical, chemical, designing, aesthetic, ecological and other desirable properties that should be expressed before the use of products. Because of that the quality in the theory and practice of management is beginning to affirm itself. This has been particularly expressed by the introduction of ISO 9000 which makes internationalization of quality system and circulation of goods and services without 'physical-fiscal-technical' barriers possible.

  4. Untrained consumer assessment of the eating quality of European beef: 2. Demographic factors have only minor effects on consumer scores and willingness to pay.

    Science.gov (United States)

    Bonny, S P F; Gardner, G E; Pethick, D W; Allen, P; Legrand, I; Wierzbicki, J; Farmer, L J; Polkinghorne, R J; Hocquette, J-F

    2017-08-01

    The beef industry must become more responsive to the changing market place and consumer demands. An essential part of this is quantifying a consumer's perception of the eating quality of beef and their willingness to pay for that quality, across a broad range of demographics. Over 19 000 consumers from Northern Ireland, Poland, Ireland and France each tasted seven beef samples and scored them for tenderness, juiciness, flavour liking and overall liking. These scores were weighted and combined to create a fifth score, termed the Meat Quality 4 score (MQ4) (0.3×tenderness, 0.1×juiciness, 0.3×flavour liking and 0.3×overall liking). They also allocated the beef samples into one of four quality grades that best described the sample; unsatisfactory, good-every-day, better-than-every-day or premium. After the completion of the tasting panel, consumers were then asked to detail, in their own currency, their willingness to pay for these four categories which was subsequently converted to a proportion relative to the good-every-day category (P-WTP). Consumers also answered a short demographic questionnaire. The four sensory scores, the MQ4 score and the P-WTP were analysed separately, as dependant variables in linear mixed effects models. The answers from the demographic questionnaire were included in the model as fixed effects. Overall, there were only small differences in consumer scores and P-WTP between demographic groups. Consumers who preferred their beef cooked medium or well-done scored beef higher, except in Poland, where the opposite trend was found. This may be because Polish consumers were more likely to prefer their beef cooked well-done, but samples were cooked medium for this group. There was a small positive relationship with the importance of beef in the diet, increasing sensory scores by about 4% in Poland and Northern Ireland. Men also scored beef about 2% higher than women for most sensory scores in most countries. In most countries, consumers were

  5. Dutch Melanoma Treatment Registry: Quality assurance in the care of patients with metastatic melanoma in the Netherlands.

    Science.gov (United States)

    Jochems, Anouk; Schouwenburg, Maartje G; Leeneman, Brenda; Franken, Margreet G; van den Eertwegh, Alfons J M; Haanen, John B A G; Gelderblom, Hans; Uyl-de Groot, Carin A; Aarts, Maureen J B; van den Berkmortel, Franchette W P J; Blokx, Willeke A M; Cardous-Ubbink, Mathilde C; Groenewegen, Gerard; de Groot, Jan Willem B; Hospers, Geke A P; Kapiteijn, Ellen; Koornstra, Rutger H; Kruit, Wim H; Louwman, Marieke W; Piersma, Djura; van Rijn, Rozemarijn S; Ten Tije, Albert J; Vreugdenhil, Gerard; Wouters, Michel W J M; van der Hoeven, Jacobus J M

    2017-02-01

    In recent years, the treatment of metastatic melanoma has changed dramatically due to the development of immune checkpoint and mitogen-activated protein (MAP) kinase inhibitors. A population-based registry, the Dutch Melanoma Treatment Registry (DMTR), was set up in July 2013 to assure the safety and quality of melanoma care in the Netherlands. This article describes the design and objectives of the DMTR and presents some results of the first 2 years of registration. The DMTR documents detailed information on all Dutch patients with unresectable stage IIIc or IV melanoma. This includes tumour and patient characteristics, treatment patterns, clinical outcomes, quality of life, healthcare utilisation, informal care and productivity losses. These data are used for clinical auditing, increasing the transparency of melanoma care, providing insights into real-world cost-effectiveness and creating a platform for research. Within 1 year, all melanoma centres were participating in the DMTR. The quality performance indicators demonstrated that the BRAF inhibitors and ipilimumab have been safely introduced in the Netherlands with toxicity rates that were consistent with the phase III trials conducted. The median overall survival of patients treated with systemic therapy was 10.1 months (95% confidence interval [CI] 9.1-11.1) in the first registration year and 12.7 months (95% CI 11.6-13.7) in the second year. The DMTR is the first comprehensive multipurpose nationwide registry and its collaboration with all stakeholders involved in melanoma care reflects an integrative view of cancer management. In future, the DMTR will provide insights into challenging questions regarding the definition of possible subsets of patients who benefit most from the new drugs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Responsiveness, longitudinal- and cross-sectional construct validity of the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) in Dutch children with asthma

    NARCIS (Netherlands)

    Raat, H; Bueving, H; de Jongste, J; Grol, MH; Juniper, EF; van der Wouden, JC

    2005-01-01

    Objective: Health-related quality of life is an important measure in evaluations of the management of childhood asthma. In this study, we assessed psychometric properties, responsiveness, and longitudinal and cross-sectional construct validity of the Dutch version of the 23-item Pediatric Asthma Qua

  7. Effect of third molar surgery on oral health-related quality of life in the first postoperative week using Dutch version of oral health impact profile-14

    NARCIS (Netherlands)

    van Wijk, A.; Kieffer, J.M.; Lindeboom, J.H.

    2009-01-01

    Purpose: The present study investigated the effect of third molar surgery on oral health-related quality of life, related to pain and clinical variables, in the first postoperative week using the Dutch version of the 14-item Oral Health Impact Profile. Materials and Methods: A total of 50 patients,

  8. Do individual characteristics matter? The quality of work during the implementation of a workflow management system in a Dutch social insurance company.

    NARCIS (Netherlands)

    Waal, B.M.E. de; Breman, P.; Batenburg, R.

    2012-01-01

    Do individual characteristics influence how the quality of work is related to the use of a workflow management system (WFM) in a Dutch social insurance organisation? This key question is addressed in this paper. Building upon DeLone and McLean’s model, we investigated the effects of gender, age, edu

  9. Do individual characteristics matter? The quality of work during the implementation of a workflow management system in a Dutch social insurance company

    NARCIS (Netherlands)

    Waal, Benny de; Breman, Paul; Batenburg, Ronald

    2012-01-01

    Do individual characteristics influence how the quality of work is related to the use of a workflow management system (WFM) in a Dutch social insurance organisation? This key question is addressed in this paper. Building upon DeLone and McLean’s model, we investigated the effects of gender, age, edu

  10. Switching health insurers: the role of price, quality and consumer information search.

    Science.gov (United States)

    Boonen, Lieke H H M; Laske-Aldershof, Trea; Schut, Frederik T

    2016-04-01

    We examine the impact of price, service quality and information search on people's propensity to switch health insurers in the competitive Dutch health insurance market. Using panel data from annual household surveys and data on health insurers' premiums and quality ratings over the period 2006-2012, we estimate a random effects logit model of people's switching decisions. We find that switching propensities depend on health plan price and quality, and on people's age, health, education and having supplementary or group insurance. Young people (18-35 years) are more sensitive to price, whereas older people are more sensitive to quality. Searching for health plan information has a much stronger impact on peoples' sensitivity to price than to service quality. In addition, searching for health plan information has a stronger impact on the switching propensity of higher than lower educated people, suggesting that higher educated people make better use of available health plan information. Finally, having supplementary insurance significantly reduces older people's switching propensity.

  11. Consumer expectations of the quality of pork produced in sustainable outdoor systems

    DEFF Research Database (Denmark)

    Scholderer, Joachim; Bredahl, Lone; Magnussen, Maria

    on all dimensions of expected quality apart from price. Unrealistic expectations about a better taste of outdoor pork may become a serious problem. Related research has shown that disappointment can only be avoided when product qualities are achieved in outdoor and organic pork that come at least close...... to be extremely low for pork in general, stated purchase intentions should also be discounted in the case of pork from outdoor production systems. The most striking result in the present research was observed in relation to consumers' quality expectations. Respondents had been asked to state their quality...... expectations for pork from pigs raised in extensive outdoor production systems as well as conventional indoor production systems. When compared for pork produced under the two different systems, a "halo" effect was found. Consumers gave substantially higher ratings to pork from outdoor production systems...

  12. Psychometric properties of the consumer quality index to assess shelter and community care services

    NARCIS (Netherlands)

    Beijersbergen, M.D.; Asmoredjo, J.K.; Christians, M.G.M.; Wolf, J.R.L.M.

    2015-01-01

    BACKGROUND: Our aim was to design a valid and reliable consumer quality index (CQI) specifically suited to assess the experiences that homeless people, homeless youth, and abused women have with shelter and community care services. METHODS: A pilot CQI questionnaire was constructed on the basis of

  13. SEAFOODplus - how to provide health promoting, safe seafood of high eating quality to consumers

    DEFF Research Database (Denmark)

    Børresen, Torger

    2008-01-01

    The strategic objective of the SEAFOOD plus Integrated Project is to reduce health problems and to increase well-being among European consumers by applying the benefits obtained through consumption of health promoting and safe seafood products of high eating quality. The relevance of seafood in t...

  14. Quality and availability of consumer information on heart failure in Australia

    Directory of Open Access Journals (Sweden)

    Semple Susan J

    2008-12-01

    Full Text Available Abstract Background Provision of consumer information and patient education are considered an essential part of chronic disease management programmes developed for patients with heart failure. This study aimed to review the quality and availability of consumer information materials for people with heart failure in Australia. Methods The availability of consumer information was assessed through a questionnaire-based survey of the major organisations in Australia known, or thought, to be producing or using consumer materials on heart failure, including hospitals. The questionnaire was designed to explore issues around the use, production and dissemination of consumer materials. Only groups that had produced consumer information on heart failure were asked to complete the totality of the questionnaire. The quality of information booklets was assessed by using a standardised checklist. Results Of 101 organisations which were sent a questionnaire, 33 had produced 61 consumer resources on heart failure including 21 information booklets, 3 videos, 5 reminder fridge magnets, 7 websites, 15 self-management diaries and 10 self-management plans. Questionnaires were completed for 40 separate information resources. Most had been produced by hospitals or health services. Two information booklets had been translated into other languages. There were major gaps in the availability of these resources as more than half of the resources were developed in 2 of the 8 Australian states and territories, New South Wales and Victoria. Quality assessment of 19 information booklets showed that most had good presentation and language. Overall eight high quality booklets were identified. There were gaps in terms of topics covered, provision of references, quantitative information about treatment outcomes and quality and level of scientific evidence to support medical recommendations. In only one case was there evidence that consumers had been involved in the production of

  15. Credence quality coordination and consumers' willingness-to-pay for certified halal labelled meat.

    Science.gov (United States)

    Verbeke, Wim; Rutsaert, Pieter; Bonne, Karijn; Vermeir, Iris

    2013-12-01

    This paper reports on halal credence quality coordination and Muslim consumers' willingness to buy and pay for certified halal labelled meat at the supermarket and the Islamic butcher. Cross-sectional data were collected through a survey with 202 Muslim consumers in Belgium. Findings indicate that more acculturated and female consumers are more in favour of purchasing certified halal labelled meat in a supermarket. Important conditions are that supermarkets can provide a guarantee of separating halal from non-halal meat and of the organisation of adequate verification and control. Results further show that more Muslim consumers are willing to pay a price premium (of 13% on average) for halal labelled meat at the Islamic butcher shop than at the supermarket. The higher the importance attached to a certified halal label and the more distrust in the actual halal meat status, the higher the likelihood that a Muslim consumer is willing to pay a higher price for certified halal labelled meat at the Islamic butcher shop. Gender and generation determine the actual premium Muslim consumers are willing to pay.

  16. Systematic tracking, visualizing, and interpreting of consumer feedback for drinking water quality.

    Science.gov (United States)

    Dietrich, Andrea M; Phetxumphou, Katherine; Gallagher, Daniel L

    2014-12-01

    Consumer feedback and complaints provide utilities with useful data about consumer perceptions of aesthetic water quality in the distribution system. This research provides a systematic approach to interpret consumer complaint water quality data provided by four water utilities that recorded consumer complaints, but did not routinely process the data. The utilities tended to write down a myriad of descriptors that were too numerous or contained a variety of spellings so that electronic "harvesting" was not possible and much manual labor was required to categorize the complaints into majors areas, such as suggested by the Drinking Water Taste and Odor Wheel or existing check-sheets. When the consumer complaint data were categorized and visualized using spider (or radar) and run-time plots, major taste, odor, and appearance patterns emerged that clarified the issue and could provide guidance to the utility on the nature and extent of the problem. A caveat is that while humans readily identify visual issues with the water, such as color, cloudiness, or rust, describing specific tastes and odors in drinking water is acknowledged to be much more difficult for humans to achieve without training. This was demonstrated with two utility groups and a group of consumers identifying the odors of orange, 2-methylisoborneol, and dimethyl trisulfide. All three groups readily and succinctly identified the familiar orange odor. The two utility groups were much more able to identify the musty odor of 2-methylisoborneol, which was likely familiar to them from their work with raw and finished water. Dimethyl trisulfide, a garlic-onion odor associated with sulfur compounds in drinking water, was the least familiar to all three groups, although the laboratory staff did best. These results indicate that utility personnel should be tolerant of consumers who can assuredly say the water is different, but cannot describe the problem. Also, it indicates that a T&O program at a utility would

  17. Innovative Food Quality Models – Developed as an Interface for Modern Consumers and Sustainable Business

    Directory of Open Access Journals (Sweden)

    Rodica Pamfilie

    2016-08-01

    Full Text Available The intensive development of global markets correlated with the modern consumer’s demands led to a new complex approach concerning the food sector and its’ main determinants. Old market theories that describe the food market mechanisms as a simple three point process: “to produce – to sell – to buy” are now growing into elaborated models based on more determinants that have one common challenge: quality. Thus, the present study aims to highlight the importance of producers’ accountability in ensuring the quality of food products, by implementing standardize methods of production and by informing the consumers in a correctly and completely manner. In other words, the research focuses on quality management systems as defining instruments that can assure high-quality food products are being delivered at competitive prices to domestic and international markets. In this sense, food quality management principles are analyzed from the point of view of one of the biggest actors in the food industry, Mondelez International. Having as a starting point the interview results with the Procurement Innovation Manager in Quality, this paper manages to outline a consumer preference based model in developing new food products. The present conceptual model takes into consideration both quality specialist and consumer’s demands, in order to maintain the requirements of food management and safety systems and, simultaneously, to be flexible and optimize new food products according to modern consumer’s quality requirements: design.

  18. From Quality in Services to Loyalty: Theoretical Perspective of Consumer Behavior

    Directory of Open Access Journals (Sweden)

    Eduardo Roque Mangini

    2017-06-01

    Full Text Available Services show differences related to conception, production form, how they are consumed and how they are evaluated. These differences or characteristics influence directly on the evaluation of quality offered in the service. It is possible to observe certain consumer’s behavior with the evaluation of quality offered in a service, which could cause total rejection in future purchases. On the other hand, with the satisfaction of results, the consumer has a greater willingness to purchase, develop loyalty and make profit for the service operation. In order to understand the dynamic involving service quality and the formation of consumer’s loyalty, this theoretical article sought in literature the basis to create proposals that could increase the edges of knowledge frontiers in service marketing. As result, eight proposals were developed which entails future researches so that the empirical results could turn the theoretical findings into real results.

  19. Bottled Water: United States Consumers and Their Perceptions of Water Quality

    Directory of Open Access Journals (Sweden)

    Robert L. Mahler

    2011-02-01

    Full Text Available Consumption of bottled water is increasing worldwide. Prior research shows many consumers believe bottled water is convenient and has better taste than tap water, despite reports of a number of water quality incidents with bottled water. The authors explore the demographic and social factors associated with bottled water users in the U.S. and the relationship between bottled water use and perceptions of the quality of local water supply. They find that U.S. consumers are more likely to report bottled water as their primary drinking water source when they perceive that drinking water is not safe. Furthermore, those who give lower ratings to the quality of their ground water are more likely to regularly purchase bottle water for drinking and use bottle water as their primary drinking water source.

  20. Consumer Preferences for Animal Source Foods in Uganda: Quality, Retail Forms and Retail Outlets

    Directory of Open Access Journals (Sweden)

    Nadhem Mtimet

    2013-10-01

    Full Text Available This paper presents the results of a rapid consumer survey undertaken in Uganda. The survey aimed at identifying preferred quality and safety attributes, retail forms and retail outlets for major livestock products and by type of consumers. Results of the survey, combined with nationally representative household datasets, allows description of both the quantitative and qualitative dimensions of the developing market for animal-source foods, which is anticipated to provide major business opportunities for small-scale livestock producers in the short and medium terms.

  1. Quality of diabetes care in Dutch care groups: no differences between diabetes patients with and without co-morbidity

    Directory of Open Access Journals (Sweden)

    Simone R de Bruin

    2013-12-01

    Full Text Available Objective: To evaluate the relationship between presence and nature of co-morbidity and quality of care for diabetes patients enrolled in diabetes disease management programmes provided by care groups.Methods: We performed an observational study within eight Dutch diabetes care groups. Data from patient record systems of care groups and patient questionnaires were used to determine quality of care. Quality of care was measured as provision of the recommended diabetes care, patients’ achievement of recommended clinical outcomes and patients’ perception of coordination and integration of care.Results: 527 diabetes patients without and 1187 diabetes patients with co-morbidity were included. Of the co-morbid patients, 7.8% had concordant co-morbid conditions only, 63.8% had discordant co-morbid diseases only and 28.4% had both types of conditions. Hardly any differences were observed between patients with and without co-morbidity in terms of provided care, achievement of clinical outcomes and perceived coordination and integration of care.Conclusions: Our study implies that care groups are able to provide similar quality of diabetes care for diabetes patients with and without co-morbidity. Considering the expected developments regarding additional disease management programmes in care groups, it is of importance to monitor quality of care, including patient experiences, for all chronic diseases. It will then become clear whether accountable provider-led organisations such as care groups are able to ensure quality of care for the increasing number of patients with multiple chronic conditions.

  2. Implementation of quality of life monitoring in Dutch routine care of adolescents with type 1 diabetes: appreciated but difficult.

    Science.gov (United States)

    Eilander, Minke; de Wit, Maartje; Rotteveel, Joost; Maas-van Schaaijk, Nienke; Roeleveld-Versteegh, Angelique; Snoek, Frank

    2016-03-01

    Monitoring quality of life (QoL) improves well-being and care satisfaction of adolescents with type 1 diabetes. We set out to evaluate the implementation of the program DAWN (Diabetes Attitudes Wishes and Needs) MIND-Youth (Monitoring Individual Needs in Young People With Diabetes) (DM-Y), in which Dutch adolescents' QoL is assessed with the MIND Youth Questionnaire (MY-Q) and its outcomes are discussed. Successful implementation of DM-Y warrants close study of experienced barriers and facilitators as experienced by diabetes care teams as well as adolescents and parents. The study was conducted in 11 self-selected Dutch pediatric diabetes clinics. A mixed methods approach was used. Ten diabetes teams (26 members) were interviewed; 36 team members, 29 adolescents, and 66 parents completed an online survey. Two of 10 teams successfully implemented DM-Y. Whereas 92% of teams valued DM-Y as a useful addition to routine care, most clinics were not able to continue because of logistical problems (lack of time and manpower). Still, all teams had the ambition to make DM-Y integral part of routine care in the nearby future. Seventy-nine percentage of the parents and 41% of the adolescents appreciated the usage of MY-Q, same percentage of adolescents neutral. DM-Y is highly appreciated by teams, as well as adolescents and parents, but for most clinics it is difficult to implement. More effort should be paid to resolve logistic problems in order to facilitate dissemination of DM-Y in care nationwide. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  3. The quality of mobile phone services provided by Romanian operators, from consumers` perspective

    Directory of Open Access Journals (Sweden)

    Doru Alexandru Pleşea

    2013-06-01

    Full Text Available The mobile services are distinguished through their quality, either we speak about the way the client is approached and placed in the centre of the operator's actions, or about the services the client benefits in his capacity as a client. The Romanian mobile operators’ services have greatly evolved from their launch in 1997. Along these times, the mobile operators brought more value to these services, due to their need to meet the consumers' expectations with services of high quality and competitiveness. Usually the Romanian consumers place the price in the forefront of their service/mobile phone services acquisition, but an objective analyze of the quality of the mobile phone services has to take into account both technical aspects of the services and the interfacing services too. Therefore, this paper takes into account technical characteristics of the services such as national telephony coverage, data transmission services coverage, the signal quality, maximum speed of data transfer as well as related services such as distribution network, sales and support sales services, after-sales services, and range of available terminals. Based on mobile services comprehensive analysis made available to consumers by the major players on the Romanian market, this paper aims to highlight the main reasons of the consumers’ satisfaction and dissatisfaction.

  4. Consumer bill of rights and responsibilities: report to the President of the United States. Advisory Commission on Consumer Protection and Quality in the Health Care Industry.

    Science.gov (United States)

    1998-01-01

    President Clinton appointed a 34-member Advisory Commission on Consumer Protection and Quality in the Healthcare Industry in 1997, and the group has adopted a statement of consumers' rights and responsibilities. The document addresses eight areas, including information disclosure on health plans, benefits, and qualifications of healthcare providers, choice of providers and plans, access to emergency services, patients' rights to participate in treatment decisions, mutual respect and nondiscrimination, confidentiality of health and personal information, complaints and the appeals process, and the responsibilities of consumers.

  5. Research on the Consumers Willingness to Buy Traceable Pork with Different Quality Information:A Case Study of Consumers in Weifang, Shandong Province

    Institute of Scientific and Technical Information of China (English)

    Fan; BU; Dian; ZHU; Linhai; WU

    2013-01-01

    The traceability system can effectively reduce the food safety risks, however, it is confronted with various problems during its implementation. In this context, the paper carries out a case study of consumers in Weifang, Shandong Province, and studies their willingness to pay the traceable pork with different quality information. The results indicate that, the consumers show high expectations towards the introduction of traceability system, and they tend to buy the traceable pork only with breeding and slaughter information; their behaviors of purchase are greatly influenced by the following factors: the consumers education, age, income, attention on food safety and whether there are pregnant family members, etc..

  6. Impact of E-Service Quality on Consumer Purchase Behaviour in an On-line Shopping

    Directory of Open Access Journals (Sweden)

    Archana Raje

    2012-04-01

    Full Text Available E-commerce offers speed, convenience, and often cost effectiveness for today’s busy shoppers. This study investigated the relationships between various characteristics of online shopping and consumer purchase behaviour. Businesses with the most experience and success in using e-commerce are beginning to realise that the key determinants of success or failure are not merely web site presence and low price but also include the electronic service quality (e-service. This paper investigated various key factors affecting e-service quality dimensions. Using those dimensions, examines the relationship among e-service quality and overall service quality, customer satisfaction and purchase intensions. This paper examinesdimensions of e-service quality through web site design, reliability, responsiveness, trust and personalization.

  7. Perceived relevance and information needs regarding food topics and preferred information sources among Dutch adults: results of a quantitative consumer study

    NARCIS (Netherlands)

    Dillen, van S.M.E.; Hiddink, G.J.; Koelen, M.A.; Graaf, de C.; Woerkum, van C.M.J.

    2004-01-01

    Objective: For more effective nutrition communication, it is crucial to identify sources from which consumers seek information. Our purpose was to assess perceived relevance and information needs regarding food topics, and preferred information sources by means of quantitative consumer research.

  8. Does the Dutch Building Decree 2012 guarantee air quality? Quality is essential for productivity and health; Bouwbesluit 2012 garantie voor luchtkwaliteit? Kwaliteit essentieel voor productiviteit en gezondheid

    Energy Technology Data Exchange (ETDEWEB)

    Vollebregt, R.

    2011-10-15

    Poor indoor air quality in new buildings is a common problem. According to the Health Council scientific evidence is lacking that it is necessary to tighten ventilation requirements in the Building Decree . GGD Netherlands are advocates for stricter rules. Several studies show that the productivity in offices and the academic performance of children will benefit. [Dutch] Slechte kwaliteit van de binnenlucht in nieuwe gebouwen is een veel voorkomend probleem. Volgens de Gezondheidsraad ontbreken echter wetenschappelijke aanwijzingen dat het noodzakelijk is de ventilatie-eisen in het Bouwbesluit aan te scherpen. GGD Nederland pleit wel voor strengere regels. Diverse onderzoeken laten zien dat de productiviteit op kantoor en de leerprestaties van kinderen daarbij gebaat zijn.

  9. Relationship between differential pricing and consumers' perception of product quality: Ukrainian practice

    OpenAIRE

    Кривошия, Олена Анатоліївна; Базілінська, Олена Яківна

    2014-01-01

    The economic relations of consumer electronics sale through retail trade were investigated in the paper. In this case, the emphasis is placed on studying the relationship between the product quality in a particular product category and using the appropriate differential pricing strategy. The main objective of the study is to develop recommendations on using various differential pricing practices to improve enterprise profitability.Using modern information collection methods allows retailers t...

  10. Service quality: understanding and implementing the concept in the clinical laboratory. Match service quality to consumer expectations.

    Science.gov (United States)

    O'Connor, S J

    1989-01-01

    The increasingly competitive health-care marketplace has mandated that health-care managers pay careful attention to the issue of quality from the perspective of the consumer. The importance of this issue is underscored by the fact that numerous health-care institutions and associations have recently begun to recognize the urgent need to obtain a greater understanding of service quality in a health-care situation. This article suggests means to understand, identify, improve, and implement effective approaches to this vital aspect of the marketing mix.

  11. Quality Service and its Relation with Global Satisfaction in Fast Food Consumers. A Case Study

    Directory of Open Access Journals (Sweden)

    Luis Enrique IBARRA MORALES

    2015-08-01

    Full Text Available The present study analyzes the quality service perception and its relation with the satisfaction for the fast food consumers of hamburgers’ sector of the chain Burger King in Hermosillo, Sonora. By the application of Servperf of Cronin and Taylor methodology and a data regression method, through the coefficient of determination (R2 was determined that the independent variables explain the variability or variance of 82.9% in consumer satisfaction and that the explanatory variable which has the most influence in absolute value over the explained variable is reliability, due to its standardized beta is 0.301, being the highest score among the variables. To achieve the objective of this study, a quantitative and correlation investigation was designed, where data was collected from a survey structured by five dimensions, measured by 22 items. It was applied to a random and representative sample of 385 consumers, with a 95% level confidence and a ±5% of permissible error. An inferential statistical analysis allowed observing a positive relation between consumers’ satisfaction level and quality service. The results showed that Servperf is a valid instrument with psychometric characteristics of high reliability that makes it appropriate to measure quality service. The same way, it was observed an index of service global satisfaction of 69.27%, which according to the scale used implies clients are satisfied with the received service.

  12. Issues of quality and consumer rights in the health care market.

    Science.gov (United States)

    Copeland, C

    1998-04-01

    This Issue Brief describes how the structure of the health care market has changed in the recent years. It outlines the growth in managed care and the changes in the types of managed care plans available. In addition, it discusses the issue of quality in the health care market. It also includes an overview of the legislative topics and issues relating to quality and consumer rights that policymakers are currently considering. Growth in national health expenditures, the medical care price index, and employer health care costs has slowed significantly since 1990. This decreased growth has coincided with substantial increases in managed care plan enrollment. The percentage of employees enrolled in managed care plans increased from 48 percent to 85 percent from 1992 to 1997. Quality is a multidimensional concept. Although individuals may agree on its components, they may disagree on the relative importance of these components. Therefore, disagreement exists not only on how to measure quality but also on how it is defined. Consequently, policy decisions need to be based on an evaluation of a particular law's effect as opposed to its stated goal or intent. This distinction is important because a law that addresses access or consumer rights does not necessarily address the quality of care a consumer receives. Ultimately, whether an individual believes that a law truly addresses quality will depend in a large part on his or her subjective opinion of what quality entails. To date, comparison of the quality of managed care plans with that of fee-for-service plans has not produced results that uniformly differentiate between these two plan types in either a positive or a negative way. In addition, it is important to note that the current debate on the quality of care provided in the health care market is not new to the present managed care era. The regulations and mandates discussed in this report would not guarantee increased quality in the health care market, unless quality

  13. Colloquial Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in colloquial Dutch was originally prepared for use by American Armed Forces personnel who needed to develop a working command of the spoken language in a short period of time. Thirty-one lessons, based on activities common to Dutch culture, are contained in the text. Each lesson provides three parallel columns of sentences: the…

  14. Colloquial Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in colloquial Dutch was originally prepared for use by American Armed Forces personnel who needed to develop a working command of the spoken language in a short period of time. Thirty-one lessons, based on activities common to Dutch culture, are contained in the text. Each lesson provides three parallel columns of sentences: the…

  15. Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes

    NARCIS (Netherlands)

    W.K. Redekop (Ken); M.A. Koopmanschap (Marc); R.P. Stolk (Ronald); G.E.H.M. Rutten (Guy); B.H.R. Wolffenbuttel (Bruce); L.W. Niessen (Louis Wilhelmus)

    2002-01-01

    textabstractOBJECTIVE: To estimate the health-related quality of life (HRQOL) and treatment satisfaction for patients with type 2 diabetes in the Netherlands and to examine which patient characteristics are associated with quality of life and treatment satisfaction. RESEARCH DESIGN

  16. Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes

    NARCIS (Netherlands)

    Redekop, WK; Rutten, GEHM; Koopmanschap, MA; Wolffenbuttel, BHR; Stolk, RP; Niessen, LW

    2002-01-01

    Objective-To estimate the health-related quality of life (HRQOL) and treatment satisfaction for patients with type 2 diabetes in the Netherlands and to examine which patient characteristics are associated with quality of life and treatment satisfaction. Research Design and Methods-For a sample of 1,

  17. Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes

    NARCIS (Netherlands)

    W.K. Redekop (Ken); M.A. Koopmanschap (Marc); R.P. Stolk (Ronald); G.E.H.M. Rutten (Guy); B.H.R. Wolffenbuttel (Bruce); L.W. Niessen (Louis Wilhelmus)

    2002-01-01

    textabstractOBJECTIVE: To estimate the health-related quality of life (HRQOL) and treatment satisfaction for patients with type 2 diabetes in the Netherlands and to examine which patient characteristics are associated with quality of life and treatment satisfaction. RESEARCH DESIGN

  18. Stormwater quality characteristics in (Dutch) urban areas and performance of settlement basins

    NARCIS (Netherlands)

    Boogaard, F.C.; Van de Ven, F.; Langeveld, J.G.; Van de Giesen, N.

    2014-01-01

    Stormwaters, flowing into storm sewers, are known to significantly increase the annual pollutant loads entering urban receiving waters and this results in significant degradation of the receiving water quality. Knowledge of the characteristics of stormwater pollution enables urban planners to

  19. Rice Grain Quality and Consumer Preferences: A Case Study of Two Rural Towns in the Philippines.

    Science.gov (United States)

    Cuevas, Rosa Paula; Pede, Valerien O; McKinley, Justin; Velarde, Orlee; Demont, Matty

    2016-01-01

    Hedonic pricing analysis is conducted to determine the implicit values of various attributes in the market value of a good. In this study, hedonic pricing analysis was applied to measure the contribution of grain quality search and experience attributes to the price of rice in two rural towns in the Philippines. Rice samples from respondents underwent quantitative routine assessments of grain quality. In particular, gelatinization temperature and chalkiness, two parameters that are normally assessed through visual scores, were evaluated by purely quantitative means (differential scanning calorimetry and by digital image analysis). Results indicate that rice consumed by respondents had mainly similar physical and chemical grain quality attributes. The respondents' revealed preferences were typical of what has been previously reported for Filipino rice consumers. Hedonic regression analyses showed that grain quality characteristics that affected price varied by income class. Some of the traits or socioeconomic factors that affected price were percent broken grains, gel consistency, and household per capita rice consumption. There is an income effect on rice price and the characteristics that affect price vary between income classes.

  20. Rice Grain Quality and Consumer Preferences: A Case Study of Two Rural Towns in the Philippines.

    Directory of Open Access Journals (Sweden)

    Rosa Paula Cuevas

    Full Text Available Hedonic pricing analysis is conducted to determine the implicit values of various attributes in the market value of a good. In this study, hedonic pricing analysis was applied to measure the contribution of grain quality search and experience attributes to the price of rice in two rural towns in the Philippines. Rice samples from respondents underwent quantitative routine assessments of grain quality. In particular, gelatinization temperature and chalkiness, two parameters that are normally assessed through visual scores, were evaluated by purely quantitative means (differential scanning calorimetry and by digital image analysis. Results indicate that rice consumed by respondents had mainly similar physical and chemical grain quality attributes. The respondents' revealed preferences were typical of what has been previously reported for Filipino rice consumers. Hedonic regression analyses showed that grain quality characteristics that affected price varied by income class. Some of the traits or socioeconomic factors that affected price were percent broken grains, gel consistency, and household per capita rice consumption. There is an income effect on rice price and the characteristics that affect price vary between income classes.

  1. Portrait Value Questionnaire's (PVQ) usefulness in explaining quality food-related consumer behaviour

    DEFF Research Database (Denmark)

    Fotopoulos, C.; Krystallis, Athanasios; Pagiaslis, A.

    2011-01-01

    Purpose - Schwartz's portrait value questionnaire (PVQ) has extensively been used in personal values research. The present paper aims to validate the 40-item PVQ typology, using a nationally representative sample of 997 consumers. The main objective of the survey was to investigate whether higher......-than-average regular purchasing of quality food products (i.e. organic and PDO labelled products) coincides with stronger identification with specific PVQ values. Design/methodology/approach - A questionnaire was distributed nationwide. Data were collected through personal interviews with 997 consumers. Confirmatory...... factor analysis and cluster analysis were the main analytical techniques used. Findings - At the value-based segmentation level of the analysis, identification with the PVQ value domains decreased per cluster progressively and jointly for almost all value domains, a trend that led to the identification...

  2. Perceived relevance and information needs regarding food topics and preferred information sources among Dutch adults: results of a quantitative consumer study

    NARCIS (Netherlands)

    Dillen, van S.M.E.; Hiddink, G.J.; Koelen, M.A.; Graaf, de C.; Woerkum, van C.M.J.

    2004-01-01

    Objective: For more effective nutrition communication, it is crucial to identify sources from which consumers seek information. Our purpose was to assess perceived relevance and information needs regarding food topics, and preferred information sources by means of quantitative consumer research. Des

  3. Perceived relevance and information needs regarding food topics and preferred information sources among Dutch adults: results of a quantitative consumer study

    NARCIS (Netherlands)

    Dillen, van S.M.E.; Hiddink, G.J.; Koelen, M.A.; Graaf, de C.; Woerkum, van C.M.J.

    2004-01-01

    Objective: For more effective nutrition communication, it is crucial to identify sources from which consumers seek information. Our purpose was to assess perceived relevance and information needs regarding food topics, and preferred information sources by means of quantitative consumer research. Des

  4. Comparing Quality of Dying and Death Perceived by Family Members and Nurses for Patients Dying in US and Dutch ICUs.

    Science.gov (United States)

    Gerritsen, Rik T; Koopmans, Matty; Hofhuis, José G M; Curtis, J Randall; Jensen, Hanne Irene; Zijlstra, Jan G; Engelberg, Ruth A; Spronk, Peter E

    2017-02-01

    The Quality of Dying and Death (QODD) questionnaire is used as a self-reported measure to allow families and clinicians to assess patients' quality of dying and death. We evaluated end-of-life (EOL) experiences as measured by the QODD completed by families and nurses in the United States and the Netherlands to explore similarities and differences in these experiences and identify opportunities for improving EOL care. Questionnaire data were gathered from family members of patients dying in the ICU and nurses caring for these patients. In The Netherlands, data were gathered in three teaching hospitals, and data was gathered from 12 sites participating in a randomized trial in the United States. The QODD consists of 25 items and has been validated in the United States. Data from 446 patients were analyzed (346 in the United States and 100 in the Netherlands). Dutch patients were older than those in the United States (72 + 10.2 years vs 65 + 16.0 years; P Nurse-assessed QODD ratings varied: the single-item QODD summary score was significantly higher in the Netherlands (the Netherlands: median, 9; IQR, 8-10 vs the United States: median, 7; IQR, 5-8; P nurse-assessed items, 10 were significantly different between the Netherlands and the United States, with eight having higher scores in the United States and 2 having higher scores in the Netherlands. The QODD was rated similarly by family members in the United States and the Netherlands but varied when assessed by nurses. These differences may be due to organizational or cultural differences between the two countries or to expectations of respondents. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  5. Using Feedback from Data Consumers to Capture Quality Information on Environmental Research Data

    Science.gov (United States)

    Devaraju, A.; Klump, J. F.

    2015-12-01

    Data quality information is essential to facilitate reuse of Earth science data. Recorded quality information must be sufficient for other researchers to select suitable data sets for their analysis and confirm the results and conclusions. In the research data ecosystem, several entities are responsible for data quality. Data producers (researchers and agencies) play a major role in this aspect as they often include validation checks or data cleaning as part of their work. It is possible that the quality information is not supplied with published data sets; if it is available, the descriptions might be incomplete, ambiguous or address specific quality aspects. Data repositories have built infrastructures to share data, but not all of them assess data quality. They normally provide guidelines of documenting quality information. Some suggests that scholarly and data journals should take a role in ensuring data quality by involving reviewers to assess data sets used in articles, and incorporating data quality criteria in the author guidelines. However, this mechanism primarily addresses data sets submitted to journals. We believe that data consumers will complement existing entities to assess and document the quality of published data sets. This has been adopted in crowd-source platforms such as Zooniverse, OpenStreetMap, Wikipedia, Mechanical Turk and Tomnod. This paper presents a framework designed based on open source tools to capture and share data users' feedback on the application and assessment of research data. The framework comprises a browser plug-in, a web service and a data model such that feedback can be easily reported, retrieved and searched. The feedback records are also made available as Linked Data to promote integration with other sources on the Web. Vocabularies from Dublin Core and PROV-O are used to clarify the source and attribution of feedback. The application of the framework is illustrated with the CSIRO's Data Access Portal.

  6. Stormwater quality characteristics in (Dutch) urban areas and performance of settlement basins

    NARCIS (Netherlands)

    Boogaard, F.C.; Van de Ven, F.; Langeveld, J.G.; Van de Giesen, N.

    2014-01-01

    Stormwaters, flowing into storm sewers, are known to significantly increase the annual pollutant loads entering urban receiving waters and this results in significant degradation of the receiving water quality. Knowledge of the characteristics of stormwater pollution enables urban planners to incorp

  7. Relationships between demographic variables and quality of life in a population of Dutch adult psychiatric outpatients

    NARCIS (Netherlands)

    Trompenaars, F.J.; Masthoff, E.D.M.; Heck, G.L. van; Hodiamont, P.P.G.; Vries, I.J.M. de

    2005-01-01

    Background Examinations of the role of demographic characteristics in quality of life (QOL) in psychiatric samples are not new. However, serious limitations of previous research have been that (1) QOL was not assessed according to current recommendations, (2) assessment of QOL was often hampered by

  8. Health-Related Quality of Life in Dutch Men with Prostate Cancer

    NARCIS (Netherlands)

    Bensing, J.; Voerman, B.; Fischer, M.; Visser, Adriaan; Garssen, B.; Andel, G. van

    2006-01-01

    Prostate cancer is the most prevalent solid malignancy in men in the Netherlands. With regard to treatment, the focus of attention has shifted in the last decade from pure survival rates to health-related quality of life. HRQOL is affected differently by different treatments. The objective of this s

  9. Health-Related Quality of Life in Dutch Men with Prostate Cancer

    NARCIS (Netherlands)

    Bensing, J.; Voerman, B.; Fischer, M.; Visser, Adriaan; Garssen, B.; Andel, G. van

    2006-01-01

    Prostate cancer is the most prevalent solid malignancy in men in the Netherlands. With regard to treatment, the focus of attention has shifted in the last decade from pure survival rates to health-related quality of life. HRQOL is affected differently by different treatments. The objective of

  10. Perceptions About The ISO 9000 Quality System Standard Revision And Its Value: The Dutch Experience

    NARCIS (Netherlands)

    A. van der Wiele (Ton); J.D. van Iwaarden (Jos); A.R.T. Williams (Roger); B.G. Dale (Barry)

    2004-01-01

    textabstractThe aim of the research reported in this paper is to assess the relative value of the 2000 version of the ISO 9000 series of quality management system standards in comparison to the 1994 version. 773 organisations in the Netherlands which have all been certified to the ISO 9000 standard

  11. Ecological quality assessment of Dutch surface waters using a new bioassay with the cladoceran Chydorus sphaericus

    NARCIS (Netherlands)

    Pieters, B.J.; Bosman-Meijerman, D.; Steenbergen, E.; van den Brandhof, E.J.; van Beelen, P.; van der Grinten, E.; Verweij, W.; Kraak, M.H.S.

    2008-01-01

    Routine chemical monitoring gives insight in the presence of contaminants in surface waters, but not in their joint ecological effects. Therefore ecological water quality is assessed with bioassays. Recently, a new bioassay using the chydorid Chydorus sphaericus has been developed. Working with smal

  12. Brand Name, Store Image, and Country-of-Origin: The Effects on Consumers' Perception of Quality and Price.

    Science.gov (United States)

    King, Margaret C. A.

    1993-01-01

    A review of literature indicated that, with regard to brand labels, consumers' perception of price, but not of quality, was affected. Consumers expected to pay more for goods bought in a higher status store and rated imported goods as being more expensive than domestically produced goods. Products from developing countries received lower quality…

  13. Brand Name, Store Image, and Country-of-Origin: The Effects on Consumers' Perception of Quality and Price.

    Science.gov (United States)

    King, Margaret C. A.

    1993-01-01

    A review of literature indicated that, with regard to brand labels, consumers' perception of price, but not of quality, was affected. Consumers expected to pay more for goods bought in a higher status store and rated imported goods as being more expensive than domestically produced goods. Products from developing countries received lower quality…

  14. Organic food labels as a signal of sensory quality-insights from a cross-cultural consumer survey

    OpenAIRE

    Hemmerling, Sarah; Obermowe, Tim; Canavari, Maurizio; Sidali, Katia Laura; Stolz, Hanna; Spiller, Achim

    2013-01-01

    Organic food labels are promising tools to transmit the positive image of organic products to consumers. Besides health-related aspects and environmental concerns, declaration of organic quality may have a positive impact on consumers’ taste perception. Many studies have proven the positive image of organic products, but very few have considered the link between labeling a product as organic and the consumer’s evaluation of sensory quality. This paper therefore investigates how organic consum...

  15. Clients' perspective on quality of audiology care: Development of the Consumer Quality Index (CQI) 'Audiology Care' for measuring client experiences.

    Science.gov (United States)

    Hendriks, Michelle; Dahlhaus-Booij, Judith; Plass, Anne Marie

    2017-01-01

    Clients' perspective on the quality of audiology care has not been investigated thoroughly. Research has focused primarily on satisfaction with, and limitations of hearing aids. We developed a Consumer Quality Index (CQI) questionnaire 'Audiology Care' to systematically assess client experiences with audiology care. The CQI Audiology Care was developed in three steps: (1) posing open-ended questions through e-mail (n = 14), (2) two small-scale surveys assessing psychometric properties of the questionnaire (n = 188) and importance of quality aspects (n = 118), and (3) a large-scale survey (n = 1793) assessing psychometric properties and discriminatory power of the questionnaire. People with complex hearing impairments and/or balance and communicative disorders who visited an audiology care centre during the past year. Important quality aspects were translated into seven reliable scales: accommodation and facilities, employees' conduct and expertise, arrangement of appointments, waiting times, client participation and effectiveness of treatment. Client experiences differed among the participating centres concerning accommodation and facilities, arrangement of appointments, waiting times and client participation. The CQI Audiology Care is a valid and reliable instrument to assess clients' experiences with audiology care. Future implementation will reveal whether results can be used to monitor and improve the quality of audiology care.

  16. Hybrid practices as a means to implement quality improvement: A comparative qualitative study in a Dutch and Swedish hospital.

    Science.gov (United States)

    Quartz-Topp, Julia; Sanne, Johan M; Pöstges, Heide

    2016-11-15

    Managers and scholars commonly perceive resistance from professionals as hampering the implementation of quality improvement (QI) and refer to the incompatibility of clinical and managerial approaches to QI as a reason. Yet a growing body of research indicates that, in practice, these two approaches rather blend into hybrid practices that embody different types of QI-related knowledge and values. This opens up a new perspective on implementation challenges that moves attention away from resistance against managerial QI toward difficulties for clinicians to draw together different types of knowledge and values within their clinical work. So far, little is known about how managers can support clinicians to generate hybrid QI practices. The aim of this study was to deepen our understanding of how managers can support the generation of hybrid practices that help clinicians to integrate QI into their everyday work. We draw on comparative qualitative research including 21 semistructured interviews, documentary analysis, and participant observation that we conducted in one Dutch and one Swedish hospital over a period of 8 months in 2011/2012. Hospital managers designed hybrid forums, tools, and professional roles in order to facilitate the integration of different QI practices, knowledge, and values. This integration generated new hybrid practices and an infrastructure for QI that has potential to support clinicians in their efforts to align different demands. New opportunities to implement QI emerge when we change the implementation problem from clinical resistance to the need of support for clinicians to develop hybrid QI practices. Hospital managers then have to intentionally organize for the generation of hybrid practices by designing, for example, hybrid forums, tools, and professional roles that integrate different knowledge and values in a nonhierarchical way.

  17. The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population.

    Science.gov (United States)

    Gunning, Amy; van Heijl, Mark; van Wessem, Karlijn; Leenen, Luke

    2017-04-14

    It is suggested in literature to use the Health Related Quality of Life (HRQoL) as an outcome indicator for evaluating trauma centre performances. In order to predict HRQoL, characteristics that could be of influence on a predictive model should be identified. This study identifies patient and injury characteristics associated with the HRQoL in a general trauma population. Retrospective study of trauma patients admitted from 1st January 2007 through 31th December 2012. Patients were aged ≥18 years and discharged alive from the level I trauma centre. A combined health survey (SF-36 and EQ-5D) was sent to all traceable patients. The subdomain outcomes and EQ-5D index value (EQ-5Di) were compared with the reference population. A linear regression analysis was performed to identify parameters associated parameters with the HRQoL outcome. A total of 1870 patients were included for analyses. Compared to the eligible population, included patients were significantly older, more severely injured, more often admitted in the ICU and had a longer admission duration. The SF-36 and EQ-5Di were significantly lower compared to the Dutch reference population. The variables age, Injury Severity Score, hospital length of stay, ICU length of stay, Revised Trauma Score, probability of survival, and severe injury to the head and extremities were associated with the HRQoL in the majority of the subdomains. In order to use HRQoL as an indicator for trauma centre performances, there should be a consensus of the ideal timing for the measurement of HRQoL post-injury and the appropriate HRQoL instrument. Furthermore, standardised HRQoL outcomes must be developed. This study revealed eight factors (described above) which could be used to predict the HRQoL in trauma patients.

  18. The relation between quality of co-ordination of nursing care and quality of life in Dutch nursing homes.

    NARCIS (Netherlands)

    Holtkamp, C.C.M.; Kerkstra, A.; Ribbe, M.W.; Campen, C. van; Ooms, M.E.

    2000-01-01

    Quality of life of nursing home residents is a critical consideration in international health care policies and health care decisions. Yet, there is little relevant research to support decisions about client-tailored and effective nursing care for this population. Because of the permanency of their

  19. Reporting quality of nursing home care to consumers: the Maryland experience.

    Science.gov (United States)

    Mattke, Sören; Reilly, Karen; Martinez-Vidal, Enrique; McLean, Barbara; Gifford, David

    2003-04-01

    To design and implement a reporting system for quality of long-term care to empower consumers and to create incentives for quality improvement. To identify a model to approach this technically and politically difficult task. Establishment of a credible and transparent decision process using a public forum. Development of the system based on: (1) review of the literature and existing systems, and discussions with stakeholders about strengths and weaknesses; (2) focus on consumer preferences in the design; and (3) responsiveness to industry concerns in the implementation. None of the existing systems appeared to be a suitable model. We decided to develop an entirely new system based on three key design principles that allowed us to tailor the system to consumer needs: (1) designing a decision tool rather than a database; (2) summarizing rather than simplifying information; and (3) accounting for the target audience in the creative execution. Industry concerns focused on the burden of the system, the potential for errors, and the possible communication of a negative impression of the industry. As methodological and data limitations prevented us from resolving those concerns, we addressed them by using cautionary language in the presentation and by making a commitment to incorporate improvements in the future. All stakeholders regarded the final design as an acceptable compromise. Despite its potentially controversial nature and many methodological challenges, the system has been well received by both the public and the industry. We attribute this success to two key factors: a collaborative decision process, in which all critical design and execution choices were laid out explicitly and debated with stakeholders in a public forum, and realism and honesty regarding the limitations of the system.

  20. Extrinsic Tooth Enamel Color Changes and Their Relationship with the Quality of Water Consumed

    Directory of Open Access Journals (Sweden)

    Maria da Luz Rosário de Sousa

    2012-10-01

    Full Text Available The quality of the consumed drinking water may affect oral health. For example, the presence of iron in drinking water can cause aesthetic problems related to changes in dental enamel color. This study assessed the prevalence of extrinsic enamel color changes and their relationship with the quality of the water in the town of Caapiranga/AM-Brazil. Three hundred and forty six residents of the urban area were examined, and they also answered a questionnaire on eating habits and self-perceived oral health. As the initial results indicated an insufficient number of observations for the application of variance analysis (one-way ANOVA, the Student t test was chosen to compare levels of iron content in the water coming from two sources. The change in tooth color had a prevalence of 5.78% (20 people. The majority of the population (n = 261, 75.43% consumed well water. Those who presented extrinsic stains were uncomfortable with the appearance of their teeth (15.09%. We conclude that while there is excess of iron in the water in this region of Brazil, no association between extrinsic stains on the enamel and the level of iron in the water was found. There was a low prevalence of extrinsic stains in Caaparinga, being found only in children and adolescents. In the present study, an association between the presence of stains and the consumption of açai was determined, and those who presented them felt uncomfortable about their aesthetics.

  1. Virgin olive oil color and perceived quality among consumers in emerging olive-growing countries

    Directory of Open Access Journals (Sweden)

    Gámbaro, A.

    2014-06-01

    Full Text Available Five virgin olive oil samples were evaluated by 122 consumers for their color acceptability and expected quality on 9-point structured scales. A description of the attributes expected in the different oils was obtained from the responding consumers by means of a check-all-that-apply questionnaire consisting of a list of 17 possible virgin olive oil attributes. Hierarchical cluster analysis led to the identification of two consumer clusters with distinct behavior. Whereas one consumer cluster attributed higher quality to those oils that were greener in color, which they described as tasty, rich-flavored, strong-tasting, herb-flavored and expensive, consumers in the other cluster assumed that greener olive oils were of a poorer quality, as they described them as strange-tasting, strong-tasting, herb-tasting and defective. Despite the contrasting perception of a virgin olive oil’s green color, the respondents, irrespective of cluster, presumed that the virgin olive oil that was the yellowest in color was of poor quality and cheap, also assuming that it had a milder taste than the other oils.122 consumidores evaluaron el color de 5 muestras de aceite de oliva virgen, midiendo su aceptabilidad y la calidad esperada por medio de una escala estructurada de 9 puntos y describiéndolas por medio de preguntas “marque todo lo que corresponde” que consiste en una lista de 17 términos posibles para atributos de aceites de oliva extra vírgenes. Mediante un análisis de conglomerados jerárquico se identificó a dos grupos de consumidores Los consumidores de ambos grupos consideraron que los aceites más amarillos eran de baja calidad, describiéndolos como baratos y de gusto suave. Un grupo de consumidores asignó puntuaciones de calidad alta a todos los aceites con colores verdes, describiéndolos como sabrosos, aromáticos, con gusto fuerte, con sabor a hierba y caros. El otro grupo de consumidores consideró que los aceites de color verde m

  2. The importance of quality, access and price to health care consumers in Bulgaria: a self-explicated approach.

    Science.gov (United States)

    Pavlova, Milena; Groot, Wim; van Merode, Godefridus

    2003-01-01

    One approach to the problem of low patient satisfaction in Bulgaria is to identify attributes of health care services that the consumers value most and to focus on their improvement. Based on data from a household survey, this paper examines the importance that health care consumers attach to quality, access and price. The survey was conducted in 2000 among the population of the region of Varna (the third largest city in Bulgaria). The elicitation of attribute importance was based on a self-explicated method. To analyse the data, an ordered logit regression was performed. The analysis shows that clinical quality is the most valued characteristic by Bulgarian health care consumers compared with social quality, access and price. Given the poor quality of health care provision in Bulgaria, the allocation of revenues to its improvement appears to be essential in order to raise patient satisfaction and to enhance social efficiency.

  3. Quality of life in endometriosis: evaluation of the Dutch-version Endometriosis Health Profile-30 (EHP-30)

    NARCIS (Netherlands)

    Burgt, T.J. van de; Hendriks, J.C.M.; Kluivers, K.B.

    2011-01-01

    The Dutch version of the Endometriosis Health Profile-30 (EHP-30) showed a high return rate and data completeness, low floor and ceiling effects, as well as good internal consistency, test-retest reliability and construct validity. The questionnaire is a reliable and valid instrument for the measure

  4. Dutch Melanoma Treatment Registry : Quality assurance in the care of patients with metastatic melanoma in the Netherlands

    NARCIS (Netherlands)

    Jochems, Anouk; Schouwenburg, Maartje G.; Leeneman, Brenda; Franken, Margreet G.; van den Eertwegh, Alfons J. M.; Haanen, John B. A. G.; Gelderblom, Hans; Uyl-de Groot, Carin A.; Aarts, Maureen J. B.; van den Berkmortel, Franchette W. P. J.; Blokx, Willeke A. M.; Cardous-Ubbink, Mathilde C.; Groenewegen, Gerard; de Groot, Jan Willem B.; Hospers, Geke A. P.; Kapiteijn, Ellen; Koornstra, Rutger H.; Kruit, Wim H.; Louwman, Marieke W. J.; Piersma, Djura; van Rijn, Rozemarijn S.; ten Tije, Albert J; Vreugdenhil, Gerard; Wouters, Michel W. J. M.; van der Hoeven, Jacobus J M

    Background: In recent years, the treatment of metastatic melanoma has changed dramatically due to the development of immune checkpoint and mitogen-activated protein (MAP) kinase inhibitors. A population-based registry, the Dutch Melanoma Treatment Registry (DMTR), was set up in July 2013 to assure

  5. Quality characteristics and consumer acceptance of yogurt fortified with date fiber.

    Science.gov (United States)

    Hashim, I B; Khalil, A H; Afifi, H S

    2009-11-01

    Yogurt is considered a healthy food and incorporating dietary fiber will make it even healthier. Date fiber (DF), a by-product of date syrup production, is a good source of dietary fiber. The effect of fortification with DF on fresh yogurt quality was investigated. Acidity, pH, color [L* (lightness), a* (redness), and b* (yellowness) values], texture profile, sensory properties, and consumer acceptance were studied. Control yogurt (without fiber), yogurt fortified with 1.5, 3.0, and 4.5% DF, and yogurt with 1.5% wheat bran (WB) were prepared. Fortification with DF did not cause significant changes in yogurt acidity, although pH was increased. Yogurts fortified with DF had firmer texture (higher hardness values) and darker color (lower L* and higher a*) compared with control or WB yogurts. Consumer test results indicated that the appearance, color, and flavor ratings were significantly affected by fiber fortification. Yogurt fortified with up to 3% DF had similar sourness, sweetness, firmness, smoothness, and overall acceptance ratings as the control yogurt. Sensory ratings and acceptability of yogurt decreased significantly when increasing DF to 4.5% or using 1.5% WB. Flavoring yogurt fortified with 4.5% DF with vanilla did not improve flavor or overall acceptance ratings. Thus, fortifying yogurt with 3% DF produced acceptable yogurt with beneficial health effects.

  6. The Effect of Aging in the Quality of Life and in the Consumer Behaviour

    Directory of Open Access Journals (Sweden)

    Arminda Paço

    2015-04-01

    Full Text Available Population aging is a worldwide phenomenon and one of the most important demographic changes of human’s history. In 2050 there will be more people older than 60 years than above 15 years old. This situation represents an enormous challenge to markets. Understanding the effects of aging and old people consumer behaviour becomes critical. Aging is a complex, heterogeneous and individual process, affecting physical, psychological and social domains of the human being. This is a marketing concern, because aging also affects consumer behaviour and decision-making. The objective of this research is to understanding elderly population behaviour, specifically if biological age and the quality of life (WHOQOL- bref are related, the relation between biological age and exploratory buying behaviour tendencies (EBBT and search if the two constructs are statistically correlated. The sample of 150 individuals was divided into two groups (45-64 years old and ≥ 65 years old that had to respond to a questionnaire with two scales of analysis: WHOQOL-bref and EBBT. The study reveals the influence in physical domain of WHOQOL-bref, not identifying biological age influence in EBBT scale, neither any kind of statistical correlation in WHOQOL-bref domains and EBBT scale dimensions.

  7. The power of data--from data mining to consumer pricing and quality-of-care tools.

    Science.gov (United States)

    Malof, Leah C

    2013-01-01

    Transparency tools, whether offered by carriers or third-party administrators, rely on adequate experience, by market and by service, to provide information to consumers about health care costs and quality of care. The opportunities for savings to individual consumers and to employer-sponsored health plans are clearly significant and possible if people will use the tools and act. This article reviews two studies showing a shift in consumer claims experience to less costly services afte the implementation of a transparency tool and when combined with a consumer-driven health plan. It also outlines best practices employers can implement to carefully craft interventions to engage and create value in the minds of health care consumers.

  8. Spoken Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in spoken Dutch is intended for use in introductory conversational classes. The book is divided into five major parts, each containing five learning units and one unit devoted to review. Each unit contains sections including (1) basic sentences, (2) word study and review of basic sentences, (3) listening comprehension, and (4)…

  9. Spoken Dutch.

    Science.gov (United States)

    Bloomfield, Leonard

    This course in spoken Dutch is intended for use in introductory conversational classes. The book is divided into five major parts, each containing five learning units and one unit devoted to review. Each unit contains sections including (1) basic sentences, (2) word study and review of basic sentences, (3) listening comprehension, and (4)…

  10. The effect of source credibility on consumers' perceptions of the quality of health information on the Internet.

    Science.gov (United States)

    Bates, Benjamin R; Romina, Sharon; Ahmed, Rukhsana; Hopson, Danielle

    2006-03-01

    Recent use of the Internet as a source of health information has raised concerns about consumers' ability to tell 'good' information from 'bad' information. Although consumers report that they use source credibility to judge information quality, several observational studies suggest that consumers make little use of source credibility. This study examines consumer evaluations of web pages attributed to a credible source as compared to generic web pages on measures of message quality. In spring 2005, a community-wide convenience survey was distributed in a regional hub city in Ohio, USA. 519 participants were randomly assigned one of six messages discussing lung cancer prevention: three messages each attributed to a highly credible national organization and three identical messages each attributed to a generic web page. Independent sample t-tests were conducted to compare each attributed message to its counterpart attributed to a generic web page on measures of trustworthiness, truthfulness, readability, and completeness. The results demonstrated that differences in attribution to a source did not have a significant effect on consumers' evaluations of the quality of the information.Conclusions. The authors offer suggestions for national organizations to promote credibility to consumers as a heuristic for choosing better online health information through the use of media co-channels to emphasize credibility.

  11. Use of watershed factors to predict consumer surfactant risk, water quality, and habitat quality in the upper Trinity River, Texas.

    Science.gov (United States)

    Atkinson, S F; Johnson, D R; Venables, B J; Slye, J L; Kennedy, J R; Dyer, S D; Price, B B; Ciarlo, M; Stanton, K; Sanderson, H; Nielsen, A

    2009-06-15

    Surfactants are high production volume chemicals that are used in a wide assortment of "down-the-drain" consumer products. Wastewater treatment plants (WWTPs) generally remove 85 to more than 99% of all surfactants from influents, but residual concentrations are discharged into receiving waters via wastewater treatment plant effluents. The Trinity River that flows through the Dallas-Fort Worth metropolitan area, Texas, is an ideal study site for surfactants due to the high ratio of wastewater treatment plant effluent to river flow (>95%) during late summer months, providing an interesting scenario for surfactant loading into the environment. The objective of this project was to determine whether surfactant concentrations, expressed as toxic units, in-stream water quality, and aquatic habitat in the upper Trinity River could be predicted based on easily accessible watershed characteristics. Surface water and pore water samples were collected in late summer 2005 at 11 sites on the Trinity River in and around the Dallas-Fort Worth metropolitan area. Effluents of 4 major waste water treatment plants that discharge effluents into the Trinity River were also sampled. General chemistries and individual surfactant concentrations were determined, and total surfactant toxic units were calculated. GIS models of geospatial, anthropogenic factors (e.g., population density) and natural factors (e.g., soil organic matter) were collected and analyzed according to subwatersheds. Multiple regression analyses using the stepwise maximum R(2) improvement method were performed to develop prediction models of surfactant risk, water quality, and aquatic habitat (dependent variables) using the geospatial parameters (independent variables) that characterized the upper Trinity River watershed. We show that GIS modeling has the potential to be a reliable and inexpensive method of predicting water and habitat quality in the upper Trinity River watershed and perhaps other highly urbanized

  12. Relationships among Shopping Quality and Corporate Social Responsibility of Shopping Centers and Consumer Satisfaction: Case from Novi Sad (Serbia

    Directory of Open Access Journals (Sweden)

    Ivana Blešić

    2014-02-01

    Full Text Available Taking into consideration satisfied customer as necessary for business maintenance, companies are trying to discover determinants which have the biggest influence on their consumer satisfaction. Here are presented two factors that have influence on consumer satisfaction in shopping centers: quality of shopping and corporate social responsibility. In this research, each of these factors had six elements. The results of the regression analysis are that “Value for money in stores” (beta=0.387, p=0.000 has the greatest impact on satisfaction when shopping quality performance is concerned, and that “Retailer support for (national/local cultural and sport events“ (beta=0.333, p<0.001 has the greatest impact on satisfaction in the case of CSR performance. Further analysis showed the difference in consumer perception of corporate social responsibility, depending on their occupation and level of education. It is also important to mention that consumers with environment and empathic concern have higher scores perception of CSR. However, there is not statistically important difference in consumer perception of shopping quality in shopping centers

  13. Quality of life in oncological patients with oropharyngeal dysphagia: validity and reliability of the Dutch version of the MD Anderson Dysphagia Inventory and the Deglutition Handicap Index.

    Science.gov (United States)

    Speyer, Renée; Heijnen, Bas J; Baijens, Laura W; Vrijenhoef, Femke H; Otters, Elsemieke F; Roodenburg, Nel; Bogaardt, Hans C

    2011-12-01

    Quality of life is an important outcome measurement in objectifying the current health status or therapy effects in patients with oropharyngeal dysphagia. In this study, the validity and reliability of the Dutch version of the Deglutition Handicap Index (DHI) and the MD Anderson Dysphagia Inventory (MDADI) have been determined for oncological patients with oropharyngeal dysphagia. At Maastricht University Medical Center, 76 consecutive patients were selected and asked to fill in three questionnaires on quality of life related to oropharyngeal dysphagia (the SWAL-QOL, the MDADI, and the DHI) as well as a simple one-item visual analog Dysphagia Severity Scale. None of the quality-of-life questionnaires showed any floor or ceiling effect. The test-retest reliability of the MDADI and the Dysphagia Severity Scale proved to be good. The test-retest reliability of the DHI could not be determined because of insufficient data, but the intraclass correlation coefficients were rather high. The internal consistency proved to be good. However, confirmatory factor analysis could not distinguish the underlying constructs as defined by the subscales per questionnaire. When assessing criterion validity, both the MDADI and the DHI showed satisfactory associations with the SWAL-QOL (reference or gold standard) after having removed the less relevant subscales of the SWAL-QOL. In conclusion, when assessing the validity and reliability of the Dutch version of the DHI or the MDADI, not all psychometric properties have been adequately met. In general, because of difficulties in the interpretation of study results when using questionnaires lacking sufficient psychometric quality, it is recommended that researchers strive to use questionnaires with the most optimal psychometric properties.

  14. The Influence of Consumer Quality Perception and Consumer Trust on Consumer Support based on Corporate Social Responsibility%基于CSR的消费者质量感知及信任对消费者支持的影响

    Institute of Scientific and Technical Information of China (English)

    田敏; 萧庆龙

    2016-01-01

    Corporation Social Responsibility has been a key factor to corporate sustainable development in recent years;it is also concerned by government,enterprise and academics. In this study,based on the Corporate Social Responsibility (CSR),the influence of consumer quality perception and consumer trust on consumer support is analyzed using hierarchical regression model. The results suggest that the consumer trust has significant positive affect on consumer support;CSR association has negative effect on the relation between consumer trust and consumer support;the self-interest perceived motivation of CSR also has negative effect on the relation between consumer trust and consumer support. So,to better win the support of consumers by shouldering CSR and obtain a win-win situation,the enterprises must,first,win the trust of consumers,which is the precondition for the enterprises to win the support of consumers;and second,positively shoulder CSR without hankering for any fruit,which is the key for the enterprises to win the support of consumers.%对现代企业而言,履行社会责任是企业实现可持续发展目标的重要手段,企业如何通过履行社会责任获得消费者支持是一项极具研究价值的课题。文章基于企业社会责任视角,采用分层回归方法对消费者质量感知、信任与消费者支持之间的关系进行深入研究。研究结果表明,消费者信任对消费者支持的正向影响作用非常显著,企业社会责任联想对消费者信任和消费者支持的关系具有显著调节作用,企业社会责任的利己感知动机在消费者信任与消费者支持的关系上具有负向调节作用。因此,企业为更好地通过履行社会责任,赢得消费者支持,实现社会与企业的双赢,必须做到以下两点:一是赢得消费者信任,这是企业获得消费者支持的前提;二是积极且不求回报地履行社会责任,这是企业获得消费者支持的关键。

  15. Striving for quality use of medicines: how effective is Australia's ban on direct-to-consumer prescription medicine advertising?

    Science.gov (United States)

    Brown, Sonja

    2009-02-01

    The potential for both positive and negative effects arising from direct-to-consumer advertising of prescription medicines challenges health policymakers to develop regulatory schemes which selectively capture the positive aspects of the practice. Australia has dealt with this quandary by banning the practice, while New Zealand and the United States permit it. However, in recent times pharmaceutical companies have been increasingly successful in introducing promotional materials into the Australian market. This article demonstrates that the Australian ban is consistent with striving for the major policy goal of quality use of medicines, thus providing the basis for arguing that solutions to strengthen the ban against the identified threats ought to be implemented. Quality use of medicines can be most effectively achieved via the combined effect of the strengthened ban and the mimicking of the limited positive aspects of direct-to-consumer advertising by government provision of non-promotional information to consumers.

  16. CALCULATION AND COMPARISON OF NUTRIENT DENSITY/QUALITY SCORES FOR COMMONLY CONSUMED FRESH FRUIT

    Directory of Open Access Journals (Sweden)

    Gail RAMPERSAUD

    2012-01-01

    Full Text Available A number of methods have been developed to quantitatively describe the nutrient density/quality (ND/Q of foods and beverages. Seventeen commonly consumed fresh fruits were evaluated using six published ND/Q methods. Nutrient data for each fruit were obtained from the USDA National Nutrient Database for Standard Reference, Release 23. Numerical scores were produced and ranked for each fruit and method. The resulting ND/Q scores varied in range and magnitude but there was good to strong correlation among methods. The relative scores indicated that cantaloupe, strawberries, oranges, and grapefruit generally had the highest ND/Q scores across all methods. Further analysis indicated that vitamins C and A, nutrients common to all six methods, affected ND/Q scores substantially for some but not all fruits, suggesting that high values for specific nutrients may influence relative scoring and higher scores may not necessarily reflect a greater variety or balance of nutrients. Fresh fruits vary in their ND/Q as defined by several quantitative scoring systems. In this analysis, consistent results in how the fruits were ranked were obtained when using six different methods to quantify ND/Q for select fresh fruit.

  17. Effect of sorghum flour addition on in vitro starch digestibility, cooking quality, and consumer acceptability of durum wheat pasta.

    Science.gov (United States)

    Khan, Imran; Yousif, Adel M; Johnson, Stuart K; Gamlath, Shirani

    2014-08-01

    Whole grain sorghum is a valuable source of resistant starch and polyphenolic antioxidants and its addition into staple food like pasta may reduce the starch digestibility. However, incorporating nondurum wheat materials into pasta provides a challenge in terms of maintaining cooking quality and consumer acceptability. Pasta was prepared from 100% durum wheat semolina (DWS) as control or by replacing DWS with either wholegrain red sorghum flour (RSF) or white sorghum flour (WSF) each at 20%, 30%, and 40% incorporation levels, following a laboratory-scale procedure. Pasta samples were evaluated for proximate composition, in vitro starch digestibility, cooking quality, and consumer acceptability. The addition of both RSF and WSF lowered the extent of in vitro starch digestion at all substitution levels compared to the control pasta. The rapidly digestible starch was lowered in all the sorghum-containing pastas compared to the control pasta. Neither RSF or WSF addition affected the pasta quality attributes (water absorption, swelling index, dry matter, adhesiveness, cohesiveness, and springiness), except color and hardness which were negatively affected. Consumer sensory results indicated that pasta samples containing 20% and 30% RSF or WSF had acceptable palatability based on meeting one or both of the preset acceptability criteria. It is concluded that the addition of wholegrain sorghum flour to pasta at 30% incorporation level is possible to reduce starch digestibility, while maintaining adequate cooking quality and consumer acceptability.

  18. Influence of the quality of fitness and sports activities of educational institutions for the purchase of indirect services consumers

    Directory of Open Access Journals (Sweden)

    Gylnaz Ageeva

    2014-04-01

    Full Text Available The function of the service quality is a formal description of the of perception's dependence. The people get satisfaction from compliance level of expectation level of perception of a product or service. If the result meets the expectations of the consumer, it's advertising the good and services.

  19. Dutch health care performance report 2008.

    NARCIS (Netherlands)

    Westert, G.P.; Berg, M.J. van den; Koolman, X.; Verkleij, H.

    2008-01-01

    This is the second national report on the performance of the Dutch health care system. Its focus is on quality, access and costs in 2006/7. The Dutch Health Care Performance Report presents a broad picture based on 110 indicators. Where possible, comparisons in time and between countries are

  20. Development of vegetables with improved consumer quality : a case study in Brussels sprouts

    OpenAIRE

    van, Doorn, Wg

    1999-01-01

    In the last decade the vegetable production chain has changed from being production- driven into customer-driven, with special attention for consumer preferences. The current consumers want vegetables with additional value and demand convenient healthy vegetables with improved flavour and nutritional value.The vegetable business chain has only partly anticipated to these new consumer demands due to practical limitations. For many crops, information with respect to relationships between qualit...

  1. [Quality, the future for food agriculture! Producers, processors, consumers, same battle...].

    Science.gov (United States)

    Bloom, P J

    1999-01-01

    For multi-pesticides residue analysis in foods and to win the consumers, it's necessary to work with many analytical tools--HPLC-UV/DAD-FLU, GLC-ECD, GLC-NPD & GC-MS--but the efficiency result from extraction and clean-up. On the other hand, the responsibility of "Producers-Manufacturers-Consumers"'s bond is essential for the consumer and a "ecologico-toxico-economical" safety for the Producers-Manufacturers to target low residues of pesticides.

  2. Disease prevalence in flounder (Platichthys flesus) from the Dutch Wadden Sea as indicator of environmental quality: A summary of 1988-2005 surveys

    Science.gov (United States)

    Vethaak, A. D.

    2013-09-01

    In 1988, epizootics of ulcer disease in the flatfish flounder in the Dutch Wadden Sea were reported near freshwater drainage sluices of IJsselmeer Lake, locally affecting up to 38.9% of fish. Other diseases such as fin rot and lymphocystis were less frequent, but followed a similar pattern. Results of follow-up surveys in the Wadden Sea in 1994-2005 confirm previous findings and also show significantly elevated ulcer prevalences at other smaller drainage works. The most likely stress factors that contributed to the development of the epizootics at these sites include osmotic stress, adverse water quality conditions including chemical contaminants, nutritional deficiencies, and obstruction to fish migration. It was shown that discharges of IJsselmeer Lake freshwater in 1988-96 had a wide effect on the prevalence and distribution of ulcers and lymphocystis in the western Wadden Sea. A general reduction in disease prevalence in flounder in the entire Dutch Wadden Sea was observed during 1988-2005, which was most likely due to a general improvement in water quality and locally improved habitat conditions for flounder near drainage sluices. Ulcer prevalences outside the two IJsselmeer Lake sluices (Den Oever and Kornwerderzand) declined in this period from approximately 30% to 10% for medium-sized fish. Other skin diseases have also displayed a downward trend at both sites in recent years, with prevalences falling sharply to below 1%. Elsewhere in the Wadden Sea and the Ems-Dollard estuary, disease prevalences have declined towards natural background levels (diseases, especially ulcers, are useful indicators of environmental quality in the Wadden Sea.

  3. Summarized Costs, Placement Of Quality Stars, And Other Online Displays Can Help Consumers Select High-Value Health Plans.

    Science.gov (United States)

    Greene, Jessica; Hibbard, Judith H; Sacks, Rebecca M

    2016-04-01

    Starting in 2017, all state and federal health insurance exchanges will present quality data on health plans in addition to cost information. We analyzed variations in the current design of information on state exchanges to identify presentation approaches that encourage consumers to take quality as well as cost into account when selecting a health plan. Using an online sample of 1,025 adults, we randomly assigned participants to view the same comparative information on health plans, displayed in different ways. We found that consumers were much more likely to select a high-value plan when cost information was summarized instead of detailed, when quality stars were displayed adjacent to cost information, when consumers understood that quality stars signified the quality of medical care, and when high-value plans were highlighted with a check mark or blue ribbon. These approaches, which were equally effective for participants with higher and lower numeracy, can inform the development of future displays of plan information in the exchanges.

  4. Development of vegetables with improved consumer quality : a case study in Brussels sprouts

    NARCIS (Netherlands)

    Doorn, van H.E.

    1999-01-01

    In the last decade the vegetable production chain has changed from being production- driven into customer-driven, with special attention for consumer preferences. The current consumers want vegetables with additional value and demand convenient healthy vegetables with improved flavour and nutritiona

  5. Green marketing of consumer electronics: applying Kano's theory of attractive quality on EcoDesign

    NARCIS (Netherlands)

    Wever, R.; Lotgering, S.; Ruijs, F.

    2007-01-01

    To a consumer a green attribute, such as energy efficiency may be far more important for one product than another. For some products it may be seen as essential, for others as nice to have. Business belief says it may even be negative if consumers perceive it as conflicting with the primary

  6. Innovation in Agri-Food systems. Product quality and consumer acceptance

    NARCIS (Netherlands)

    Jongen, W.M.F.; Meulenberg, M.T.G.

    2005-01-01

    This is a fully rewritten and extended version of the successful textbook “Innovation of food production systems”. It focuses on consumer-driven food product innovation using a systems-oriented approach. It integrates marketing and consumer sciences with technological aspects such as processing,

  7. Food risk management quality: Consumer evaluations of past and emerging food safety incidents

    NARCIS (Netherlands)

    Kleef, van E.; Ueland, O.; Theodoridis, G.; Rowe, G.; Pfenning, U.; Houghton, J.R.; Dijk, van H.; Chryssochoidis, G.; Frewer, L.J.

    2009-01-01

    In European countries, there has been growing consumer distrust regarding the motives of food safety regulators and other actors in the food chain, partly as a result of recent food safety incidents. If consumer confidence in food safety is to be improved, a systematic understanding of what

  8. A Quest for Quality: Consumer and Homemaking Education in the 80s.

    Science.gov (United States)

    Illinois Teacher of Home Economics, 1985

    1985-01-01

    Discusses the contributions that consumer and homemaking education make towards improving students' basic skills. These skills include verbal (discussing consumer issues, family relations, child development); reading (product labels, magazine articles, newspapers); writing (reports, notes, term papers); mathematics (budgets, recipe ingredients,…

  9. Green marketing of consumer electronics: applying Kano's theory of attractive quality on EcoDesign

    NARCIS (Netherlands)

    Wever, R.; Lotgering, S.; Ruijs, F.

    2007-01-01

    To a consumer a green attribute, such as energy efficiency may be far more important for one product than another. For some products it may be seen as essential, for others as nice to have. Business belief says it may even be negative if consumers perceive it as conflicting with the primary function

  10. Consumer eating quality acceptance of new apple varieties in different European countries

    NARCIS (Netherlands)

    Bonany, J.; Buehler, A.; Carbo, J.; Codarin, C.; Donati, F.; Echeverria, G.; Egger, S.; Guerra, W.; Hilaire, C.; Hoeller, I.; Iglesias, I.; Jesionkowska, K.; Konopacka, D.; Kruczynska, D.; Martinelli, A.; PItiot, C.; Sansavini, S.; Stehr, R.; Schoorl, F.W.

    2013-01-01

    During January and February 2007 a European consumer test of eight new apple varieties and three standard ones was carried out in different European countries. The most common apple varieties were compared to new ones, focusing on consumer acceptance and the potential for increasing apple consumptio

  11. Innovation in Agri-Food systems. Product quality and consumer acceptance

    NARCIS (Netherlands)

    Jongen, W.M.F.; Meulenberg, M.T.G.

    2005-01-01

    This is a fully rewritten and extended version of the successful textbook “Innovation of food production systems”. It focuses on consumer-driven food product innovation using a systems-oriented approach. It integrates marketing and consumer sciences with technological aspects such as processing, log

  12. Development of vegetables with improved consumer quality : a case study in Brussels sprouts

    NARCIS (Netherlands)

    Doorn, van J.E.

    1999-01-01

    In the last decade the vegetable production chain has changed from being production- driven into customer-driven, with special attention for consumer preferences. The current consumers want vegetables with additional value and demand convenient healthy vegetables with improved flavour and

  13. THE ROLE OF QUALITY IN MAKING PURCHASING DECISIONS ON THE EXAMPLE OF MEAT AND CURED MEAT PURCHASING CONSUMERS

    Directory of Open Access Journals (Sweden)

    Mariusz Grębowiec

    2015-03-01

    Full Text Available  The paper discusses the concept of quality and the factors that it consist of. It takes into account the role of the consumer in the formation of the product quality. It presents the basic quality assurance systems used in food production. Purchasing decision-making process and its implications have been presented. The situation on the market of meat and cured meat in Poland and the legal requirements for the production of food of animal origin have been described. It presents the results of their survey, comparing them with the available data.

  14. Dutch audiology.

    Science.gov (United States)

    Grobben, L M; van Ligtenberg, C L

    1977-01-01

    In the Netherlands audiological care is given at different stages. An attempt is made to screen the hearing of all Dutch babies between the ages of 8 and 12 months. At the age of 4 or over, general audiological care is given by the school medical service; referral is first to a family doctor, who may refer to an otolaryngologist. Curative medical care (examination and therapy) is the province of the family doctor and the otolaryngologist. Otolaryngologists and pediatricians can refer patients to one of 19 Audiological Centers distributed around the country, where a number of workers in different disciplines cooperate for habilitation and rehabilitation. These may include an otolaryngologist in charge, a psychologist, a speech and hearing therapist, an audiologist (usually a physicist or university-trained engineer), social worker, technician, ortho-pedagogue, audiology assistant, and teacher. There are at the moment 25 schools for the hard of hearing and 5 institutes for the deaf. These are often found in conjunction with Audiological Centers, the latter providing paramedical assistance to the pupils by agreement. Finally, the Dutch Organization for Preventive Medicine works to prevent hearing loss in noisy industries.

  15. Preferences of Bulgarian consumers for quality, access and price attributes of healthcare services-result of a discrete choice experiment.

    Science.gov (United States)

    van de Schoot, Thijs; Pavlova, Milena; Atanasova, Elka; Groot, Wim

    2017-01-01

    The aim of the study is to determine the preferences of Bulgarian citizens regarding the provision of healthcare services. A survey was carried out in Bulgaria among a nationally representative sample of 1003 respondents. Both a discrete choice experiment and a self-explicated ranking of outpatient and inpatient service attributes were included in the survey. The data are analyzed to elicit the preferences of Bulgarian healthcare consumers for service attributes and to compare them with previous studies in Bulgaria and other countries in Central and Eastern Europe. The reputation and skills of the care provider appear to be relatively most important to the respondents, followed by the state of the equipment, the condition of the facility and the attitude of the staff. The fee-level and access-related attributes (waiting and traveling time) emerged as less important. Overall, consumers in Bulgaria value the quality of healthcare provision very highly. Yet, there are some statistically significant differences between socio-demographic groups. In general, Bulgarian healthcare consumers are willing to accept higher prices for the services they use, when this comes with improved quality of services. These findings comply with findings in previous studies in Bulgaria and in the region. Given the quality problems in the Bulgarian healthcare sector, our findings indicate that priority has to be given to the improvement of healthcare quality when the Bulgarian government invests in this sector. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  16. The making of Dutch flower culture: Auctions, networks, and aesthetics

    OpenAIRE

    2014-01-01

    Centered around five inquiries, this thesis uses several concepts to analyze Dutch horticulture and FloraHolland Aalsmeer: moral economy, commodity, world system, networks, horticulture, aesthetics, masculinity, cooperative, and the market. It explores how Dutch horticulture was and is embedded in national planning, policy, infrastructure, and aesthetics, both in the early stages of Dutch horticulture in the seventeenth century, with its environment of an emerging consumer culture and commodi...

  17. FACTORS INFLUENCING CONSUMER BEHAVIOR RELATING TO THE PURCHASE OF HONEY PART 2. PRODUCT QUALITY AND PACKAGING

    National Research Council Canada - National Science Library

    Adam Roman; Ewa Popiela-Pleban; Maria Kozak; Katarzyna Roman

    2013-01-01

    .... The second aim was to determine the importance of the aesthetic factors of honey and its packaging in the process of influencing consumer behavior related to the purchase of honey. As many as 78...

  18. 77 FR 33659 - Approval and Promulgation of Air Quality Implementation Plans; Illinois; Consumer Products and...

    Science.gov (United States)

    2012-06-07

    ... more stringent than, EPA's national consumer products and architectural and industrial maintenance (AIM... products and architectural and industrial maintenance coatings at Part 223 of Title 35 of the Illinois... architectural and industrial maintenance coatings. (i) Incorporation by reference. (A) Illinois...

  19. Impact of E-Service Quality on Consumer Purchase Behaviour in an On-line Shopping

    National Research Council Canada - National Science Library

    Archana Raje; Dr. Vandana Tandon Khanna

    2012-01-01

    E-commerce offers speed, convenience, and often cost effectiveness for today’s busy shoppers. This study investigated the relationships between various characteristics of online shopping and consumer purchase behaviour...

  20. Away-from-home drinking water consumption practices and the microbiological quality of water consumed in rural western Kenya.

    Science.gov (United States)

    Onyango-Ouma, W; Gerba, Charles P

    2011-12-01

    A cross-sectional descriptive study was conducted to examine away-from-home drinking water consumption practices and the microbiological quality of water consumed in rural western Kenya. The study involved adults and schoolchildren. Data were collected using focus group discussions, questionnaire survey, observations, diaries and interviews. The findings suggest that away-from-home drinking water consumption is a common practice in the study area; however, the microbiological quality of the water consumed is poor. While some respondents perceive the water to be safe for drinking mainly because of the clear colour of the water, others are forced by circumstances to drink the water as it is owing to a lack of alternative safe sources. It is concluded that there is a need for new innovative approaches to address away-from-home drinking water consumption in resource-poor settings in order to complement and maximize the benefits of point-of-use water treatment at the household level.

  1. Nutritional quality of outer and inner leaves of green and red pigmented lettuces (Lactuca sativa L.) consumed as salads

    OpenAIRE

    Baslam, Marouane; Morales, Fermín; Garmendia López, Idoia; Goicoechea Preboste, Nieves

    2013-01-01

    Lettuce (Lactuca sativa L.) is a major food crop within the European Union. The objective of this study was to test the potential nutritional quality of three types of lettuce consumed as salads: Lactuca sativa L. var. longifolia (commonly named Cogollos de Tudela) and two cultivars of Lactuca sativa L. var. capitata (Batavia Rubia Munguía and Maravilla de Verano). Distribution of sugars, proteins, minerals and antioxidant compounds (carotenoids, chlorophylls, phenolics, anthocyanins and asco...

  2. Measuring spatial variation in secondary production and food quality using a common consumer approach in Lake Erie

    Science.gov (United States)

    Larson, James H.; Richardson, William B.; Evans, Mary Anne; Schaeffer, Jeff; Wynne, Timothy; Bartsch, Michelle; Bartsch, Lynn; Nelson, J. C.; Vallazza, Jon M.

    2016-01-01

    Lake Erie is a large lake straddling the border of the U.S. and Canada that has become increasingly eutrophic in recent years. Eutrophication is particularly focused in the shallow western basin. The western basin of Lake Erie is hydrodynamically similar to a large estuary, with riverine inputs from the Detroit and Maumee Rivers mixing together and creating gradients in chemical and physical conditions. This study was driven by two questions: How does secondary production and food quality for consumers vary across this large mixing zone? and Are there correlations between cyanobacterial abundance and secondary production or food quality for consumers? Measuring spatial and temporal variation in secondary production and food quality is difficult for a variety of logistical reasons, so here a common consumer approach was used. In a common consumer approach, individuals of a single species are raised under similar conditions until placed in the field across environmental gradients of interest. After some period of exposure, the response of that common consumer is measured to provide an index of spatial variation in conditions. Here, a freshwater mussel (Lampsilis siliquoidea) was deployed at 32 locations that spanned habitat types and a gradient in cyanobacterial abundance in the western basin of Lake Erie to measure spatial variation in growth (an index of secondary production) and fatty acid (FA) content (an index of food quality). We found secondary production was highest within the Maumee rivermouth and lowest in the open waters of the lake. Mussel tissues in the Maumee rivermouth also included more eicosapentaenoic and docosapentaenoic fatty acids (EPA and DPA, respectively), but fewer bacterial FAs, suggesting more algae at the base of the food web in the Maumee rivermouth compared to open lake sites. The satellite-derived estimate of cyanobacterial abundance was not correlated to secondary production, but was positively related to EPA and DPA content in the

  3. [Household availability of ready-to-consume food and drink products in Chile: impact on nutritional quality of the diet].

    Science.gov (United States)

    Crovetto M, Mirta; Uauy, Ricardo; Martins, Ana Paula; Moubarac, Jean Claude; Monteiro, Carlos

    2014-07-01

    Processed foodstuff may have a lower nutritional value than natural products. To analyze the impact of ready-to-consume products on diet quality of Chilean households. A national representative sample of 10,096 households, based on the 6th Survey on Household Budget and Expenses (VI Encuesta de Presupuestos y Gastos Familiares, 2006-2007), was studied. Foodstuffs were classified as follows: 1) Unprocessed foods or minimally processed foods (G1); 2) Processed culinary ingredients (G2); and 3) Ready-to-consume products (G3). Calorie contribution and energy availability of each household food group, was calculated. The nutritional profile of the national food basket was calculated and compared with two simulated baskets (G3 vs G1+G2), based on international nutritional recommendations. Overall energy availability was of 1,885 kcal per capita/ day; 24% derived from unprocessed foods (G1), 21% from processed culinary ingredients (G2) and 55% from ready-to-consume products (G3), whose proportion increased along with income level. The 2007 national food basket contained an excess of total fat (34% vs 30%), free sugars (16% vs 10%), energy density (2.1 vs 1.3 kcal/gram) and a low amount of fiber (8.4 vs 12.5 g/1,000 kcal). The basket consisting in ready-to-consume products (G3) had a higher percentage of carbohydrates (61% vs 46%) than the basket consisting in unprocessed foods and ingredients (G1+G2). It also had a higher percentage of free sugars (17% vs 15%), less dietary fiber (7 vs. 10 g/1,000 kcal) and, above all, a higher energy density (2.6 vs 1.6 kcal/g). The Chilean dietary pattern, based on ready-to-consume products (G3), is affecting the nutritional quality of the diet.

  4. Colour and fat content as intrinsic cues for consumers attitudes towards meat product quality

    Science.gov (United States)

    Ristić, M.; Troeger, K.; Đinović-Stojanović, J.; Knežević, N.; Damnjanović, M.

    2017-09-01

    The aim of this study was to evaluate consumers’ attitudes towards sensory properties of chicken, royal and beef salami, meat products from Zlatiborac Meat Company. Sensory evaluation was performed by Serbian consumers (n=1018) in four retail stores (Delhaize) in Belgrade. Consumers were asked for their preference concerning the colour and fat of three selected salami and then completed questionnaire of socio-demographic information including eating behaviour. Selected smoked meat products were evaluated in the DLG Test Center Food, Germany. Consumers, at all education levels and in all age groups, evaluated colour as good and fat as sufficient with a significantly (pproducts passed the DLG tests and received “DLG award winner” medals in Gold (73%) or Silver (27%).

  5. Work Stressors, Perseverative Cognition and Objective Sleep Quality: A Longitudinal Study among Dutch Helicopter Emergency Medical Service (HEMS) Pilots

    NARCIS (Netherlands)

    Radstaak, M.; Geurts, S.A.E.; Beckers, D.G.J.; Brosschot, J.F.; Kompier, M.A.J.

    2014-01-01

    Objectives: This longitudinal study examined the associations between work stressors, perseverative cognition and subjective and objective sleep quality. We hypothesized work stressors to be associated with (i) poor nocturnal sleep quality and (ii) higher levels of perseverative cognition during a

  6. Association between quality management and performance indicators in Dutch diabetes care groups : A cross-sectional study

    NARCIS (Netherlands)

    Campmans-Kuijpers, Marjo J E; Baan, Caroline A.; Lemmens, Lidwien C.; Klomp, Maarten L H; Romeijnders, Arnold C M; Rutten, Guy E H M

    2015-01-01

    Objectives: To enhance the quality of diabetes care in the Netherlands, so-called care groups with three to 250 general practitioners emerged to organise and coordinate diabetes care. This introduced a new quality management level in addition to the quality management of separate general practices.

  7. The Effects of the Internet, Recommendation Quality and Decision Strategies on Consumer Choice

    NARCIS (Netherlands)

    B.L.K. Vroomen (Björn)

    2006-01-01

    textabstractBj¨orn Leon Kristian Vroomen (1976) obtained his masters’ degree in econometrics in 2000 from the Erasmus University Rotterdam. In that same year he joined ERIM as a Ph.D.-candidate in order to carry out his doctoral research on the subject of consumer decision making in relation to the

  8. Deciding on PSA-screening - Quality of current consumer information on the Internet

    NARCIS (Netherlands)

    I.J. Korfage; R.C.N. van den Bergh; M.L. Essink-Bot

    2010-01-01

    Purpose of the study: Given that screening for prostate cancer has the potential to reduce prostate cancer mortality at the expense of considerable overdiagnosis and overtreatment, the availability of core consumer information - correct, balanced and supportive of autonomous decision-making - is a m

  9. Influence of oak maturation regimen on composition, sensory properties, quality, and consumer acceptability of cabernet sauvignon wines.

    Science.gov (United States)

    Crump, Anna M; Johnson, Trent E; Wilkinson, Kerry L; Bastian, Susan E P

    2015-02-11

    Oak barrels have long been the preferred method for oak maturation of wine, but barrels contribute significantly to production costs, so alternate oak maturation regimens have been introduced, particularly for wines at lower price points. To date, few studies have investigated consumers' acceptance of wines made using non-traditional oak treatments. In this study, two Cabernet Sauvignon wines were aged using traditional (i.e., barrel) and/or alternative (i.e., stainless steel or plastic tanks and vats, with oak wood added) maturation regimens. Chemical and sensory analyses were subsequently performed to determine the influence on wine composition and sensory properties, that is, the presence of key oak-derived volatile compounds and perceptible oak aromas and flavor. The quality of a subset of wines was rated by a panel of 10 wine experts using a 20-point scoring system, with all wines considered technically sound. Consumer acceptance of wines was also determined. Hedonic ratings ranged from 5.7 to 5.9 (on a 9-point scale), indicating there was no significant difference in consumers' overall liking of each wine. However, segmentation based on individual liking scores identified three distinct clusters comprising consumers with considerably different wine preferences. These results justify wine producers' use of alternative oak maturation regimens to achieve wine styles that appeal to different segments of their target market.

  10. Monitoring NSL. Progress of the Dutch National Air Quality Cooperation Programme (NSL). State of affairs 2012; Monitoringsrapportage NSL. Stand van zaken 2012 Nationaal Samenwerkingsprogamma Luchtkwaliteit

    Energy Technology Data Exchange (ETDEWEB)

    Van Zanten, M.C.; Wesseling, J.; Mooibroek, D.; Van Alphen, A.; Nguyen, L. [Rijksinstituut voor Volksgezondheid en Milieu RIVM, Bilthoven (Netherlands); Groot Wassink, H.; Verbeek, C. [InfoMil, Agentschap NL, Den Haag (Netherlands)

    2012-11-15

    The National Air Quality Cooperation Programme (NSL) has been created to facilitate improvements in air quality in the Netherlands and to ensure that the Netherlands meets the respective deadlines set for compliance to EU limit values for particulate matter (PM10) and nitrogen dioxide (NO2). Local, regional and national authorities work together within the framework of this programme to ensure that these goals will be met. A monitoring programme has been put in place to monitor progress and, if necessary, to enable timely modifications to the programme. The annual results of the monitoring programme have been bundled together by the Monitoring Bureau (collaboration between RIVM and the InfoMil Knowledge Centre) into the 2012 progress report [Dutch] Om de luchtkwaliteit te verbeteren is het Nationaal Samenwerkingsprogramma Luchtkwaliteit (NSL) opgezet. Hierin werken de Rijksoverheid en decentrale overheden samen om te zorgen dat Nederland overal tijdig aan de grenswaarden voor fijn stof en stikstofdioxide zal voldoen. Om de voortgang van dit verbeterprogramma te volgen en tijdig eventuele extra maatregelen te kunnen nemen, is aan het NSL een monitoringsprogramma verbonden. De uitvoering van de monitoring is neergelegd bij Bureau Monitoring, een samenwerkingsverband tussen het RIVM en Kenniscentrum InfoMil.

  11. Het Nederlands signaleringscentrum kindergeneeskunde; een kwaliteitsinstrument voor preventie en onderzoek [The Dutch Paediatric Surveillance System; a quality-focused instrument for prevention and research

    NARCIS (Netherlands)

    Hirasing, R.A.; Rodrigues Pereira, R.

    2002-01-01

    The Dutch Paediatric Surveillance System was initiated by the Dutch Paediatric Society and is housed within the TNO Prevention and Health office. The purpose of the surveillance system is (a) to gain insight on a population level into the prevalence of rare and new diseases in youths (0-18 year),

  12. Effect of feeding period for dry cull cows on carcass quality, meat quality, and consumer reactions to loin steaks

    DEFF Research Database (Denmark)

    Madsen, Niels T.; Vestergaard, Mogens; Bredahl, Lone

    A major part of the beef marketed for Danish retail consumers originates from dairy cows slaughtered when the are culled from milk production. As these cows are often slaughtered at varios stages of lactation and with variable degrees of fatness the meat is often criticised for having a considera......A major part of the beef marketed for Danish retail consumers originates from dairy cows slaughtered when the are culled from milk production. As these cows are often slaughtered at varios stages of lactation and with variable degrees of fatness the meat is often criticised for having...... thoroughly. The present study comprise two trials. The results of both the first and second trail, including 62 cows in 2002, are reported here....

  13. Towards Evidence-Based, Quality-Controlled Health Promotion: The Dutch Recognition System for Health Promotion Interventions

    Science.gov (United States)

    Brug, Johannes; van Dale, Djoeke; Lanting, Loes; Kremers, Stef; Veenhof, Cindy; Leurs, Mariken; van Yperen, Tom; Kok, Gerjo

    2010-01-01

    Registration or recognition systems for best-practice health promotion interventions may contribute to better quality assurance and control in health promotion practice. In the Netherlands, such a system has been developed and is being implemented aiming to provide policy makers and professionals with more information on the quality and…

  14. Water quality management in the Netherlands: Contribution to the Dutch-Japanese workshops on the treatment of municipal waste water

    NARCIS (Netherlands)

    Hoornstra, J.S.; De Jong, J.

    1993-01-01

    This paper describes water management in the Netherlands with an emphasis on water quality aspects. First some features of the country are presented, underlining the importance of water and indicating the need for international cooperation on water quality matters. In the third paragraph, the water

  15. Models of health-related quality of life in a population of community-dwelling Dutch elderly

    NARCIS (Netherlands)

    Sullivan, MD; Kempen, GIJM; Van Sonderen, E; Ormel, J

    2000-01-01

    Objective: Though health-related quality of life (HRQoL) is now commonly measured as an outcome in clinical trials, the relationships between its components remain unclear. The relation of physical symptoms, physical function, and psychological symptoms to each other and to overall quality of life

  16. Water quality management in the Netherlands: Contribution to the Dutch-Japanese workshops on the treatment of municipal waste water

    NARCIS (Netherlands)

    Hoornstra, J.S.; De Jong, J.

    1993-01-01

    This paper describes water management in the Netherlands with an emphasis on water quality aspects. First some features of the country are presented, underlining the importance of water and indicating the need for international cooperation on water quality matters. In the third paragraph, the water

  17. 'Burnout' among Dutch midwives.

    NARCIS (Netherlands)

    Bakker, R.H.C.; Groenewegen, P.P.; Jabaaij, L.; Meijer, W.; Sixma, H.; Veer, A. de

    1996-01-01

    OBJECTIVE: to determine the effect of workload on 'burnout' having considered work capacity. DESIGN: cross-sectional study. SETTING: Dutch community midwives in independent practice. PARTICIPANTS: 200 Dutch community midwives. MEASUREMENTS: three-week diary recordings, a questionnaire on practice

  18. Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities.

    Science.gov (United States)

    Backhaus, Ramona; van Rossum, Erik; Verbeek, Hilde; Halfens, Ruud J G; Tan, Frans E S; Capezuti, Elizabeth; Hamers, Jan P H

    2017-01-19

    Recent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focused on the unique contribution of registered nurses. In this study, we focus on BRNs, as they are expected to serve as role models and change agents, while little is known about their unique contribution to quality of care in long-term care facilities. We conducted a cross-sectional study among 282 wards and 6,145 residents from 95 Dutch long-term care facilities. The relationship between the presence of BRNs in wards and quality of care was assessed, controlling for background characteristics, i.e. ward size, and residents' age, gender, length of stay, comorbidities, and care dependency status. Multilevel logistic regression analyses, using a generalized estimating equation approach, were performed. 57% of the wards employed BRNs. In these wards, the BRNs delivered on average 4.8 min of care per resident per day. Among residents living in somatic wards that employed BRNs, the probability of experiencing a fall (odds ratio 1.44; 95% CI 1.06-1.96) and receiving antipsychotic drugs (odds ratio 2.15; 95% CI 1.66-2.78) was higher, whereas the probability of having an indwelling urinary catheter was lower (odds ratio 0.70; 95% CI 0.53-0.91). Among residents living in psychogeriatric wards that employed BRNs, the probability of experiencing a medication incident was lower (odds ratio 0.68; 95% CI 0.49-0.95). For residents from both ward types, the probability of suffering from nosocomial pressure ulcers did not significantly differ for residents in wards employing BRNs. In wards that employed BRNs, their mean amount of time spent per resident was low, while quality of care on most wards was

  19. Cultural validation of CQI-measurements measuring minority ethnic patients’ perspective on quality of care.

    NARCIS (Netherlands)

    Asmoredjo, J.; Sixma, H.; Plass, A.M.

    2013-01-01

    Background: In improving quality of healthcare it is important to take patients’ perspective into account. In the Netherlands, the Consumer Quality Index (CQI) is used for this, though entirely based on a native Dutch perspective. Minority ethnic patients may have different needs. This study assesse

  20. Internationalisation of Dutch SMEs

    OpenAIRE

    Jolanda Hessels

    2005-01-01

    Whereas the Dutch business sector as a whole is among the largest exporters, importers and foreign direct investors, Dutch SMEs, as compared to SMEs from other European countries, occupy a position in the middle with respect to the share of enterprises that export, import or invest abroad. In the coming years an increase in the international involvement of Dutch SMEs is expected. In this report the following subjects are adressed: Overview of the internationalisation of Dutch SME's, the inter...

  1. The Choice of Canned Whole Peeled Tomatoes is Driven by Different Key Quality Attributes Perceived by Consumers Having Different Familiarity with the Product

    NARCIS (Netherlands)

    Frez-Muñoz, Lucía; Steenbekkers, Bea; Fogliano, Vincenzo

    2016-01-01

    Canned whole peeled tomatoes are a premium tomato product; however, no information is available about the key intrinsic and extrinsic quality attributes perceived by consumers when buying this product. This research considered consumers differing in the level of familiarity with peeled tomatoes, tha

  2. Toward an Educated Health Consumer: Mass Communication and Quality in Medical Care. Fogarty International Series on the Teaching of Preventive Medicine. Volume 7.

    Science.gov (United States)

    Marshall, Carter L.

    Focus in this preventive medicine monograph for health professionals is on consumer health education and the current and potential effects of mass communication on the quality of medical care. Following an introduction, the content is presented in four chapters. Chapter 1 covers the state of the art in consumer health education and discusses three…

  3. The Choice of Canned Whole Peeled Tomatoes is Driven by Different Key Quality Attributes Perceived by Consumers Having Different Familiarity with the Product

    NARCIS (Netherlands)

    Frez-Muñoz, Lucía; Steenbekkers, Bea; Fogliano, Vincenzo

    2016-01-01

    Canned whole peeled tomatoes are a premium tomato product; however, no information is available about the key intrinsic and extrinsic quality attributes perceived by consumers when buying this product. This research considered consumers differing in the level of familiarity with peeled tomatoes,

  4. Dutch for Reading Knowledge

    NARCIS (Netherlands)

    van Baalen, C.; Blom, F.R.E.; Hollander, I.

    2012-01-01

    This first Dutch for Reading Knowledge book on the market promotes a high level of reading and translation competency by drawing from Dutch grammar, vocabulary and reading strategies, and providing many translation "shortcuts" and tips when tackling complex texts in Dutch. Aimed at students, researc

  5. Effect of ageing time on consumer-perceived quality of Italian Simmental beef

    Directory of Open Access Journals (Sweden)

    Luisa Antonella Volpelli

    2010-01-01

    Full Text Available The aim of the experiment was to provide an objective indication on the optimal ageing time of meat from ItalianSimmental (IS young bulls, the most important commercial category of the breed. The research was carried out on 10young bulls slaughtered at the average weight of 688 kg (SE: 7.3 kg. The right side of each carcass was stored for 7days and the left one for further 7 days, at normal refrigeration temperatures. At the end of the ageing period, the sideswere sampled at the loin for meat pH, color, cooking loss and shear force measurement. A central location, affective testinvolving 74 consumers was carried out to measure the degree of liking for grilled beef aged 7 or 14 days.The pH and color parameters were not significantly affected by the duration of post-mortem storage, while cooking lossincreased (31.4 vs 32.6 %; Pincreased from 7 to 14 days. The degree of liking by the untrained respondents for the two types of cooked meat wasdifferent, considering that consumers gave the highest hedonistic scores to beef aged 14 days. Tenderness was the sensoryattribute that allowed the best discrimination between beef stored for periods of different length. In fact, while thedifference between 14-day-aged and 7-day-aged beef for flavour ratings (7.0 vs 6.9 did not reach the threshold of significance,the former meat was perceived as significantly finer than the latter regarding tenderness (6.5 vs 5.6; P= 0.01and marginally preferred in overall terms (6.9 vs 6.5; P= 0.07. The classification test, carried out at the end of the quantitativetest by asking consumers to select from a list the most appropriate attributes describing the stimuli associatedwith meat consumption, confirmed the effectiveness of texture attributes in ranking different-aged beef acceptability. Infact, the number of ticks reported for chewiness and juiciness descriptors were different for the two types of meat: the14-day-aged beef was perceived as easier to chew (57 vs 34 ticks

  6. Food quality affects secondary consumers even at low quantities: an experimental test with larval European lobster.

    Science.gov (United States)

    Schoo, Katherina L; Aberle, Nicole; Malzahn, Arne M; Boersma, Maarten

    2012-01-01

    The issues of food quality and food quantity are crucial for trophic interactions. Although most research has focussed on the primary producer-herbivore link, recent studies have shown that quality effects at the bottom of the food web propagate to higher trophic levels. Negative effects of poor food quality have almost exclusively been demonstrated at higher food quantities. Whether these negative effects have the same impact at low food availability in situations where the majority if not all of the resources are channelled into routine metabolism, is under debate. In this study a tri-trophic food chain was designed, consisting of the algae Rhodomonas salina, the copepod Acartia tonsa and freshly hatched larvae of the European lobster Homarus gammarus. The lobster larvae were presented with food of two different qualities (C:P ratios) and four different quantities to investigate the combined effects of food quality and quantity. Our results show that the quality of food has an impact on the condition of lobster larvae even at very low food quantities. Food with a lower C:P content resulted in higher condition of the lobster larvae regardless of the quantity of food. These interacting effects of food quality and food quantity can have far reaching consequences for ecosystem productivity.

  7. Quality characteristics of Dutch-style fermented sausages manufactured with partial replacement of pork back-fat with pure, pre-emulsified or encapsulated fish oil.

    Science.gov (United States)

    Josquin, Nicole M; Linssen, Jozef P H; Houben, Jacques H

    2012-01-01

    Dutch-style fermented sausages were manufactured with 15% and 30% pork back-fat substitution by pure or commercial encapsulated fish oil, either added as such or as pre-emulsified mixture with soy protein isolate. Adding commercial encapsulated fish oil was the most important factor influencing the chemical composition. The fat content was not significantly different between products (p>0.05). The n-6/n-3 ratio decreased from 8.49 in controls to 0.90-2.47 in modified products. Lipid oxidation parameters (propanal and hexanal) showed much higher values for sausages with pure fish oil than for products with encapsulated oil. For the latter, lipid oxidation was similar to controls. Products with encapsulated or pre-emulsified oil were significantly firmer than products from other treatments in physical and sensory analysis (pfermented sausages with n-3 fatty acids from fish oil and the application of commercial encapsulated fish oil seems to be the best in retaining overall quality.

  8. Formal analysis of the urban 'Dutch model' with aims of re-formulating spatial quality concerns for pedestrian precincts in current New Town developments.

    Science.gov (United States)

    Ishida, Toshikazu

    2005-01-01

    In the Japanese post WWII urban planning and design field, concerns for formal features regarding the sequential street-front visual image in new high-density urban spaces have been a rather subordinated subject. Famous New Town schemes such as Tsukuba Science City (1963), or Minato Mirai 21 (1965) for instance, are typical inland and reclaimed land examples that summarize the validity and limitations of functional zoning systems applied to these artificial urban developments for the last half century. In those examples, the interaction between space mobility and land use has not been explored sufficiently in order to create attractive street-front images, yet such interaction is essential to the way the cityscape and its character are perceived by the eye. However, current insight regarding the sustainable New Town paradigm has brought a renewed perspective regarding design policy of the pedestrian precinct. This study investigates the formal features of the sequential street-front image of Dutch late-medieval town examples which could help re-formulate the existing design policies regarding the quality of pedestrian space especially in the artificial reclaimed land design field. The purpose is to find out how the principles of those old high-density artificial environmental design models generate such effective interaction between mobility and land usage, creating an enriched aesthetic visual image of street-front space as a result.

  9. [Quality management and consumer orientation: survey of referring pediatricians of a Berlin pediatric clinic].

    Science.gov (United States)

    Lüthy, A; Lotze, I; Leiske, M; Rossi, R

    2000-01-01

    Quality management in hospitals not only includes performance according to international medical standards but also the optimization of processes regarding internal staff as well as external customers. Total Quality Management (TQM) and the Business Excellence Model of the European Foundation of Quality Management (EFQM) require continuous evaluation of customer satisfaction. Specialists and family physician as external customers influence the patient's choice of a hospital. The aim of the present study is to evaluate the satisfaction of admitting physicians of a children's hospital with the help of a questionnaire. The results describe their needs and their level of satisfaction regarding service, information, cooperation and communication within the hospital.

  10. It was nice with the brick so now I'll click: The effects of offline and online experience, perceived benefits, and trust on Dutch consumers' online repeat purchase intention

    NARCIS (Netherlands)

    Beldad, Ardion Daroca; Segers, Mariel; Kurosu, Masaaki

    2013-01-01

    The present study investigated the factors influencing Dutch consumers’ intention to continue purchasing from a brick-and-click clothes shop’s online channel after an initial commercial exchange. Results on the online survey with 513 respondents reveal that their repeat online purchase intention is

  11. It was nice with the brick so now I'll click: The effects of offline and online experience, perceived benefits, and trust on Dutch consumers' online repeat purchase intention

    NARCIS (Netherlands)

    Beldad, Ardion; Segers, Mariel; Kurosu, Masaaki

    2013-01-01

    The present study investigated the factors influencing Dutch consumers’ intention to continue purchasing from a brick-and-click clothes shop’s online channel after an initial commercial exchange. Results on the online survey with 513 respondents reveal that their repeat online purchase intention is

  12. The role of aesthetics in consumers' evaluation of apparel quality: A ...

    African Journals Online (AJOL)

    Seugnet

    No specific research, directed to the role of aesthetics in assessing quality of ... cultural characteristics of the creator as well as the observer of the product or ..... suggest a qualitative research approach, qualitative data collecting methods, such ...

  13. Consumers' attitudes about milk quality and fertilization methods in dairy cows in Germany.

    Science.gov (United States)

    Pieper, Laura; Doherr, M G; Heuwieser, W

    2016-04-01

    Major advances in assisted reproductive technologies have improved reproductive efficiency in dairy cattle. However, these developments occurred regardless of the perception of consumers, who often distrust biotechnology in food production. Therefore, the objective of this study was to investigate consumers' attitudes toward reproductive management practices in dairy cattle. In November 2012, 1,646 participants were interviewed by a commercial market research institute. Participants were selected from all regions and demographic categories to represent the general public in Germany. Seven questions regarding milk-drinking preferences and reproductive technologies were asked in face-to-face interviews. Descriptive statistics and multivariable logistic regression models were used. The majority of people drank milk at least weekly (63%) and found the taste of milk important (60%). Most people perceived advanced reproductive technologies negatively [e.g., the use of sexed semen (53%), embryo transfer (58%), cloning (81%), and hormone treatments to increase fertility (65%)]. Many people lacked basic knowledge about milk production (22% did not know that cows only give milk after calving; 51% did not know that milk naturally contains hormones); however, participants with a high school education, older participants, and those who had concerned themselves with dairy farming were more knowledgeable. Education and providing information might help to inform the public about reproductive management practices in dairy cows.

  14. Comparing quality of dying and death perceived by family members and nurses for patients dying in US and Dutch ICUs

    DEFF Research Database (Denmark)

    Gerritsen, Rik T; Koopmans, Matty; Hofhuis, José G M

    2017-01-01

    BACKGROUND: The Quality of Dying and Death (QODD) questionnaire is used as a self-reported measure to allow families and clinicians to assess patients' quality of dying and death. We evaluated end-of-life (EOL) experiences as measured by the QODD completed by families and nurses in the United...... States (US) and the Netherlands (NL) to explore similarities and differences in these experiences and identify opportunities for improving EOL care. METHODS: Questionnaire data were gathered from family members of patients dying in the ICU and nurses caring for these patients. In NL, data were gathered.......0025). The family-assessed overall QODD score (medians [IQR]) was the same in both countries: NL 9 [8-10], US 8[5-10]. US family members rated the quality of two items higher than NL families: "time spent with loved ones" and "time spent alone". Nurse-assessed QODD ratings varied: the single-item QODD summary score...

  15. Meat quality, microbiological status and consumer preference of beef gluteus medius aged in a dry ageing bag or vacuum.

    Science.gov (United States)

    Li, Xin; Babol, Jakub; Wallby, Anna; Lundström, Kerstin

    2013-10-01

    This study investigated meat quality and consumer preference after ageing beef gluteus medius in a water vapour-permeable dry-ageing bag or in vacuum for 14 days. Higher ageing and trim losses but lower thawing loss, cooking loss and water content were found in samples aged in dry ageing bags compared to those aged in vacuum. Samples aged in dry ageing bags had higher total bacteria and yeast counts but lower lactic acid bacteria counts than those aged in vacuum, both before and after trimming. Meat aged in dry ageing bag was more tender and juicier and overall preferred by consumers compared with samples aged in vacuum. Female participants outperformed the males in detecting differences in palatability. No differences were found in pH, smell, shear force, colour, Enterobacteriaceae, and mould counts. Thus, by using a dry ageing bag, it is possible to produce dry-aged meat in a more controlled condition without negative effects on sensory or other quality attributes.

  16. Desk-study on habitat quality for the European Sturgeon in the Dutch Rhine and southern North Sea

    NARCIS (Netherlands)

    Winter, H.V.; Teal, L.R.; Wolfshaar, van de K.E.; Griffioen, A.B.; Houben, B.; Breve, N.W.P.

    2015-01-01

    One of the most endangered fish species worldwide is the European sturgeon Acipenser sturio. The River Rhine was home to an important sturgeon population that went locally extinct in the first half of the 20th century. In recent decades, many improvements of the ecological quality of the Rhine have

  17. Quality attributes and consumer acceptance of new ready-to-eat frozen restructured chicken.

    Science.gov (United States)

    de Almeida, Marcio Aurelio; Villanueva, Nilda Doris Montes; Gonçalves, José Ricardo; Contreras-Castillo, Carmen J

    2015-05-01

    The aim of the present study was to develop a new restructured product, cooked and frozen ready-to-eat product that was prepared with boneless chicken meat (breast and drumstick) and mechanically separated chicken meat (MSCM). Non-meat ingredients, such as transglutaminase (TG) and egg albumin powder, were tested to obtain a better strength of adhesion between the meat particles. Five formulations for restructured chicken were developed as follows: T1 (1 % transglutaminase), T2 (1 % transglutaminase and 15 % MSCM), T3 (1 % egg albumin powder), T4 (1 % egg albumin powder and 15 % MSCM) and T5 (1 % transglutaminase, 1 % egg albumin powder and 15 % MSCM). The results of the experiment showed a greater luminosity (L*) in the treatments with TG (T1) and albumin (T3). The treatments without MSCM (T1 and T3) presented significantly lower mean values for redness (a*) when compared to treatments with MSCM (T2, T4 and T5) (p ≤ 0.05). No significant differences were noted between the treatments (p ≥ 0.05) when analyzing the percentage of total saturated fatty acids (SFA), polyunsaturated fatty acids (PUFA) and cholesterol content. Consumer testing showed a high acceptance of the restructured products in all evaluated attributes. Similarly, with regard to the purchase intention, consumers mostly expressed that they would probably or certainly buy the products, for treatments T1, T2, T3 and T5. Moreover, the meat cuts with no commercial value, can transform into new ready-to-eat products that have a high probability of success in the market.

  18. An experiment with regulated competition and individual mandates for universal health care: the new Dutch health insurance system.

    Science.gov (United States)

    Rosenau, Pauline Vaillancourt; Lako, Christiaan J

    2008-12-01

    The 2006 Enthoven-inspired Dutch health insurance reform, based on regulated competition with a mandate for individuals to purchase insurance, will interest U.S. policy makers who seek universal coverage. This ongoing experiment includes guaranteed issue, price competition for a standardized basic benefits package, community rating, sliding-scale income-based subsidies for patients, and risk equalization for insurers. Our assessment of the first two years is based on Dutch Central Bank statistics, national opinion polls, consumer surveys, and qualitative interviews with policy makers. The first lesson for the United States is that the new Dutch health insurance model may not control costs. To date, consumer premiums are increasing, and insurance companies report large losses on the basic policies. Second, regulated competition is unlikely to make voters/citizens happy; public satisfaction is not high, and perceived quality is down. Third, consumers may not behave as economic models predict, remaining responsive to price incentives. Finally, policy makers should not underestimate the opposition from health care providers who define their profession as more than simply a job. If regulated competition with individual mandates performs poorly in auspicious circumstances such as the Netherlands, how will this model fare in the United States, where access, quality, and cost challenges are even greater? Might the assumptions of economic theory not apply in the health sector?

  19. "How to Strike the Right Balance between Quality Assurance and Quality Control in the Perceptions of Individual Lecturers": A Comparison of UK and Dutch Higher Education Institutions

    Science.gov (United States)

    Teelken, Christine; Lomas, Laurie

    2009-01-01

    This paper focuses on the way lecturers observe, feel restrained by and cope with quality management systems that have been implemented in the higher education systems of the United Kingdom and the Netherlands. As two sides of the same coin, quality enhancement and quality control are of increased significance in European Higher Education…

  20. "How to Strike the Right Balance between Quality Assurance and Quality Control in the Perceptions of Individual Lecturers": A Comparison of UK and Dutch Higher Education Institutions

    Science.gov (United States)

    Teelken, Christine; Lomas, Laurie

    2009-01-01

    This paper focuses on the way lecturers observe, feel restrained by and cope with quality management systems that have been implemented in the higher education systems of the United Kingdom and the Netherlands. As two sides of the same coin, quality enhancement and quality control are of increased significance in European Higher Education…

  1. Client expectations and satisfaction of quality in home care services. A consumer perspective.

    Science.gov (United States)

    Samuelsson, G; Wister, A

    2000-12-01

    This study examines clients' expectations of quality in home care services and their perceived satisfaction with services among a random sample of 76 home care recipients in Vancouver, Canada. The researchers conducted face-to-face interviews that applied Multiattribute Utility Technology, a procedure that organizes several quality attributes of "ideal" home care into a tree structure to compare their relative importance and ranking from the clients' perspective. Participants also were asked to state their satisfaction or dissatisfaction with the services received in these domains. Among the five main quality attributes identified, the subjects ranked suitability of the home helper and its subset, personal competence, as the most important indicators of quality, followed by continuity in service. In addition, clients tended to have a high level of satisfaction with regard to the attributes of overall home care services. The highest level of satisfaction was reported for elements of personal dispositions of home care staff. The lowest level of satisfaction involved the time/availability components of the service. Finally, comparisons between client expectations and satisfaction of received home care services showed the highest discrepancy for the attributes of influence and time/availability and the greatest congruence for personal attributes of the staff. The results are discussed in terms of their implications for the delivery of home care services.

  2. Quality evaluation of energy consumed in flow regulation method by speed variation in centrifugal pumps

    Science.gov (United States)

    Morales, S.; Culman, M.; Acevedo, C.; Rey, C.

    2014-06-01

    Nowadays, energy efficiency and the Electric Power Quality are two inseparable issues in the evaluation of three-phase induction motors, framed within the program of Rational and Efficient Use of Energy (RUE).The use of efficient energy saving devices has been increasing significantly in RUE programs, for example the use of variable frequency drives (VFD) in pumping systems.The overall objective of the project was to evaluate the impact on power quality and energy efficiency in a centrifugal pump driven by an induction three-phase motor, using the flow control method of speed variation by VFD. The fundamental purpose was to test the opinions continuously heard about the use of flow control methods in centrifugal pumps, analyzing the advantages and disadvantages that have been formulated deliberately in order to offer support to the industry in taking correct decisions. The VFD changes the speed of the motor-pump system increasing efficiency compared to the classical methods of regulation. However, the VFD originates conditions that degrade the quality of the electric power supplied to the system and therefore its efficiency, due to the nonlinearity and presence of harmonic currents. It was possible to analyze the power quality, ensuring that the information that comes to the industry is generally biased.

  3. Light quality and efficiency of consumer grade solid state lighting products

    DEFF Research Database (Denmark)

    Dam-Hansen, Carsten; Corell, Dennis Dan; Thorseth, Anders

    2013-01-01

    The rapid development in flux and efficiency of Light Emitting Diodes (LED) has resulted in a flooding of the lighting market with Solid State Lighting (SSL) products. Many traditional light sources can advantageously be replaced by SSL products. There are, however, large variations in the quality...

  4. The consumer quality index (CQ-index in an accident and emergency department: development and first evaluation

    Directory of Open Access Journals (Sweden)

    Bos Nanne

    2012-08-01

    Full Text Available Abstract Background Assessment of patients’ views are essential to provide a patient-centred health service and to evaluating quality of care. As no standardized and validated system for measuring patients’ experiences in accident and emergency departments existed, we have developed the Consumer Quality index for the accident and emergency department (CQI A&E. Methods Qualitative research has been undertaken to determine the content validity of the CQI A&E. In order to assess psychometric characteristics an 84-item questionnaire was sent to 653 patients who had attended a large A&E in the Netherlands. Also, fifty importance questions were added to determine relevance of the questions and for future calculations of improvement scores. Exploratory factor analysis was applied to detect the domains of the questionnaire. Results Survey data of 304 (47% patients were used for the analysis. The first exploratory factor analysis resulted in three domains based on 13 items: ‘Attitude of the healthcare professionals’, ‘Environment and impression of the A&E’ and ‘Respect for and explanation to the patient’. The first two had an acceptable internal consistency. The second analysis, included 24 items grouped into 5 domains: ‘Attitude of the healthcare professionals’, ‘Information and explanation’, ‘Environment of the A&E’,’Leaving the A&E’ and ‘General information and rapidity of care’. All factors were internal consistent. According to the patients, the three most important aspects in healthcare performance in the A&E were: trust in the competence of the healthcare professionals, hygiene in the A&E and patients’ health care expectations. In general, the highest improvement scores concerned patient information. Conclusions The Consumer Quality index for the accident and emergency department measures patients’ experiences of A&E healthcare performance. Preliminary psychometric characteristics are sufficient to justify

  5. Production and processing studies on calpain-system gene markers for beef tenderness: consumer assessments of eating quality.

    Science.gov (United States)

    Robinson, D L; Cafe, L M; McIntyre, B L; Geesink, G H; Barendse, W; Pethick, D W; Thompson, J M; Polkinghorne, R; Greenwood, P L

    2012-08-01

    We investigated the effects of calpain-system genetic markers on consumer beef quality ratings, including interactions of marker effects with hormonal growth promotant (HGP) use and tenderstretch hanging. Brahman cattle in New South Wales (NSW; n = 164) and Western Australia (WA; n = 141) were selected at weaning from commercial and research herds to achieve balance and divergence in calpastatin (CAST) and calpain 3 (CAPN3) gene marker status. Genotypes for μ-calpain (CAPN1-4751 and CAPN1-316) were also determined. Angus cattle (49 in NSW, 17 in WA) with favorable CAST and CAPN3 alleles, balanced for CAPN1-316 status, were also studied. Half the cattle at each site had HGP (Revalor-H, containing 200 mg trenbolone acetate and 20 mg 17β-estradiol) implants during grain finishing. One side of each carcass was suspended from the Achilles tendon (AT) and the other from the pelvis [tenderstretch (TS)]. Meat Standards Australia consumer panels scored 7-d aged striploin steaks from both AT and TS sides, and 7-d aged rump and oyster blade steaks from the AT side of each carcass. Two favorable CAST alleles increased tenderness ratings of AT-striploin, TS-striploin, rump, and oyster blade steaks by, respectively, 6.1, 4.2, 4.2, and 3.1 units, and overall liking by 4.7, 2.8, 2.9, 3.7 (all P Brahman steaks from the same location with the same marker alleles had similar scores. In contrast, NSW Angus striploin steaks scored about 15 units greater for tenderness and overall liking (P < 0.001) than cattle with the same marker alleles at the other 3 location × breed combinations, which had generally similar scores. Therefore, calpain-system gene markers have beneficial effects on eating quality, consistent with our previous findings for objective meat quality.

  6. Development of Quality Management System in a Transport Company by Evaluating Consumers Needs

    Directory of Open Access Journals (Sweden)

    Indrė Sprogytė

    2014-04-01

    Full Text Available The aim of each company is an efficient use of resources andimproving its services. In order to increase the company’s profitabilityand competitiveness, special attention must be paid toconsumers. The customers’ behavior and needs must be analysedto effectively create mutual benefits. Each transport companyseeks to introduce and successfully implement quality managementsystems. Therefore customer‘s needs must be examined.This analysis reveals which business processes of the companymust be improved, facilitates the improvement of those processes.Thus, it allows a company to ensure customer satisfaction andthe efficiency of processes while reducing all errors, saving costin the future. The main goal of this article is to analyse how theconsumers‘ needs determine the creation of a quality managementsystem in transport companies. The research methods used:scientific literature analysis, the questionnaire of the target group.

  7. Understanding quality: a guide for developers and consumers of public health emergency preparedness trainings.

    Science.gov (United States)

    Hites, Lisle; Altschuld, James

    2010-01-01

    The work described in this article represents two years of collaboration among 32 evaluators from 23 schools of public health involved in the Centers for Disease Control and Prevention's Centers for Public Health Preparedness program. Evaluators in public health emergency preparedness (PHEP) training were tasked with identifying what constitutes quality in PHEP training and providing guidance to practitioners in selecting training packages. The results of their deliberations included development and selection of guidelines for a high-quality course, a justification of the guidelines, and a Training Selection System (TSS) to assist in analyzing extant trainings. In this article, we present the TSS (along with explanatory notes for each of its sections), preliminary feedback from practitioners, and a discussion of next steps.

  8. Understanding Quality: A Guide for Developers and Consumers of Public Health Emergency Preparedness Trainings

    OpenAIRE

    Hites, Lisle; Altschuld, James

    2010-01-01

    The work described in this article represents two years of collaboration among 32 evaluators from 23 schools of public health involved in the Centers for Disease Control and Prevention's Centers for Public Health Preparedness program. Evaluators in public health emergency preparedness (PHEP) training were tasked with identifying what constitutes quality in PHEP training and providing guidance to practitioners in selecting training packages. The results of their deliberations included developm...

  9. Into beef consumers' mind

    DEFF Research Database (Denmark)

    de Barcellos, Marcia Dutra; Brei, Vinicius A.

    The objectives of this survey were to identify consumers' anticipated emotions, degree of involvement, attitude, and concerns in beef consumption. Data collection was carried out in 2005-2006 in Brazil, Australia and in the Netherlands 816 complete questionnaires were obtained. The results...... of involvement with beef consumption. Fulfillment and pleasantness were found to be positive emotions expected in special beef consumption situations. Relevant multicultural data were obtained. Segmented marketing campaigns and sales efforts can be market-driven towards consumers' needs and expectations....... indicated similarities amongst Brazilian and Australian consumers regarding their positive attitude towards beef and main concerns regarding its consumption. Dutch consumers, although presented negative attitudes, considered beef consumption as important. In general respondents presented a high degree...

  10. Health risks encountered by Dutch medical students during an elective in the tropics and the quality and comprehensiveness of pre-and post-travel care

    Directory of Open Access Journals (Sweden)

    Vandenbroucke Jan P

    2010-12-01

    Full Text Available Abstract Background Clinical and research electives abroad offer medical students many unique experiences. However, participating in an unfamiliar health-care setting combined with limited medical experience may place students at risk of illness. To improve pre-and post-travel care, we assessed the health risks and the quality and comprehensiveness of pre-and post-travel care in a cohort of Dutch medical students returning form an elective abroad. Methods All medical students who had performed an elective in the tropics between July 2006 and December 2008 were sent an informative email asking them to complete a web-based questionnaire. Results 180 of 242 (74% students completed the questionnaire. Regarding the risk of bloodborne viral infection: 67% of all students and 32% of junior students engaged in procedures that constitute a risk of exposure to bloodborne viral infection, often in countries with high HIV prevalence rates. None of nine students who experienced possible or certain mucosal or percutaneous exposure to potentially infectious body fluids reported the exposure at the time it occurred and none used PEP. Regarding other health risks: 8 of 40 (20% students stopped using mefloquine due to adverse effects. This left a sizeable proportion unprotected in countries that are hyperendemic for malaria. Post-travel screening for schistosomiasis, tuberculosis (tuberculin skin test and carriage of methicillin-resistant Staphylococcus aureus (MRSA encompassed approximately half of all students who should have been screened. Conclusions Based on the results of this study we have adopted an integral set of measures to reduce the health risks associated with an elective abroad. The pre and post-travel consult has been centralized and standardized as well as the distribution of PEP. In addition we have developed a mandatory module on Global Health for all medical students planning an elective abroad.

  11. Design methodology of Dutch banknotes

    Science.gov (United States)

    de Heij, Hans A. M.

    2000-04-01

    Since the introduction of a design methodology for Dutch banknotes, the quality of Dutch paper currency has improved in more than one way. The methodology is question provides for (i) a design policy, which helps fix clear objectives; (ii) design management, to ensure a smooth cooperation between the graphic designer, printer, papermaker an central bank, (iii) a program of requirements, a banknote development guideline for all parties involved. This systematic approach enables an objective selection of design proposals, including security features. Furthermore, the project manager obtains regular feedback from the public by conducting market surveys. Each new design of a Netherlands Guilder banknote issued by the Nederlandsche Bank of the past 50 years has been an improvement on its predecessor in terms of value recognition, security and durability.

  12. The bacteriological quality of different brands of bottled water available to consumers in Ile-Ife, south-western Nigeria.

    Science.gov (United States)

    Igbeneghu, Oluwatoyin A; Lamikanra, Adebayo

    2014-11-28

    The upsurge in the demand for bottled water has prompted the interest of many manufacturers in the production of bottled water and very many water bottling companies are therefore involved in its production. These range from large scale multinational companies to medium scale business enterprises, institutional and government business investment companies as well as small scale entrepreneurs. There is however little information on the comparative quality of bottled water brands produced by different classes of water bottling companies in Nigeria. This study was undertaken to determine the bacteriological quality of brands of bottled water available to consumers in Ile-Ife. Forty-three samples of bottled water comprising of three batches each of thirteen bottled water brands and two batches of two brands were purchased and analyzed for total bacterial count, presence of coliform and the presence of other bacterial indicators of drinking water quality. Only 67.4% of the water samples representing the products of 10 companies or 66.7% of the brands had heterotrophic counts within the acceptable limits. Coliforms present in 100 ml of water were detected in 26.7% of the bottled water brands. Other indicator organisms detected included Staphylococci isolated from 27.9% of the samples (33.3% of the brands) and specifically Staphylococcus aureus found in four brands constituting 14% of the samples. Pseudomonas strains were consistently detected in consecutive batches of three brands of the water samples. Bottled water samples produced by the large scale multinational producers were of acceptable bacteriological quality unlike those produced by most small companies. There is need for a greater control of water bottling processes carried out by commercial bottled water producers in Nigeria.

  13. Modelisation of consumer health information in a quality-controlled gateway.

    Science.gov (United States)

    Soualmia, Lina F; Darmoni, Stéfan J; Douyère, Magaly; Thirion, Benoît

    2003-01-01

    The amount of health data accessible on the Web is increasing and Internet has become a major source of health information. Many tools and search engines are available but medical information retrieval remains difficult for both the health professional and the patients. In this paper we describe CISMeF-patients. It is a sub-part of CISMeF, a structured quality-controlled subject gateway. CISMeF-patients has been designed for the patients, their families and the general public who are often unfamiliar with the medical domain and the medical vocabulary. The resources included in CISMeF-patients are described using the Dublin Core metadata format. To index them, CISMeF-patients and CISMeF share the same terminology, which 'encapsulates' the MeSH thesaurus with a layer of synonyms. Unlike Medline-plus and Medline, sharing the same terminology allows to a CISMeF-patients end-user the possibility to extend his query to the CISMeF catalogue (e.g. for searching teaching resources or clinical guidelines).

  14. A Developing Model Of Relationship Among Service Quality, Consumer Satisfaction, Loyalty and Word of Mouth In Islamic Banking

    Directory of Open Access Journals (Sweden)

    Suryani Suryani

    2015-03-01

    Full Text Available This  research  aims  to  develop  a  measurement  tool  of  service  quality  in  Islamic banking sector, and examine its relationship among satisfaction, word of mouth (WOM,  and  consumer  loyalty.  A  convenience  sampling  of  235  respondents collected  from  seven  locations  in  the  Lhokseumawe,  Aceh.  Partial  least  square -structural equation modeling- (PLS-SEM was used to test the research hypotheses. The results revealed that the quality of service has four dimensions, they are: service portfolio and assurance/SPA, tangibles/TAN, reliability of communication/COM, and Islamic values/IVA. The PLS-SEM results suggest that SPA and COM are dominant factors affecting satisfaction, and satisfaction were significantly related to WOM and loyalty. Loyalty also positively and significantly related to WOM.DOI:10.15408/aiq.v7i1.1357

  15. Quality characteristics of Dutch-style fermented sausages manufactured with partial replacement of pork back-fat with pure, pre-emulsified or encapsulated fish oil

    NARCIS (Netherlands)

    Josquin, N.M.; Linssen, J.P.H.; Houben, J.H.

    2012-01-01

    Dutch-style fermented sausages were manufactured with 15% and 30% pork back-fat substitution by pure or commercial encapsulated fish oil, either added as such or as pre-emulsified mixture with soy protein isolate. Adding commercial encapsulated fish oil was the most important factor influencing the

  16. Exploring Normalized Systems Potential for Dutch MoD’s Agility: A Proof of Concept on Flexibility, Time-to-market, Productivity and Quality

    NARCIS (Netherlands)

    Op 't Land, M.; Krouwel, M.R.; Van Dipten, E.G.; Verelst, J.

    2011-01-01

    Both the Command and Control Support Centre (C2SC) of the Dutch Ministry of Defense, and Capgemini are constantly exploring better ways of building and maintaining information systems which ef- fectively support strategy and operations of an enterprise. In a Proof of Concept conducted in March and A

  17. Exploring Normalized Systems Potential for Dutch MoD’s Agility: A Proof of Concept on Flexibility, Time-to-market, Productivity and Quality

    NARCIS (Netherlands)

    Op 't Land, M.; Krouwel, M.R.; Van Dipten, E.G.; Verelst, J.

    2011-01-01

    Both the Command and Control Support Centre (C2SC) of the Dutch Ministry of Defense, and Capgemini are constantly exploring better ways of building and maintaining information systems which ef- fectively support strategy and operations of an enterprise. In a Proof of Concept conducted in March and

  18. Exploring Normalized Systems Potential for Dutch MoD’s Agility: A Proof of Concept on Flexibility, Time-to-market, Productivity and Quality

    NARCIS (Netherlands)

    Op 't Land, M.; Krouwel, M.R.; Van Dipten, E.G.; Verelst, J.

    2011-01-01

    Both the Command and Control Support Centre (C2SC) of the Dutch Ministry of Defense, and Capgemini are constantly exploring better ways of building and maintaining information systems which ef- fectively support strategy and operations of an enterprise. In a Proof of Concept conducted in March and A

  19. Biotechnology: A Dutch perspective

    NARCIS (Netherlands)

    Van Apeldoorn, J.H.F.

    1981-01-01

    Biotechnology: a Dutch Perspective assesses the future potential of biotechnology in the Netherlands. It has been published in English because it is felt that the Dutch case could be of relevance to other industrialised nations. Although the report is aimed primarily at policy planners and decision

  20. 'Burnout' among Dutch midwives.

    NARCIS (Netherlands)

    Bakker, R.H.C.; Groenewegen, P.P.; Jabaaij, L.; Meijer, W.; Sixma, H.; Veer, A. de

    1996-01-01

    OBJECTIVE: to determine the effect of workload on 'burnout' having considered work capacity. DESIGN: cross-sectional study. SETTING: Dutch community midwives in independent practice. PARTICIPANTS: 200 Dutch community midwives. MEASUREMENTS: three-week diary recordings, a questionnaire on practice an

  1. Biotechnology: A Dutch perspective

    NARCIS (Netherlands)

    Van Apeldoorn, J.H.F.

    1981-01-01

    Biotechnology: a Dutch Perspective assesses the future potential of biotechnology in the Netherlands. It has been published in English because it is felt that the Dutch case could be of relevance to other industrialised nations. Although the report is aimed primarily at policy planners and decision

  2. A comparison of consumer sensory acceptance, purchase intention, and willingness to pay for high quality United States and Spanish beef under different information scenarios.

    Science.gov (United States)

    Beriain, M J; Sánchez, M; Carr, T R

    2009-10-01

    Tests were performed to identify variation across consumer evaluation ratings for 2 types of beef (Spanish yearling bull beef and US Choice and Prime beef), using 3 information levels (blind scores; muscle fat content + production conditions; and all production data including geographical origin) and 3 consumer evaluation ratings (hedonic rating, willingness to pay, and purchase intention). Further testing was carried out to assess the extent to which expert evaluations converged with those of untrained consumers. Taste panel tests involving 290 consumers were conducted in Navarra, a region in northern Spain. The beef samples were 20 loins of Pyrenean breed yearling bulls that had been born and raised on private farms located in this Spanish region and 20 strip loins from high quality US beef that ranged from high Choice to average Prime US quality grades. The Spanish beef were slaughtered at 507 +/- 51 kg of BW and 366 +/- 23 d of age. The US beef proved more acceptable to consumers and received greater ratings from the trained panel, with greater scores for juiciness (3.33), tenderness (3.33), flavor (3.46), and fat content (5.83) than for Spanish beef (2.77, 2.70, 3.14, 1.17). The differences in sensory variable rating were more pronounced for the Spanish beef than for the US beef, always increasing with the level of information. The variation in the ratings across different information levels was statistically significant in the case of the Spanish beef, whereas the variation observed in the ratings of the US beef was highly significant in the willingness of consumers to pay a premium. Consumers who appreciated greater quality were also more willing to pay for the additional level of quality.

  3. Effect of salts of organic acids on Listeria monocytogenes, shelf life, meat quality, and consumer acceptability of beef frankfurters.

    Science.gov (United States)

    Morey, Amit; Bowers, Jordan W J; Bauermeister, Laura J; Singh, Manpreet; Huang, Tung-Shi; McKee, Shelly R

    2014-01-01

    The objective of this study was to evaluate anti-listerial efficacy of salts of organic acids, and their impact on the quality of frankfurters. Beef frankfurters were manufactured by incorporating organic acids in 5 different combinations: (1) control (no marinade addition; C); (2) sodium lactate (2% wt/wt; SL); (3) potassium lactate (2% wt/wt; PL); (4) sodium citrate (0.75% wt/wt; SC); and (5) sodium lactate (2% wt/wt)/sodium diacetate (0.25% wt/wt; SL/SD). Cooked frankfurters were inoculated with streptomycin-resistant (1500 μg/mL) L. monocytogenes (7 log₁₀ CFU/frank). Inoculated and noninoculated frankfurters were vacuum packaged and stored at 4 °C. Samples were taken weekly up to 10 wk for estimation of L. monocytogenes as well as aerobic plate count (APC) and psychrotrophs (PSY), respectively. Total of 2 independent trials of the entire experiment were conducted. Noninoculated beef frankfurters were evaluated weekly by untrained sensory panelists for 7 wk. SL, PL, and SC treatments did not (P > 0.05) adversely affect consumer acceptability through 8 wk although, SL/SD treatment was significantly (P ≤ 0.05) less preferred across all sensory attributes. SL/SD treatment negatively affected product quality, but was able to control APC, PSY, and L. monocytogenes levels. SC performed similar to the control throughout the 8, 9, and 10 wk storage periods, providing no benefit for inhibiting L. monocytogenes (increasing from 7 logs CFU/frank to 10 logs CFU/frank throughout storage) or extending shelf life of the beef frankfurters. In conclusion, 2% SL and PL, and 2% SL/0.25% SD may be effective L. monocytogenes inhibitors (maintaining inoculation levels of 7 logs CFU/frank during storage), but changes in SL/SD treatment formulation should be studied to improve product quality.

  4. Preferred providers and the credible commitment problem in health insurance: first experiences with the implementation of managed competition in the Dutch health care system.

    Science.gov (United States)

    Boonen, Lieke H H M; Schut, Frederik T

    2011-04-01

    We investigate the impact of the transition towards managed competition in the Dutch health care system on health insurers' contracting behaviour. Specifically, we examine whether insurers have been able to take up their role as prudent buyers of care and examine consumers' attitudes towards insurers' new role. Health insurers' contracting behaviour is investigated by an extensive analysis of available information on purchasing practices by health insurers and by interviews with directors of health care purchasing of the four major health insurers, accounting for 90% of the market. Consumer attitudes towards insurers' new role are investigated by surveys among a representative sample of enrollees over the period 2005-2009. During the first four years of the reform, health insurers were very reluctant to engage in selective contracting and preferred to use 'soft' positive incentives to encourage preferred provider choice rather than engaging in restrictive managed care activities. Consumer attitudes towards channelling vary considerably by type of provider but generally became more negative in the first two years after the reform. Insurers' reluctance to use selective contracting can be at least partly explained by the presence of a credible-commitment problem. Consumers do not trust that insurers with restrictive networks are committed to provide good quality care. The credible-commitment problem seems to be particularly relevant to the Netherlands, since Dutch enrollees are not used to restrictions on provider choice. Since consumers are quite sensitive to differences in provider quality, more reliable information about provider quality is required to reduce the credible-commitment problem.

  5. Social media sentiment and consumer confidence

    OpenAIRE

    Piet J.H. Daas; Puts, Marco J.H.

    2014-01-01

    Changes in the sentiment of Dutch public social media messages were compared with changes in monthly consumer confidence over a period of three-and-a-half years, revealing that both were highly correlated (up to r = 0.9) and that both series cointegrated. This phenomenon is predominantly affected by changes in the sentiment of all Dutch public Facebook messages. The inclusion of various selections of public Twitter messages improved this association and the response to changes in sentiment. G...

  6. A Decision-Making Model for Deterring Food Vendors from Selling Harmless Low-Quality Foods as High-Quality Foods to Consumers

    Directory of Open Access Journals (Sweden)

    Po-Yu Chen

    2017-01-01

    Full Text Available For certain types of foods, food vendors often label low-quality foods that are harmless to human health as foods of excellent quality and sell these falsely labeled products to consumers. Because this type of food poses no harm to human health, when public health units discover their act of false labeling or food adulteration, vendors are only penalized with a fine rather than having them assume criminal liability. Upon discovering vendors act of falsely labeling food, public health units typically punish the involved parties according to the extent of false labeling. Such static protective measure is ineffective. Instead, the extent of punishment should be based not only on the extent of false labeling, but also on the frequency of food sampling as well as the number of samples obtained for food inspections. Only through this dynamic approach can food adulteration or false labeling be effectively prevented. Adopting the standpoint of the public sector in food safety management, this study developed a mathematical model that facilitates discussion on the aforementioned problems. Furthermore, we discussed how the supply-demand environmental factors of the food market are influenced by the administrative means that the public health units have used to prevent food false labeling.

  7. Nutrient Intake, Diet Quality, and Weight Measures in Breakfast Patterns Consumed by Children Compared with Breakfast Skippers: NHANES 2001-2008

    OpenAIRE

    Carol E. O'Neil; Nicklas, Theresa A; Fulgoni III, Victor L.

    2015-01-01

    Most studies showing that children consuming breakfast have better nutrient intakes, diet quality, and lower weight than breakfast skippers have the incorrect premise that breakfast meals are homogeneous. The purpose of this study was to classify breakfast meals into patterns and determine the association of the breakfast patterns with daily and breakfast nutrient intakes, diet quality, and weight. Data from children (2-18 years of age; N = 14,200) participating in the National Health and ...

  8. Quality controlled logistics in vegetable supply chain networks: how can an individual batch reach an individual consumer in hte optimal state?

    NARCIS (Netherlands)

    Schouten, R.E.; Kooten, van O.; Vorst, van der J.G.A.J.; Marcelis, W.J.; Luning, P.A.

    2012-01-01

    Western-European consumers have become demanding on product availability in retail outlets and vegetable attributes such as quality, integrity, safety. When (re)designing vegetable supply chain networks one has to take these demands into consideration, next to traditional efficiency and responsivene

  9. The Dutch surgical colorectal audit.

    Science.gov (United States)

    Van Leersum, N J; Snijders, H S; Henneman, D; Kolfschoten, N E; Gooiker, G A; ten Berge, M G; Eddes, E H; Wouters, M W J M; Tollenaar, R A E M; Bemelman, W A; van Dam, R M; Elferink, M A; Karsten, Th M; van Krieken, J H J M; Lemmens, V E P P; Rutten, H J T; Manusama, E R; van de Velde, C J H; Meijerink, W J H J; Wiggers, Th; van der Harst, E; Dekker, J W T; Boerma, D

    2013-10-01

    In 2009, the nationwide Dutch Surgical Colorectal Audit (DSCA) was initiated by the Association of Surgeons of the Netherlands (ASN) to monitor, evaluate and improve colorectal cancer care. The DSCA is currently widely used as a blueprint for the initiation of other audits, coordinated by the Dutch Institute for Clinical Auditing (DICA). This article illustrates key elements of the DSCA and results of three years of auditing. Key elements include: a leading role of the professional association with integration of the audit in the national quality assurance policy; web-based registration by medical specialists; weekly updated online feedback to participants; annual external data verification with other data sources; improvement projects. In two years, all Dutch hospitals participated in the audit. Case-ascertainment was 92% in 2010 and 95% in 2011. External data verification by comparison with the Netherlands Cancer Registry (NCR) showed high concordance of data items. Within three years, guideline compliance for diagnostics, preoperative multidisciplinary meetings and standardised reporting increased; complication-, re-intervention and postoperative mortality rates decreased significantly. The success of the DSCA is the result of effective surgical collaboration. The leading role of the ASN in conducting the audit resulted in full participation of all colorectal surgeons in the Netherlands. By integrating the audit into the ASNs' quality assurance policy, it could be used to set national quality standards. Future challenges include reduction of administrative burden; expansion to a multidisciplinary registration; and addition of financial information and patient reported outcomes to the audit data. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Influence of Product Perception and Quality Label Valuation on Consumer Decision. The Case of Beef in Italy and Spain

    OpenAIRE

    Barrena Figueroa, Ramo; Sanchez Garcia, Mercedes; Rosa, Franco

    2005-01-01

    The consumer perception of the relation between food and health is increased his importance. This situation generates business opportunities, when his effect is positive (for example "functional food"), or limitations or reductions in the markets (for example "food with risk perception"). This paper trait to present the relation between consumer perception of 1) intrinsic and extrinsic product attributes and 2) the influenced aspects on the label valuation on the product confidence and consum...

  11. Consumer Identity

    OpenAIRE

    Young, Melissa Marie

    2009-01-01

    The purpose of this thesis is to prove that despite consumers' impression that they are alone in deciding their consumption decision they are wrong. Consumers are manipulated on various levels by marketers. It is the marketer who decides what consumer identities should be created. Consumers are persuaded by marketers on different levels beginning with consumers' needs. Marketers begin by appealing to consumer drives, motivations and emotions to persuade their consumers to purchase their brand...

  12. The Dutch archival act and harmonisation

    NARCIS (Netherlands)

    Havermans, J.B.G.A.

    2010-01-01

    ln 1993, the first document on indoor air quality parameters was presented to improve the storage conditions for archival records. Since 1995, these recommendations were included in the Dutch Archival Act. The conditions were based on international and national studies, presented by Vosteen for the

  13. Introducing gaming simulation in the Dutch railways

    NARCIS (Netherlands)

    Meijer, S.

    2012-01-01

    Innovation in the Dutch railways in the domain of capacity management and traffic control is increasingly difficult to implement because of the large interconnectedness of all processes and separation into different institutions and organizations. Meanwhile there is a push for quality improvements l

  14. Balance in competition in Dutch soccer

    NARCIS (Netherlands)

    Koning, Ruud H.

    2000-01-01

    In this paper, we estimate an ordered probit model for soccer results in The Netherlands. The result of a game is assumed to be determined by home advantage and quality differences of the opposing teams. The parameters of the model are used to assess whether competitive balance in Dutch professional

  15. Balance in competition in Dutch soccer

    NARCIS (Netherlands)

    Koning, Ruud H.

    2000-01-01

    In this paper, we estimate an ordered probit model for soccer results in The Netherlands. The result of a game is assumed to be determined by home advantage and quality differences of the opposing teams. The parameters of the model are used to assess whether competitive balance in Dutch professional

  16. Is Anyone Paying Attention to Physician Report Cards? The Impact of Increased Availability on Consumers' Awareness and Use of Physician Quality Information.

    Science.gov (United States)

    Shi, Yunfeng; Scanlon, Dennis P; Bhandari, Neeraj; Christianson, Jon B

    2017-08-01

    To determine if the release of health care report cards focused on physician practice quality measures leads to changes in consumers' awareness and use of this information. Data from two rounds of a survey of the chronically ill adult population conducted in 14 regions across the United States, combined with longitudinal information from a public reporting tracking database. Both data were collected as part of the evaluation for Aligning Forces for Quality, a nationwide quality improvement initiative funded by the Robert Wood Johnson Foundation. Using a longitudinal design and an individual-level fixed effects modeling approach, we estimated the impact of community public reporting efforts, measured by the availability and applicability of physician quality reports, on consumers' awareness and use of physician quality information (PQI). The baseline level of awareness was 12.6 percent in our study sample, drawn from the general population of chronically ill adults. Among those who were not aware of PQI at the baseline, when PQI became available in their communities for the first time, along with quality measures that are applicable to their specific chronic conditions, the likelihood of PQI awareness increased by 3.8 percentage points. For the same group, we also find similar increases in the uses of PQI linked to newly available physician report cards, although the magnitudes are smaller, between 2 and 3 percentage points. Specific contents of physician report cards can be an important factor in consumers' awareness and use of PQI. Policies to improve awareness and use of PQI may consider how to customize quality report cards and target specific groups of consumers in dissemination. © Health Research and Educational Trust.

  17. Using the Consumer Experience with Pharmacy Services Survey as a quality metric for ambulatory care pharmacies: older adults' perspectives.

    Science.gov (United States)

    Shiyanbola, Olayinka O; Mott, David A; Croes, Kenneth D

    2016-05-26

    To describe older adults' perceptions of evaluating and comparing pharmacies based on the Consumer Experience with Pharmacy Services Survey (CEPSS), describe older adults' perceived importance of the CEPSS and its specific domains, and explore older adults' perceptions of the influence of specific CEPSS domains in choosing/switching pharmacies. Focus group methodology was combined with the administration of a questionnaire. The focus groups explored participants' perceived importance of the CEPSS and their perception of using the CEPSS to choose and/or switch pharmacies. Then, using the questionnaire, participants rated their perceived importance of each CEPSS domain in evaluating a pharmacy, and the likelihood of using CEPSS to switch pharmacies if their current pharmacy had low ratings. Descriptive and thematic analyses were done. 6 semistructured focus groups were conducted in a private meeting room in a Mid-Western state in the USA. 60 English-speaking adults who were at least 65 years, and had filled a prescription at a retail pharmacy within 90 days. During the focus groups, the older adults perceived the CEPSS to have advantages and disadvantages in evaluating and comparing pharmacies. Older adults thought the CEPSS was important in choosing the best pharmacies and avoiding the worst pharmacies. The perceived influence of the CEPSS in switching pharmacies varied depending on the older adult's personal experience or trust of other consumers' experience. Questionnaire results showed that participants perceived health/medication-focused communication as very important or extremely important (n=47, 82.5%) in evaluating pharmacies and would be extremely likely (n=21, 36.8%) to switch pharmacies if their pharmacy had low ratings in this domain. The older adults in this study are interested in using patient experiences as a quality metric for avoiding the worst pharmacies. Pharmacists' communication about health and medicines is perceived important and likely

  18. Consumption of caffeinated beverages and the awareness of their caffeine content among Dutch students

    NARCIS (Netherlands)

    Mackus, Marlou; van de Loo, Aurora J A E; Benson, Sarah; Scholey, Andrew; Verster, Joris C

    2016-01-01

    The purpose of the current study was to examine the knowledge of caffeine content of a variety of caffeinated beverages among Dutch university students. A pencil-and-paper survey was conducted among N = 800 Dutch students. Most participants (87.8%) reported consuming caffeinated beverages during the

  19. Consumption of caffeinated beverages and the awareness of their caffeine content among Dutch students

    NARCIS (Netherlands)

    Mackus, Marlou; van de Loo, Aurora J A E; Benson, Sarah; Scholey, Andrew; Verster, Joris C

    2016-01-01

    The purpose of the current study was to examine the knowledge of caffeine content of a variety of caffeinated beverages among Dutch university students. A pencil-and-paper survey was conducted among N = 800 Dutch students. Most participants (87.8%) reported consuming caffeinated beverages during the

  20. MOOC Introduction to Dutch

    NARCIS (Netherlands)

    den Hollander, Franciscus; Piersma, Kristien

    2015-01-01

    Interview met Margriet Hidding, Birgit Lijmbach en Jeroen van Engen, medewerkers van het Talencentrum en de makers van de Massive Open Online Course (MOOC) Introduction to Dutch over het grote succes van deze cursus

  1. The importance of quality, access and price to health care consumers in Bulgaria: A self-explicated approach'

    NARCIS (Netherlands)

    Pavlova, M.; Groot, W.J.N.; van Merode, F.

    2003-01-01

    One approach to the problem of low patient satisfaction in Bulgaria is to identify attributes of health care services that the consumers value most and to focus on their improvement. Based on data from a household survey, this paper examines the importance that health care consumers attach to qualit

  2. The importance of quality, access and price to health care consumers in Bulgaria: A self-explicated approach'

    NARCIS (Netherlands)

    Pavlova, M.; Groot, W.J.N.; van Merode, F.

    2003-01-01

    One approach to the problem of low patient satisfaction in Bulgaria is to identify attributes of health care services that the consumers value most and to focus on their improvement. Based on data from a household survey, this paper examines the importance that health care consumers attach to

  3. PERCEPTIONs OF RESTAURANT MANAGERS ABOUT THE QUALITY OF PRODUCTS AND SERVICES OFFERED TO CONSUMERS. CASE STUDY: THE CITY OF BRAȘOV.

    Directory of Open Access Journals (Sweden)

    Andreea-Nicoleta NEACŞU

    2012-06-01

    Full Text Available The present economic crisis has had a powerful impact on the restaurants in the city of Brașov, which have confronted themselves in the past years both with a decrease in the number of consumers, and with a reduction in the consumption of products and public food services. In this context, this survey aims to analyze the perceptions of the restaurant managers in the city of Brașov regarding the quality of products and services they offer to the consumers, by using, in this sense, one of the techniques that are specific to qualitative research that is the semi - directive in - depth interview method.

  4. Nutrient Intake, Diet Quality, and Weight Measures in Breakfast Patterns Consumed by Children Compared with Breakfast Skippers: NHANES 2001-2008

    Directory of Open Access Journals (Sweden)

    Carol E. O'Neil

    2015-08-01

    Full Text Available Most studies showing that children consuming breakfast have better nutrient intakes, diet quality, and lower weight than breakfast skippers have the incorrect premise that breakfast meals are homogeneous. The purpose of this study was to classify breakfast meals into patterns and determine the association of the breakfast patterns with daily and breakfast nutrient intakes, diet quality, and weight. Data from children (2-18 years of age; N = 14,200 participating in the National Health and Nutrition Examination Survey 2001-2008 were used. Intake was determined from one day 24-hour dietary recalls. Diet quality was measured using the Healthy Eating Index-2005 (HEI-2005. Body mass index (BMI z-scores were determined. Twelve patterns (including No Breakfast [~19% of population], explaining 63% of the variance in energy from breakfast, were examined. Covariate adjusted general linear models were used to compare outcome variables of consumers of different patterns with breakfast skippers. The p value was Bonferroni corrected (< 0.05/12 = < 0.0042. Consumers of the Eggs/Grain/Meat, Poultry, Fish (MPF/Fruit Juice (FJ and MPF/Grain/FJ patterns showed higher daily intakes of saturated fats, solid fats, and sodium and lower daily intakes of added sugars than breakfast skippers. Consumers of most breakfast patterns showed higher daily intakes of some nutrients of public health concern (dietary fiber, vitamin D, calcium, and potassium; however, those consuming the Grain or MPF/Grain/FJ pattern did not. Consumers of the Grain/Lower Fat Milk (LFM/Sweets/FJ, Presweetened (PS Ready-to-eat Cereal (RTEC/LFM, RTEC/LFM, Cooked Cereal/Milk/FJ, and Whole Fruit patterns had higher total HEI-2005 scores than breakfast skippers; those consuming the MPF/Grain/FJ pattern had lower diet quality than breakfast skippers. Consumption of the Grain/LFM/Sweets/FJ, PSRTEC/whole milk, Soft Drinks/FJ/Grain/Potatoes, RTEC/whole milk, and Cooked Cereal/Milk/FJ patterns was associated

  5. CONSUMER BEHAVIOR

    Directory of Open Access Journals (Sweden)

    Ilie BUDICA

    2010-03-01

    Full Text Available The study of consumers helps firms and organizations improve their marketing strategies by understanding issues such as: the psychology of how consumers think, feel, reason, and select between different alternatives; the psychology of how the consumer is influenced by his or her environment; the behavior of consumers while shopping or making other marketing decisions; limitations in consumer knowledge or information processing abilities influence decisions and marketing outcome; how consumer motivation and decision strategies differ between products that differ in their level of importance or interest that they entail for the consumer; and how marketers can adapt and improve their marketing campaigns and marketing strategies to more effectively reach the consumer.

  6. Participation and coordination in Dutch health care policy-making. A network analysis of the system of intermediate organizations in Dutch health care.

    Science.gov (United States)

    Lamping, Antonie J; Raab, Jörg; Kenis, Patrick

    2013-06-01

    This study explores the system of intermediate organizations in Dutch health care as the crucial system to understand health care policy-making in the Netherlands. We argue that the Dutch health care system can be understood as a system consisting of distinct but inter-related policy domains. In this study, we analyze four such policy domains: Finances, quality of care, manpower planning and pharmaceuticals. With the help of network analytic techniques, we describe how this highly differentiated system of >200 intermediate organizations is structured and coordinated and what (policy) consequences can be observed with regard to its particular structure and coordination mechanisms. We further analyze the extent to which this system of intermediate organizations enables participation of stakeholders in policy-making using network visualization tools. The results indicate that coordination between the different policy domains within the health care sector takes place not as one would expect through governmental agencies, but through representative organizations such as the representative organizations of the (general) hospitals, the health care consumers and the employers' association. We further conclude that the system allows as well as denies a large number of potential participants access to the policy-making process. As a consequence, the representation of interests is not necessarily balanced, which in turn affects health care policy. We find that the interests of the Dutch health care consumers are well accommodated with the national umbrella organization NPCF in the lead. However, this is no safeguard for the overall community values of good health care since, for example, the interests of the public health sector are likely to be marginalized.

  7. The Dutch health insurance reform: switching between insurers, a comparison between the general population and the chronically ill and disabled

    Directory of Open Access Journals (Sweden)

    Groenewegen Peter P

    2008-03-01

    Full Text Available Abstract Background On 1 January 2006 a number of far-reaching changes in the Dutch health insurance system came into effect. In the new system of managed competition consumer mobility plays an important role. Consumers are free to change their insurer and insurance plan every year. The idea is that consumers who are not satisfied with the premium or quality of care provided will opt for a different insurer. This would force insurers to strive for good prices and quality of care. Internationally, the Dutch changes are under the attention of both policy makers and researchers. Questions answered in this article relate to switching behaviour, reasons for switching, and differences between population categories. Methods Postal questionnaires were sent to 1516 members of the Dutch Health Care Consumer Panel and to 3757 members of the National Panel of the Chronically ill and Disabled (NPCD in April 2006. The questionnaire was returned by 1198 members of the Consumer Panel (response 79% and by 3211 members of the NPCD (response 86%. Among other things, questions were asked about choices for a health insurer and insurance plan and the reasons for this choice. Results Young and healthy people switch insurer more often than elderly or people in bad health. The chronically ill and disabled do not switch less often than the general population when both populations are comparable on age, sex and education. For the general population, premium is more important than content, while the chronically ill and disabled value content of the insurance package as well. However, quality of care is not important for either group as a reason for switching. Conclusion There is increased mobility in the new system for both the general population and the chronically ill and disabled. This however is not based on quality of care. If reasons for switching are unrelated to the quality of care, it is hard to believe that switching influences the quality of care. As yet there

  8. Dry versus wet aging of beef: Retail cutting yields and consumer sensory attribute evaluations of steaks from ribeyes, strip loins, and top sirloins from two quality grade groups.

    Science.gov (United States)

    Laster, M A; Smith, R D; Nicholson, K L; Nicholson, J D W; Miller, R K; Griffin, D B; Harris, K B; Savell, J W

    2008-11-01

    Top Choice (n=48) and Select (n=48) paired bone-in ribeye rolls, bone-in strip loins, and boneless top sirloin butts were assigned randomly to one of two aging treatments, dry or wet, and were aged for 14, 21, 28 or 35d. Cutting tests, performed to determine retail yields and processing times, showed dry-aged subprimals had lower total saleable yield percentages and increased processing times compared to wet-aged subprimals. Sensory and Warner-Bratzler shear evaluation was conducted to determine palatability characteristics. For the most part, aging treatment and aging period did not affect consumer sensory attributes. However, ribeye and top loin steaks from the Top Choice quality grade group received higher sensory ratings than their Select counterparts. For top sirloin steaks, no consumer sensory attributes were affected by aging treatment, aging period, or quality grade group.

  9. Investigating the Effects of Consumer Innovativeness, Service Quality and Service Switching Costs on Service Loyalty in the Mobile Phone Service Context

    Directory of Open Access Journals (Sweden)

    Farzana Quoquab

    2016-02-01

    Full Text Available The objective of this study is to examine the effects of consumer innovativeness, service quality, service switching costs and service satisfaction on service loyalty among mobile phone service users. A cross sectional survey was employed which yielded 535 responses. Structural equation modelling using the AMOS version 2.0 was utilized to test study the hypotheses. Test results reveal that service satisfaction, service switching costs and service quality are the three antecedents that directly influence service loyalty. However, consumer innovativeness does not have any direct effect on service loyalty. Moreover, service satisfaction is found to be a partial mediator between ‘service quality’ and ‘service loyalty’. Findings from this study will develop insights to enable policy-makers, managers and marketers to better strategize and effectively implement loyalty programs and prevent their customers from switching. This will enhance value creation for both their users and for the industry.

  10. DutchParl: A corpus of parliamentary documents in Dutch

    NARCIS (Netherlands)

    Marx, M.; Schuth, A.; Calzolari, N.; Choukri, K.; Maegaard, B.; Mariani, J.; Odijk, J.; Piperidis, S.; Rosner, M.; Tapias, D.

    2010-01-01

    A corpus called DutchParl is created which aims to contain all digitally available parliamentary documents written in the Dutch language. The first version of DutchParl contains documents from the parliaments of The Netherlands, Flanders and Belgium. The corpus is divided along three dimensions: per

  11. Psychometric Quality of the Dutch Version of the Children's Eating Attitude Test in a Community Sample and a Sample of Overweight Youngsters

    Directory of Open Access Journals (Sweden)

    Lotte Theuwis

    2010-12-01

    Full Text Available Introduction. Disturbed eating attitudes may be important precursors of pathological eating patterns and, therefore need to be researched adequately. The Children's Eating Attitude Test (ChEAT is indicated for detecting at-risk attitudes and concerns in youngsters. Method. The present study was designed to provide a preliminary psychometric evaluation of the Dutch version of the ChEAT, by examining reliability and validity in a sample of 166 youngsters. Results. Generally the ChEAT seems to be a reliable instrument. Concurrent validity was demonstrated by positive correlations with measures assessing pathological eating behaviour and with related psychological problems. The discriminant validity was good. Based on ChEAT scores we can distinguish overweight youngsters from the community sample and “dieters” from “non dieters”. Divergent validity and factor structure show still shortcomings. Discussion. The Dutch version of the ChEAT seems to be a promising screening- and research instrument. Future prospective research could focus on a cut-off score for identifying at-risk youngsters.

  12. Integration and self regulation of quality management in Dutch agri-food supply chains : a cross-chain analysis of the poultry meat, the fruit and vegetable and the flower and potted plant chains

    OpenAIRE

    Plaggenhoef, van, W.

    2007-01-01

    Introduction During the last decade, concerns about quality and safety in agri-food supply chains have been raised. Several sector-wide crises, such as the BSE and the dioxin crises, classical swine fever and foot-and-mouth disease and Aviaire Influenza have fuelled these concerns. These concerns may not only be limited to safety and quality issues, but also important ethical concerns are raised, for example, concerning preventive slaughtering of animals. Due to all this attention, consumers ...

  13. Dutch School in Geneva

    CERN Multimedia

    2011-01-01

    The Dutch School in Geneva organizes Dutch education for children in the primary and secondary school. For the school year 2011-2012 the Dutch School in Geneva is looking for qualified part time teachers Dutch for the primary and secondary school. If you are interested, please send your application and curriculum vitae in Dutch by email to the NTC coordinator, Mrs. Anne Saeys (anne.saeys@free.fr). More info : www.ntcgeneve.info De vereniging Nederlandse Taal en Cultuur De Taalfontein, kortweg NTC Genève, is een oudervereniging, die tot doel heeft de Nederlandse taal en de Nederlandse en Vlaamse cultuur in de regio Genève te stimuleren. Dit geschiedt d.m.v. het organiseren van Nederlandse les voor leerlingen zowel in het basisonderwijs als het voortgezet onderwijs. Voor het volgende schooljaar zoekt NTC parttime docenten (M/V) vanaf 2 uur per week, zowel voor het Primair Onderwijs als voor het Voortgezet Onderwijs, met name voor de IB-opleiding. Voor het Primair Onderwijs dienen ge&...

  14. CONSUMER BEHAVIOR

    OpenAIRE

    Ilie BUDICA; Silvia PUIU; Bogdan Andrei BUDICA

    2010-01-01

    The study of consumers helps firms and organizations improve their marketing strategies by understanding issues such as: the psychology of how consumers think, feel, reason, and select between different alternatives; the psychology of how the consumer is influenced by his or her environment; the behavior of consumers while shopping or making other marketing decisions; limitations in consumer knowledge or information processing abilities influence decisions and marke...

  15. Exit and voice in dutch social health insurance.

    NARCIS (Netherlands)

    Gress, S.; Delnoij, D.; Groenewegen, P.P.

    2003-01-01

    According to Hirschmann's concept of exit and voice, people have two options to make sure that firms or organisations realise what they (their consumers or members) are interested in (Hirschmann 1970). In the Dutch public health insurance system voice existed for a long time, but exit was only intro

  16. A New Dutch Spelling Guide.

    Science.gov (United States)

    Kruyt, J. G.; van Sterkenburg, P. G. J.

    This paper describes the development of two new corpus-based Dutch spelling guides using language data gathered by the Institute for Dutch Lexicology, a research institute subsidized by the Dutch and Belgian governments. The guides were produced in 1990 and 1995. The guides are based on two earlier ones, published in 1866 and 1954, but attempt to…

  17. Evaluation of consumer satisfaction with the quality of training of young professionals by the universities for enterprises of coal-mining complex

    Directory of Open Access Journals (Sweden)

    Mikhalchenko Vadim

    2017-01-01

    Full Text Available The article presents the study results of evaluation of customer satisfaction (a big coal mining company with the quality of training of young specialists with higher education. Research is based on the model of Kano, one of the most effective tools for assessing the quality of products within the framework of modern management model - Total Quality Management. Based on the results, “quality profile” of training of young specialists with higher education is built and the factors that determine its level and characteristics are identified. The findings show universities the need to include such transformations and changes into the system and the processes of creation and positioning of their “product”. It will give a higher added value to the “product” and, therefore, provide the manufacturer and the consumer with the higher competitive advantage in the current economic conditions.

  18. Recycling of post-consumer glass: energy savings, CO2 emission reduction, effects on glass quality and glass melting

    NARCIS (Netherlands)

    Beerkens, R.G.C.; Kers, G.; Santen, E. van

    2011-01-01

    This presentation shows the advantages of re-melting post-consumer glass, but also the potential risks of using contaminated cullet in the raw material batch of glass furnaces (e.g. container glass furnaces). As an example of potential advantages: increasing the cullet % in the batch of an efficient

  19. Recycling of post-consumer glass: energy savings, CO2 emission reduction, effects on glass quality and glass melting

    NARCIS (Netherlands)

    Beerkens, R.G.C.; Kers, G.; Santen, E. van

    2011-01-01

    This presentation shows the advantages of re-melting post-consumer glass, but also the potential risks of using contaminated cullet in the raw material batch of glass furnaces (e.g. container glass furnaces). As an example of potential advantages: increasing the cullet % in the batch of an efficient

  20. Application of Group-Level Item Response Models in the Evaluation of Consumer Reports about Health Plan Quality

    Science.gov (United States)

    Reise, Steven P.; Meijer, Rob R.; Ainsworth, Andrew T.; Morales, Leo S.; Hays, Ron D.

    2006-01-01

    Group-level parametric and non-parametric item response theory models were applied to the Consumer Assessment of Healthcare Providers and Systems (CAHPS[R]) 2.0 core items in a sample of 35,572 Medicaid recipients nested within 131 health plans. Results indicated that CAHPS responses are dominated by within health plan variation, and only weakly…

  1. Consumer behaviour in the waiting area

    NARCIS (Netherlands)

    Mobach, M.P.

    Objective of the study: To determine consumer behaviour in the pharmacy waiting area. Method: The applied methods for data-collection were direct observations. Three Dutch community pharmacies were selected for the study. The topics in the observation list were based on available services at each

  2. Ranking Dutch Economists

    NARCIS (Netherlands)

    van Ours, J.C.; Vermeulen, F.M.P.

    2007-01-01

    This paper ranks Dutch economists using information about publications and citations. Rankings involve the aggregation of several performance dimensions. Instead of using a cardinal approach, where each dimension is weighted based on impact factors of journals for example, we use an ordinal approach

  3. Revisiting the Dutch hypothesis

    NARCIS (Netherlands)

    Postma, Dirkje S.; Weiss, Scott T.; van den Berge, Maarten; Kerstjens, Huib A. M.; Koppelman, Gerard H.

    The Dutch hypothesis was first articulated in 1961, when many novel and advanced scientific techniques were not available, such as genomics techniques for pinpointing genes, gene expression, lipid and protein profiles, and the microbiome. In addition, computed tomographic scans and advanced analysis

  4. Survival of Dutch heathlands.

    NARCIS (Netherlands)

    Diemont, W.H.

    1996-01-01

    OBJECTIVES OF THE THESISHeathlands in The Netherlands are vanishing due to the invasion of trees. The transition from heathland to woodland in Dutch heathlands may either proceed directly or is preceded by the development of an intermediate grass heath. These changes are due to natural succession in

  5. Dutch Vegetation Database (LVD)

    NARCIS (Netherlands)

    Hennekens, S.M.

    2011-01-01

    The Dutch Vegetation Database (LVD) hosts information on all plant communities in the Netherlands. This substantial archive consists of over 600.000 recent and historic vegetation descriptions. The data provide information on more than 85 years of vegetation recording in various habitats covering te

  6. The New Dutch Waterline

    NARCIS (Netherlands)

    Verschuure, G.A.

    2015-01-01

    Nowadays, heritage is shifting towards a more structural approach, focusing on the urban landscape in which the intangible or the narrative of the place is used more often. The New Dutch Waterline is an example of this changing focus. This national transformation process (1999-now) led to high profi

  7. Dutch Culture Overseas

    NARCIS (Netherlands)

    Gouda, Frances

    1995-01-01

    Why were citizens of a small and politically insignificant European nation like the Netherlands able to represent as natural and normal their paternalistic dominance over ancient civilizations in places such as Java and Bali? How did 'ethical' twentieth century residents of the Dutch East Indies see

  8. The Fine Dutch Tradition

    NARCIS (Netherlands)

    Hooimeijer, F.L.

    2012-01-01

    Publication of the exhibition and symposium on water adaptive urban planning and architecture in Bangkok. The Urban Fine Dutch Tradition is a dynamic tradition of making urban designs using the parameters of the natural system – incorperating in an efficient way the hydrological cycle, the soil and

  9. Dutch house price fundamentals

    NARCIS (Netherlands)

    Haffner, M.E.A.; de Vries, P.

    2009-01-01

    This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price b

  10. Dutch house price fundamentals

    NARCIS (Netherlands)

    Haffner, M.E.A.; de Vries, P.

    2009-01-01

    This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price

  11. The New Dutch Waterline

    NARCIS (Netherlands)

    Verschuure, G.A.

    2015-01-01

    Nowadays, heritage is shifting towards a more structural approach, focusing on the urban landscape in which the intangible or the narrative of the place is used more often. The New Dutch Waterline is an example of this changing focus. This national transformation process (1999-now) led to high

  12. Dutch Arthurian literature

    NARCIS (Netherlands)

    Besamusca, A.A.M.

    2006-01-01

    Ironically, the currently flourishing study of Arthurian literature in the Low Countries had a false start, as L.G. Visscher’s 1838 publication of Ferguut, the thirteenth-century Middle Dutch rendition of Guillaume le Clerc’s Fergus, was full of flaws.1 The many inaccuracies in this first complete e

  13. An investigation of the expectations and perceptions of consumers about the quality of services in the spa hotels of West Morava region

    Directory of Open Access Journals (Sweden)

    Blešić Ivana

    2009-01-01

    Full Text Available The paper examines the concept and measurement of quality of service in the hotel sector. The results of research survey that relate to the expectations and perceptions of consumers about the quality of services in the spa hotels are represented here. The survey was conducted in five Serbian spas (West Morava region in August and September 2008. A model for measuring the quality of services is developed based on the SERVQUAL model. Statistical methods used here are descriptive statistical analysis and analysis of variance ANOVA, which is used for analyzing whether there is a statistically significant link between the dependent variables (questions in the domain of expectations and perceptions and the independent variables (age structure of respondents. The results may be important to the providers of hotel services and contribute to the advancement of business through the adjustment of the product to the needs of the guest.

  14. Material recycling of post-consumer polyolefin bulk plastics: Influences on waste sorting and treatment processes in consideration of product qualities achievable.

    Science.gov (United States)

    Pfeisinger, Christian

    2017-02-01

    Material recycling of post-consumer bulk plastics made up of polyolefins is well developed. In this article, it is examined which effects on waste sorting and treatment processes influence the qualities of polyolefin-recyclats. It is shown that the properties and their changes during the product life-cycle of a polyolefin are defined by its way of polymerisation, its nature as a thermoplast, additives, other compound and composite materials, but also by the mechanical treatments during the production, its use where contact to foreign materials is possible and the waste sorting and treatment processes. Because of the sum of the effects influencing the quality of polyolefin-recyclats, conclusions are drawn for the material recycling of polyolefins to reach high qualities of their recyclats. Also, legal requirements like the EU regulation 1907/2006 concerning the registration, evaluation, authorisation and restrictions on chemicals are considered.

  15. Using a gradient in food quality to infer drivers of fatty acid content in two filter-feeding aquatic consumers

    Science.gov (United States)

    Larson, James H.; Richardson, William B.; Vallazza, Jon; Bartsch, Lynn; Bartsch, Michelle

    2017-01-01

    Inferences about ecological structure and function are often made using elemental or macromolecular tracers of food web structure. For example, inferences about food chain length are often made using stable isotope ratios of top predators and consumer food sources are often inferred from both stable isotopes and fatty acid (FA) content in consumer tissues. The use of FAs as tracers implies some degree of macromolecular conservation across trophic interactions, but many FAs are subject to physiological alteration and animals may produce those FAs from precursors in response to food deficiencies. We measured 41 individual FAs and several aggregate FA metrics in two filter-feeding taxa to (1) assess ecological variation in food availability and (2) identify potential drivers of among-site variation in FA content. These taxa were filter feeding caddisflies (Family Hydropyschidae) and dreissenid mussels (Genus Dreissena), which both consume seston. Stable isotopic composition (C and N) in these taxa co-varied across 13 sites in the Great Lakes region of North America, indicating they fed on very similar food resources. However, co-variation in FA content was very limited, with only one common FA co-varying across this gradient (α-linolenic acid; ALA), suggesting these taxa accumulate FAs very differently even when exposed to the same foods. Based on these results, among-site variation in ALA content in both consumers does appear to be driven by food resources, along with several other FAs in dreissenid mussels. We conclude that single-taxa measurements of FA content cannot be used to infer FA availability in food resources.

  16. Physico-Chemical And Microbiological Quality Of Some Consumer Preferred Plain Set Yoghurts Sold In Matara Municipal Area Of Sri Lanka

    Directory of Open Access Journals (Sweden)

    K.K.G.U Hemamali

    2015-08-01

    Full Text Available As yoghurt is a health food assessment of quality of commercialized yoghurt during storage period in refrigerator is needed. Lack of data on quality parameters of yoghurt brands in Sri Lanka is impediment to consumer health. This study is an attempt to fill that gap by providing data on evaluation of the changes of physico-chemical and microbiological parameters of some plain set yoghurt sold in Matara municipal area of Sri Lanka. Five different brands of plain set yoghurt samples were collected on the basis of consumer preference for the present study. From each brand fifteen samples were analyzed by means of their physico-chemical syneresis effect pH titratable acidity total protein content and microbiological composition total plate count total yeast and mould count by using three replicates of each sample at 4 7 14 21 and 28 days intervals from production date under refrigerated condition 4 amp61616C and compared against local and international standards. All microbiological parameters and total protein content of all plain set yoghurt brands were not within the permissible range for local and international standards. Titratable acidity was only in the permissible range of local standards. All the physico-chemical parameters and microbiological parameters of collected samples were significantly affected by storage period. Good quality yoghurt of physico-chemical and microbiological parameters with hygiene conditions during processing and storage should be encouraged for consumption.

  17. [Health care consumers about over-the-counter drugs

    NARCIS (Netherlands)

    Burger, D.M.

    2014-01-01

    Dutch consumers can now purchase 'over-the-counter drugs' (OTCs) at three distribution channels: (a) the pharmacy; (b) the chemist; (c) other sales outlets such as supermarkets and petrol stations. However, little is known about whether consumers consider themselves and others to have adequate knowl

  18. Process monitoring and quality control for dietary fats and bio fuels. Necessary for the consumer protection; Prozessueberwachung und Qualitaetskontrolle fuer Nahrungsfette und Biokraftstoffe. Unerlaesslich fuer den Verbraucherschutz

    Energy Technology Data Exchange (ETDEWEB)

    Heise, Michael; Fritzsche, Joerg; Tkatsch, Helena [Fachhochschule Suedwestfalen, Iserlohn (Germany); Kuepper, Lukas [Infrared Fiber Sensors, Aachen (Germany)

    2011-02-15

    The quality control of food-grade oils, fats and fatty acid containing products is expensive, but essential for the manufacturers of such products and for the consumer protection. The analysis has the task not only to analyze the purity of fats and oils, but also to analyze the content and composition of fats. Dietary fats contain long chain, often multi-unsaturated fatty acids. An insufficient supply of so-called essential fatty acids may result in deficiency symptoms by the human species. A similar composition of fatty acids also is observed in biodiesel which is produced by transesterification of vegetable oils and fats.

  19. Dutch ministerial visit

    CERN Multimedia

    2007-01-01

    Dutch Minister of Education, Culture and Science R. Plasterk (third from left) in the ATLAS cavern with NIKHEF Director F. Linde, CERN Chief Scientific Officer J. Engelen, Ambassador J. van Eenennaam, ATLAS Collaboration Spokesperson P. Jenni, Mission Representative G. Vrielink and ATLAS Magnet Project Leader H. ten Kate.Minister of Education, Culture and Science from the Kingdom of the Netherlands, Ronald Plasterk, visited CERN on 25th October. With Jos Engelen, CERN Scientific Director, as his guide he visited Point 1 of the LHC tunnel and ATLAS, where Nikhef (the national institute for subatomic physics, a Dutch government and university collaboration) constructed all 96 of the largest muon drift chambers in the barrel as well as parts of the magnet system, the inner detector, the DAQ and triggering. Overall the Netherlands contribute 4.5% to the annual CERN budget and the minister’s visit celebrated the contributions of the 79 ...

  20. Consumer Finance

    OpenAIRE

    Peter Tufano

    2009-01-01

    Although consumer finance is a substantial element of the economy, it has had a smaller footprint within financial economics. In this review, I suggest a functional definition of the subfield of consumer finance, focusing on four key functions: payments, risk management, moving funds from today to tomorrow (saving/investing), and from tomorrow to today (borrowing). I provide data showing the economic importance of consumer finance in the American economy. I propose a historical explanation fo...

  1. Dutch perfusion incident survey.

    Science.gov (United States)

    Groenenberg, Ingrid; Weerwind, Patrick W; Everts, Peter A M; Maessen, Jos G

    2010-09-01

    Cardiopulmonary bypass procedures remain complex, involving many potential risks. Therefore, a nationwide retrospective study was conducted to gain insight into the number of incidents and accidents in Dutch adult perfusion practice. An anonymous postal survey (85 questions about hardware, disposables, fluids and medication, air emboli, anticoagulation, practice, and safety measures) was sent to all Dutch perfusionists involved in adult cardiovascular perfusion during 2006 and 2007. To guarantee complete anonymity, respondents were asked to return the survey to a notary who discarded personal information. The net response rate was 72% and covered 23,500 perfusions. Individual respondents performed 240 ± 103 perfusions during the 2-year study period and had 13.8 ± 8.7 years of practical experience. The incident rate was 1 per 15.6 perfusions and the adverse event rate was 1 per 1,236 perfusions. The three most reported incidents were: (1) persistent inability to raise the activated coagulation time above 400s during perfusion (184 incidents); (2) an allergic or anaphylactic reaction to drugs, fluids, or blood products (114 incidents); and (3) clotting formation in the extracorporeal circuit (74 incidents). Furthermore, pre-bypass safety measures showed no statistically significant association with the reported incidents. In comparison with data from the recent literature, the reported number of incidents is high. Nevertheless, the adverse outcome rate is well matched to other published surveys. The relatively high response rate conveys the impression that the Dutch perfusionist is vigilant and willing to report incidents. Hence, a web-based Dutch perfusion incident registration system is recommended.

  2. Survival of Dutch heathlands.

    OpenAIRE

    Diemont, W.H.

    1996-01-01

    OBJECTIVES OF THE THESISHeathlands in The Netherlands are vanishing due to the invasion of trees. The transition from heathland to woodland in Dutch heathlands may either proceed directly or is preceded by the development of an intermediate grass heath. These changes are due to natural succession in the absence of management. In addition to the absence of management atmospheric pollution i.e. increased inputs of nitrogen has accelerated the replacement of heather heath by grass heath.The main...

  3. DUTCH R&B

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    <正>I have forgotten who had said: "Music has no boundary." In the Netherlands, we met with the four boys of the bandRe-Play by accident. As we talked about the "Tornado," they,who were grown up in the Netherlands, sang it in the Dutchlanguage. We felt very surprised.It was the year of 1994 when four guys from Rotterdam,the Netherlands, decided to take part in a Dutch singing contest,

  4. Ground-water conditions in the Dutch Flats area, Scotts Bluff and Sioux Counties, Nebraska, with a section on chemical quality of the ground water

    Science.gov (United States)

    Babcock, H.M.; Visher, F.N.; Durum, W.H.

    1951-01-01

    land irrigated for agriculture, has been identified as being susceptible. Biological data were used to evaluate the reliability of the map. In 12 of DOI's 26 study areas, concentrations of selenium measured in bird eggs were elevated sufficiently to significantly reduce hatchability of the eggs. The GIS map identifies 9 of those 12 areas. Deformed bird embryos having classic symptoms of selenium toxicosis were found in four of the study areas, and the map identifies all four as susceptible to irrigation-induced selenium contamination. The report describes the geography, geology, and ground-water resources of the Dutch Flats area in Scotts Bluff and Sioux Counties, Nebr. The area comprises about 60 square miles and consists predominantly of relatively flat-lying terraces. Farming is the principal occupation in the area. The farm lands are irrigated largely from surface water; ground water is used only as a supplementary supply during drought periods. The climate in the area is semiarid, and the mean annual precipitation is about 16 inches. The rocks exposed in the Dutch Flats area are of Tertiary sad Quaternary age. A map showing the areas of outcrop of the rock formations is included in the report. Sufficient unconfined ground water for irrigation supplies is contained in the deposits of the .third terrace, and wells that yield 1,000 to 2,000 gallons a minute probably could be developed. The depth to water in the area ranges from a few feet to about 80 feet sad averages about 30 feet. The depth to water varies throughout the year; it is least in the late summer when the recharge from irrigation is greatest, sad it is greatest in the early spring before irrigation is begun. A map showing the depth to water in September 1949 is included in the report. The ground-water reservoir is recharged by seepage from irrigation canals and laterals, by seepage from irrigation water applied to the farms, and, to a much lesser extent, by precipitation. In the area b

  5. Food insecurity reported by children, but not by mothers, is associated with lower quality of diet and shifts in foods consumed.

    Science.gov (United States)

    Bernal, Jennifer; Frongillo, Edward A; Rivera, Juan A

    2016-07-01

    Household food security shows little indication of nutrient inadequacy among children, according to reports made by parents. We examined the associations of food insecurity as reported by children and mothers with children's consumption of energy, macronutrients such as vitamin A, calcium, iron and zinc, and selected foods, and whether these associations differed by child's gender. This cross-sectional study had non-probabilistic 128 Venezuelan mother-child pairs. We assessed food insecurity and management strategies in children using 10- and nine-item instruments, respectively. Mothers' report of food insecurity came from a previously validated 12-item instrument. Nutrient intake of children was assessed with a 67-item food frequency questionnaire. Comparisons were made using chi-square test for contingency tables and t-tests for trends (P foods. We tested for interactions with gender. Prevalence of child- and mother-reported food insecurity was 83.6 and 61.7%, respectively (P food insecurity or management strategies reported by boys was associated with lower calcium, iron and zinc intake (P food secure. Rice and corn flour consumption was higher with higher food insecurity in children. Papaya and banana were less consumed by food-insecure children. We found shifts in 13 of 67 foods consumed, with less quality in those food insecure, as reported by children. Mother-reported food insecurity was associated only with rice intake of children. In contrast to mothers' reports, food insecurity reported by children was associated with children's lower quality of diet and shifts in foods consumed.

  6. Animal welfare versus food quality: factors influencing organic consumers' preferences for alternatives to piglet castration without anaesthesia.

    Science.gov (United States)

    Heid, Astrid; Hamm, Ulrich

    2013-10-01

    Surgical piglet castration without pain relief has been banned in organic farming in the EU since the beginning of 2012. Alternative methods therefore need to be implemented that improve animal welfare and solve the underlying problem of boar taint. This paper explores German organic consumers' preferences for piglet castration without pain relief and three alternative methods. In an innovative approach using a multi-criteria decision making procedure, qualitative data from focus group discussions were compared with quantitative results from Vickrey auctions. Overall, participants preferred all alternatives to castration without pain relief. Different aspects influenced willingness-to-pay for the methods. Animal welfare was important for the evaluation of castration without pain relief and castration with anaesthesia. Food safety played a major role for willingness-to-pay for immunocastration, while taste and, to some extent, animal welfare were dominant factors for fattening of boars. These differences should be considered when communicating the alternatives.

  7. Consumer Insights

    Institute of Scientific and Technical Information of China (English)

    JANKOT

    2004-01-01

    Fang Jun, the head of consumer and market insights of Unilever Shanghai, has summarized his early life as a market in two sentences: rush about to study market changes;act all day to observe consumer behavior. And now?"Tell stories, conduct interviews and piece together different data; calculate numbers,build models and write reports."

  8. Consumer Behavior Research Methods

    DEFF Research Database (Denmark)

    Chrysochou, Polymeros

    2017-01-01

    emphasizes the discussion of primary research methods. Based on the nature of the data primary research methods are further distinguished into qualitative and quantitative. The chapter describes the most important and popular qualitative and quantitative methods. It concludes with an overall evaluation......This chapter starts by distinguishing consumer behavior research methods based on the type of data used, being either secondary or primary. Most consumer behavior research studies phenomena that require researchers to enter the field and collect data on their own, and therefore the chapter...... of the methods and how to improve quality in consumer behavior research methods....

  9. Synkinesis assessment in facial palsy: validation of the Dutch Synkinesis Assessment Questionnaire

    NARCIS (Netherlands)

    Kleiss, I.J.; Beurskens, C.H.G.; Stalmeier, P.F.M.; Ingels, K.J.A.O.; Marres, H.A.M.

    2016-01-01

    The objective of this study is to validate an existing health-related quality of life questionnaire for patients with synkinesis in facial palsy for implementation in the Dutch language and culture. The Synkinesis Assessment Questionnaire was translated into the Dutch language using a forward-backwa

  10. Social housing in the Netherlands: The development of the Dutch social housing model

    NARCIS (Netherlands)

    Hoekstra, J.S.C.M.

    2013-01-01

    The Dutch model of social rental housing is often seen as a good practice for other European coun-tries. This is due to the fact that the Dutch social rental sector has a large size, offers dwellings of a relatively good quality and functions without receiving substantial subsidies. However, current

  11. Social housing in the Netherlands: The development of the Dutch social housing model

    NARCIS (Netherlands)

    Hoekstra, J.S.C.M.

    2013-01-01

    The Dutch model of social rental housing is often seen as a good practice for other European coun-tries. This is due to the fact that the Dutch social rental sector has a large size, offers dwellings of a relatively good quality and functions without receiving substantial subsidies. However, current

  12. Improving the energy and IAQ performance of ventilation systems in Dutch dwellings

    NARCIS (Netherlands)

    Holsteijn, R.C.A. van; Li, W.L.; Valk, H.J.J.; Kornaat, W.

    2016-01-01

    MONICAIR - MONItoring & Control of Air quality in Individual Rooms - is a pre-competitive field research project of a broad consortium of Dutch ventilation unit manufacturers and research institutes, supported by the Dutch government. The first aim of the project is to investigate and compare the

  13. Assessing U.S. Public School Quality: The Advantages of Combining Internal "Consumer Ratings" with External NCLB Ratings

    Science.gov (United States)

    Price, Heather E.

    2016-01-01

    The school quality assessment process under No Child Left Behind (NCLB) is criticized for oversimplifying and overemphasizing standardized test results and unfairly targeting diverse, urban schools. There has been much development in alternative test score evaluations, especially value-added models. These developments have tilted the public…

  14. Dutch word stress as pronounced by Indonesian students

    Directory of Open Access Journals (Sweden)

    Lilie M. Roosman

    2009-10-01

    Full Text Available This study focuses on the way in which the Dutch monophthongal vowels are pronounced by Indonesian students. To investigate whether Indonesian students realize the Dutch vowels correctly, especially when they are stressed, I analysed duration and quality of stressed and unstressed Dutch vowels. Measurements were done on the duration and the formant frequencies of the vowels spoken by Indonesian students and by native speakers of Dutch as well. Statistical analysis showed that in general the differences in duration between vowels spoken by the Indonesian students and by the native speakers were not significant. However, the effect of stress on the lengthening of the vowels was stronger for the Indonesian students than for the native speakers. In addition, statistical analysis of the formant frequencies confirmed that the non-native speakers realized the Dutch vowels slightly differently from the Dutch native speakers. The Indonesian students pronounced the stressed vowels more clearly than their unstressed counterparts; yet their vowel diagram is smaller than the vowel diagram of the native speakers.

  15. From producer to consumer: greenhouse tomato quality as affected by variety, maturity stage at harvest, transport conditions, and supermarket storage.

    Science.gov (United States)

    Verheul, Michèl J; Slimestad, Rune; Tjøstheim, Irene Holta

    2015-05-27

    Possible causes for differences in quality traits at the time of buying were studied in two widely different red tomato types. Three maturity stages were harvested from commercial greenhouses and transferred immediately to controlled environments simulating different storage, transport, and supermarket conditions. Results show significant differences in development of color, fruit firmness, contents of soluble solids (SSC), titratable acids (TTA), phenolics, and carotenoids from harvest to sale, as related to postharvest conditions. Fruit firmness, SSC, and TTA of vine-ripened red cherry tomatoes was 30, 55 and 11% higher than for those harvested at breakers and ripened to red. Temperature, light, UVC radiation, or ethylene during 4 days transport affected tomato quality traits, and differences persisted during 3 weeks of supermarket storage. Ethylene exposure gave a 3.7-fold increase in lycopene content in cherry tomatoes, whereas UVC hormesis revealed a 6-fold increase compared with the control. Results can be used to update recommendations concerning optimal handling.

  16. Opportunities for Local for Local Food Production: A Case in the Dutch Fruit and Vegetables

    Directory of Open Access Journals (Sweden)

    Jurriaan Visser

    2013-03-01

    Full Text Available This paper investigates the opportunities for farmers to produce for local consumers, based on a case study in the Dutch horticulture sector. Main requirements for the set-up of a local chain of supply chain actors are investigated. Producer requirements are added value, availability of time, infrastructure and training. Retailer requirements are quality of food, purchasing volumes, food safety, communication to consumers and traceability of products. For consumers taste/freshness, sustainability, health benefits and authenticity are important attributes of local foods. Based on literature review and interviews with stakeholders four possible strategies for local food chains are defined. The ‘keep it local’ strategy means that the local food supply chains will not make use of the current infrastructure of the marketing coop that acts as chain coordinator. Deliveries are directly between farmer and retail outlet. The local products - conventional supply chain strategy implies that current (non-local supply chains are used to distribute local products. The supply chain planning will be more complex since products need to be separated per grower and distributed to several local supermarkets. In the ‘enabling producers’ strategy the marketing coop/chain coordinator is going to enable its member producers to sell their products locally. The marketing coop can support producers in for instance, billing and payments, marketing, logistics. The fourth strategy aims at strengthening current consumer communication strategies. It is argued that connecting producers and consumers, regardless of where they live is advantageous.Conclusion is that strategy 3; ‘Enabling producers’, in combination with strategy 4; ‘Strengthening current consumer communication strategies’ are the most promising options in setting up local food supply chains. Strategies 1 and 2, where the marketing coop/chain coordinator itself takes on the challenge of setting up

  17. Consumer protection

    OpenAIRE

    Štěrbová, Alena

    2010-01-01

    77 Resumé This thesis is dedicated to the consumer protection. My reason for the choice of this topic was following. A field of consumer protection is being continually developed. It is complicated for a layman to be well informed about all his rights and duties not only because the Czech legal regulation suffers from a immense fragmentation. Moreover, the implementation of EC directives ( as a source of many provisions protecting a consumer in the Civil Code) into our legal system was carrie...

  18. Dutch house price fundamentals

    OpenAIRE

    Haffner, M.E.A.; De Vries, P.

    2009-01-01

    This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price bubble ready to burst; (2) whether house prices will decline in response to the credit crisis that started in 2007; and (3) whether it is likely that house prices will decrease as a result of reform...

  19. Consumer perceptions

    DEFF Research Database (Denmark)

    Ngapo, T. M.; Dransfield, E.; Martin, J. F.

    2004-01-01

    Consumer focus groups in France, England, Sweden and Denmark were used to obtain insights into the decision-making involved in the choice of fresh pork and attitudes towards today's pig production systems. Many positive perceptions of pork meat were evoked. Negative images of the production syste...... ethnocentrism, to assure that such information is targeted to enhance consumer confidence.......Consumer focus groups in France, England, Sweden and Denmark were used to obtain insights into the decision-making involved in the choice of fresh pork and attitudes towards today's pig production systems. Many positive perceptions of pork meat were evoked. Negative images of the production systems...... in use today were expressed, but rationalised in terms of consumer demands, market competition and by comparisons to previous systems of production. Knowledge of production systems appeared of little consequence in terms of any meat market potential as several groups freely remarked...

  20. Consumer perceptions

    DEFF Research Database (Denmark)

    Ngapo, T. M.; Dransfield, E.; Martin, J. F.

    2004-01-01

    Consumer focus groups in France, England, Sweden and Denmark were used to obtain insights into the decision-making involved in the choice of fresh pork and attitudes towards today's pig production systems. Many positive perceptions of pork meat were evoked. Negative images of the production syste...... ethnocentrism, to assure that such information is targeted to enhance consumer confidence. © 2003 Elsevier Ltd. All rights reserved....

  1. Consumer Neoteny

    Directory of Open Access Journals (Sweden)

    Mathieu Alemany Oliver

    2016-07-01

    Full Text Available This research explores childlike consumer behavior from an evolutionary perspective. More specifically, it uses the concept of neoteny to show that the retention of ancestors’ juvenile characteristics is related to specific behaviors. The results of factor analyses conducted on a UK sample (n = 499 and a French sample (n = 292 7 years later indicate four dimensions of childlike consumer behavior, namely, stimulus seeking, reality conflict, escapism, and control of aggression.

  2. Improving the quality and safety of organic and low input foods and maximizing the benefits to consumers and producers

    OpenAIRE

    Niggli, Urs; Leifert, Carlo

    2007-01-01

    ‘Improving quality and safety and reduction of cost in the European organic and 'low input' supply chains' (QLIF) is an Integrated Project under the 6th Framework Programme of the European Commission which started in March 2004 and will end in February 2009. After three years of research by 31 QLIF partners, the scientific data on on the benefits of the system approach used in organic and ‘low input’ agriculture has expanded considerably. At the same time the project has developed an array of...

  3. Measuring client experiences in long-term care in the Netherlands: a pilot study with the Consumer Quality Index Long-term Care

    Directory of Open Access Journals (Sweden)

    Kool Rudolf B

    2010-04-01

    Full Text Available Abstract Background This study aims to describe the development, testing and optimization of a new standard instrument, the Consumer Quality Index (CQ-index® Long-term Care, for measuring client experiences with long-term care in the Netherlands. Methods Three versions of the CQ-index questionnaires and protocols for study sampling and data collection were developed, designed for interviews with residents of nursing or residential care homes and postal surveys among representatives of psychogeriatric residents and homecare clients. From July to November 2006 a pilot study was conducted among 2,697 clients of 68 nursing or residential care homes, 2,164 representatives of clients in 57 psychogeriatric care institutions, and 1,462 clients of 19 homecare organizations. We performed psychometric analyses and descriptive analyses, and evaluated the pilot study. Results The pilot study showed the feasibility and usability of the instruments, supported the multidimensionality of the questionnaires and showed first findings on client experiences and possibilities for quality improvement. Nine scales applied to all care settings: shared decision making, attitude and courtesy, information, body care, competence and safety of care, activities, autonomy, mental well-being, and availability of personnel. The pilot resulted in three optimized questionnaires and recommendations for nationwide implementation. Conclusions The CQ-index® Long-term Care provides a good basis to investigate the quality of nursing homes, residential care homes and homecare from the clients' perspective. This standardized instrument enables a nationwide comparison of the quality of long-term care for the purpose of transparency and quality assurance.

  4. Fisheries and aquaculture industries involvement to control product health and quality safety to satisfy consumer-driven objectives on retail markets in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Roth, Eva [University of South Denmark, Department of Environmental and Business Economics, Niels Bohrs vej 9, DK-6700 Esbjerg (Denmark); Institute for Marine Research, University Kiel, Duesternbrooker Weg 20, 24105 Kiel (Germany); Rosenthal, Harald [University of South Denmark, Department of Environmental and Business Economics, Niels Bohrs vej 9, DK-6700 Esbjerg (Denmark); Institute for Marine Research, University Kiel, Duesternbrooker Weg 20, 24105 Kiel (Germany)

    2006-07-01

    Over the past years the export of agricultural and fishery products from developing countries has substantially increased to markets within the OECD. Retailers and importers are expanding their international operations to meet consumer demands for year-round delivery of products. Moreover, consumers have become increasingly concerned about the safety of food, including those derived from aquatic resources [FAO/NACA/WHO Joint Study Group, 1999. Report food safety issues associated with products from aquaculture. WHO Technical Report Series No 883: VII, pp. 1-55]. Governments and leading businesses are responding by imposing new safety regulations and standards to the international food system (e.g. HACCP, EUREP-GAP), product liability and labeling [Reilly, A., Howgate, P., Kaeferstein, F., 1997. Safety hazards and the application of HACCP in aquaculture. In: Proceedings of the Second International Conference on Fish Inspection and Quality Control: A Global Focus, Arlington, VA, 19-24 May 1996. Technomic Publishing, Lancaster, PA, pp. 353-373]. Initial concerns for imports of aquacultural products from developing to industrialized countries focussed on bacterial contamination [Buras, N. 1993. Microbial safety of produce from wastewater-fed aquaculture. In: Pullin, R.V.C., Rosenthal, H., MacLean, J.L.(Eds.), Proceedings of ICLARM Conferences, vol. 31, pp. 285-295]. Today, if trade opportunities are to be maintained, these countries must adapt to a full array of regulations and standards. This paper describes four scenarios in aquaculture and fishing product trade between developing countries and countries in the European Union.

  5. Supervision of high-value consumables and improvement of medical treatment quality%高值耗材的监管与提高医疗质量

    Institute of Scientific and Technical Information of China (English)

    张凤勤; 陈默蓉; 侯宇

    2011-01-01

    目的:以监管好高值耗材作为确保医疗质量的前提.方法:高值耗材的采购,应从建立健全管理规章制度、建立合理性监督及规范供应商的管理着手.结果:形成一个统一、高效的采购管理系统.结论:完整规范的高值耗材管理制度能给病人和医院带来良好的社会效益和经济效益.%Objective: To use the supervision on high valued material consumption as the prerequisite to ensure the quality of medical treatment. Methods: Sourcing of high-value consumables should start from forming sound management rules and regulations, establishing reasonable supervision as well as regulating the management toward suppliers. Results: A unified and highly efficient sourcing management system has been formulated. Conclusion: A complete and regulated management system for high-value consumables may bring about good social and economic benefits to both patients and hospitals.

  6. Quality characteristics of broiler chicken meat from free-range and industrial poultry system for the consumers.

    Science.gov (United States)

    da Silva, Débora Cristina Fernandes; de Arruda, Alex Martins Varela; Gonçalves, Alex Augusto

    2017-06-01

    The aim of this study was to determine and compare the quality parameters of broiler chicken meat from free-range and industrial poultry system. Proximate composition, color, pH, shear force, microbial quality and sensory characteristics were evaluated. Both free-range and industrial chicken meat presented PSE (pale, soft and exudative) anomaly (L* > 53). An inverse correlation between lightness, pH and shear force was observed. The free range broiler meat had higher yellow color (b* 11.56) and shear force (2.75 kgf) and lower red color (a* 1.65) and pH (5.75) in comparison to the industrial broiler meat, due intensive physical activity on growing phase and influence of the pre-slaughter stress on the rigor mortis. The thigh cut from free range broiler meat showed higher protein levels (18.00%), while to the thigh and drumstick cuts of industrial broiler meat showed higher total fat levels (3.4 and 5.0%, respectively). In general, each strain and chickens producing methods gave the peculiar characteristics to meat (chemical, physical, microbiological and sensorial).

  7. Innovation and Quality: Drivers of Successful Ventures that Seek Success in Catering to Consumers who Live in Poverty

    Directory of Open Access Journals (Sweden)

    Chattopadhyay Satya P.

    2014-11-01

    Full Text Available The next big challenge in a global marketplace is to engage the very large segment of world population which survives on less income than the defined poverty level by any measurements that may be applied. This segment in the past has been the focus of aid and charities and been at the receiving end of poverty alleviation programs created by a variety of international donor agencies, with very limited success. It is time now to take a different approach. A radical re-thinking of the problem now has resulted in a novel approach: that of engaging them as customers like any other. The underlying assumption is that folks in this segment still spend billions of dollars in the aggregate and are now able to critically examine offerings and choose to go after quality and value just like any other segment. The opportunity to tap into this huge market lies in innovative entrepreneurial efforts that make goods and services available to this segment without compromising on performance and quality. This paper explores the nature of innovation that is likely to result in entrepreneurial success in what is called the Base (Bottom of the Pyramid marketplace.

  8. Overcoming consumer scepticism toward food labels: The role of multisensory experience

    NARCIS (Netherlands)

    Fenko, Anna; Kersten, Leonne; Bialkova, Svetlana; Bialkova, Svetlana

    2016-01-01

    More and more information labels appear on the front of food packages, increasing the complexity of consumer decision-making and enhancing consumer scepticism toward food labels. It is important to evaluate the efficacy of information communicated to consumers. The experimental study among 209 Dutch

  9. Integrate or separate. Institutional design for the enforcement of competition law and consumer law

    NARCIS (Netherlands)

    K.J. Cseres

    2013-01-01

    Over the past years several EU Member States decided to integrate their competition authorities with their consumer protection agencies. Most recently, the Netherlands Authority for Consumers and Markets (ACM) has merged the Netherlands Competition Authority (NMa) with the Dutch Consumer Authority (

  10. Integrate or separate. Institutional design for the enforcement of competition law and consumer law

    NARCIS (Netherlands)

    Cseres, K.J.

    2013-01-01

    Over the past years several EU Member States decided to integrate their competition authorities with their consumer protection agencies. Most recently, the Netherlands Authority for Consumers and Markets (ACM) has merged the Netherlands Competition Authority (NMa) with the Dutch Consumer Authority

  11. Neonatal treatment philosophy in Dutch and German NICUs: health-related quality of life in adulthood of VP/VLBW infants

    NARCIS (Netherlands)

    Breeman, L.D.; Pal. S. van der; Verrips, G.H.W.; Baumann, N.; Bartmann, P.; Wolke, D.

    2016-01-01

    Purpose Although survival after very preterm birth (VP)/very low birth weight (VLBW) has improved, a significant number of VP/VLBW individuals develop physical and cognitive problems during their life course that may affect their health-related quality of life (HRQoL). We compared HRQoL in VP/VLBW c

  12. Supplementation of monensin and Optimase to beef cows consuming low-quality forage during late gestation and early lactation.

    Science.gov (United States)

    Linneen, S K; McGee, A L; Cole, J R; Jennings, J S; Stein, D R; Horn, G W; Lalman, D L

    2015-06-01

    Two experiments were designed to investigate the effects of feeding monensin and/or slow release urea with a fibrolytic feed enzyme (Optimase; Alltech, Inc., Nicholasville, KY) on performance, milk production, calf growth performance, and blood metabolites in beef cows. Spring-calving cows and heifers were used in a completely randomized design in Exp. 1 (N = 84; 534 ± 68 kg initial BW) and Exp. 2 (N = 107; 508 ± 72 kg initial BW). Exp. 1 supplements were formulated to meet cow protein requirements and fed daily and included 1) cottonseed meal with no monensin (control); or 2) monensin added to control to supply 200 mg per head per d (MON). In Exp. 2, experimental supplements included 1) cottonseed meal/wheat middlings (CS) fed at a rate to provide adequate DIP and CP according to , 2) the CS plus soybean hulls and 61 g per cow per d Optimase (OPT), 3) the CS plus monensin to supply 200 mg per cow per d (MON2), and 4) OPT plus MON2 (Combo). Cows were fed in last trimester through early lactation in Exp. 1 and during 2nd trimester in Exp. 2. Data were analyzed using the Mixed procedure in SAS with animal as the experimental unit. In Exp. 1, treatment did not affect cow BW or BCS change (P > 0.19). Calf birth BW was not affected by dam treatment (P = 0.24); however, calves from dams consuming MON weighed more (P Milk production did not significantly differ among treatments (P > 0.41). In Exp. 2, mean cow BW and BCS were similar (P > 0.35) among treatments on d 90. However, from d 0 to 54, cows assigned to the OPT supplement gained less BCS (P = 0.02) compared with cows assigned to the CS supplement. Cumulative BCS gain was greater (P < 0.01) for CS-fed cows than for cows fed the OPT and MON2 supplements, although it was not significantly different for cows fed the Combo supplement. These studies indicate that the influence of monensin on cow BW and BCS change is inconsistent. The potential for monensin supplementation to positively impact calf performance during

  13. Reflexive choice in Dutch and German

    NARCIS (Netherlands)

    Hendriks, Petra; Hoeks, John C. J.; Spenader, Jennifer

    2014-01-01

    Standard Dutch and German have two reflexive forms: a weak form ('zich' in Dutch and 'sich' in German) and a strong form ('zichzelf' in Dutch and 'sich selbst' in German). The choice between the two reflexive forms in Dutch has been explained by the selectional restrictions of the verb, distinguishi

  14. Consumer Perception Concerning Apple Fruit Quality, Depending on Cultivars and Hedonic Scale of Evaluation - a Case Study

    Directory of Open Access Journals (Sweden)

    Cătălina DAN

    2015-03-01

    Full Text Available The objective of this study was to analyse fruit quality through consumers’ perceptions and their preferences revealed by two panel questionnaires. Among the most common apple cultivars on the Romanian markets, were chosen the ones existing simultaneously and continuously (over two-years, during January-March: ‘Golden Delicious’, ‘Braeburn’, ‘Granny Smith’, ‘Red Delicious’, ‘Jonagold’, ‘Jonathan’, ‘Florina’, ‘Idared’. The consumers’ panel for sensory evaluation was represented by students, who completed two types of questionnaires. Both questionnaires refer to foremost traits for dessert apple, such as fruit appearance (size, shape, color and intrinsic peculiarities (pulp consistency, juiciness, taste, flavor. First questionnaire comprised different scales for the traits (1-3, 1-5 or 1-15, while the second one consisted of the hedonic scale (1-9 for all traits. For commercial appearance of the fruits were highlighted ‘Idared’, ‘Granny Smith’, ‘Braeburn’ and especially ‘Jonagold’. ‘Braeburn’ was distinct by the highest quality taste (average grade 13.9 on the scoring taste scale 1-15 and also for fruit flavor. ‘Granny Smith’, a commercially attractive-looking fruit, received only an average of 6.2 for taste and 2.6 for flavor. ‘Granny Smith’ presented the largest value for the coefficients of variation for taste, this variety being preferred less by female than male tasters. Inconsistency of the market, prices and foreign assortment on Romanian market was illustrated by the lack of statistical correlations between commercial fruit quality and price. The study could provide useful background information for apples breeders, farmers and marketing fruits strategy. The use of different scales for panel evaluation, dependent on the relevance of traits, might be a proper solution for reducing bias. In this case, the 1-15 large scale for apple taste compared with lower ones for other traits

  15. THE ANALYTICAL INSIGHT INTO CUSTOMER PERCEPTION OF QUALITY DETERMINANTS OF THE E-COMMERCE MODEL BUSINESS-TO-CONSUMER SUBJECTS IN THE CENTRAL EUROPEAN COUNTRIES

    Directory of Open Access Journals (Sweden)

    Radovan Bačík

    2014-12-01

    Full Text Available Purpose: The aim of the paper is to describe the specific aspects of the e-commerce model business-to-consumer as a constantly developing field of an economic life in the Central European countries according to their customers. The current state of e-business and business-to-consumer e-commerce issue was identified by the research in the Czech Republic, Hungary, Poland and Slovakia.Methodology/Approach: For the purposes of collecting primary data the crucial factor for the selection of e-shops was identification of the suitable  online portals focused on post-purchase evaluation of e-shops in Visegrad group countries. Automatic data collection method was used for the observed variables (evaluations within selected online portals of the identified e-shops. The total of 5,228,127 evaluations of 9,260 e-shops were analysed. The main focus was given to customer overall satisfaction with an e-shop in relation to communication with a customer or overall satisfaction with an e-shop and delivery quality.Findings: The results of the research showed that there exists a direct relation between overall satisfaction with an e-shop and communication with customers or overall satisfaction with an e-shop and delivery quality.Originality/Value of paper: The ambition of this paper through the findings is to help subjects of e-commerce in their marketing decisions in order to even better understand the factors that influence customers’ satisfaction. 

  16. Protein supplementation of ruminants consuming low-quality cool- or warm-season forage: differences in intake and digestibility.

    Science.gov (United States)

    Bohnert, D W; DelCurto, T; Clark, A A; Merrill, M L; Falck, S J; Harmon, D L

    2011-11-01

    An in situ study (Exp. 1) using 4 ruminally cannulated steers (343 ± 11 kg of BW) in a completely randomized design was used to compare ruminal degradation characteristics of low-quality cool-season (C3; Kentucky bluegrass straw; Poa pratensis; 6.3% CP; DM basis) and warm-season (C4; tallgrass prairie; 5.7% CP; DM basis) forage. Four ruminally cannulated steers (252 ± 8 kg of BW; Exp. 2) and 4 wethers (38 ± 1 kg of BW; Exp. 3) were used in two 2 × 2 factorial arrangements of treatments to determine the influence of supplemental CP (CPSupp; soybean meal; 0.09 and 0.19% of BW, CP basis, for steers and lambs, respectively) on nutrient intake and digestion of C3 and C4 forages. Steers and wethers were allotted to separate 4 × 4 Latin squares that ran simultaneously with 20-d periods. In Exp. 1, C3 had a greater A fraction (fraction of total pool disappearing at a rate too rapid to measure) and effective degradability of DM and NDF compared with C4 (P ruminal liquid retention time (P = 0.02; CPSupp decreased retention by 3.6 h with C4 and by only 0.6 h with C3 forage) and particulate passage rate (P = 0.02; CPSupp increased passage by 46% with C4 and by 10% with C3 forage). As in Exp. 2, a CPSupp × forage interaction (P = 0.01; CPSupp increased digestibility by 18% with C4 and by 7% with C3 forage) was observed with DM digestibility in Exp. 3. In contrast, only N balance (P ruminants are not similar and, more important, that the physiological response of ruminants to protein supplementation of low-quality forage is dependent on forage type.

  17. Consumer behaviour in the waiting area.

    Science.gov (United States)

    Mobach, Mark P

    2007-02-01

    To determine consumer behaviour in the pharmacy waiting area. The applied methods for data-collection were direct observations. Three Dutch community pharmacies were selected for the study. The topics in the observation list were based on available services at each waiting area (brochures, books, illuminated new trailer, children's play area, etc.). Per patient each activity was registered, and at each pharmacy the behaviour was studied for 2 weeks. Most patients only waited during the waiting time at the studied pharmacies. Few consumers obtained written information during their wait. The waiting area may have latent possibilities to expand the information function of the pharmacy and combine this with other activities that distract the consumer from the wait. Transdisciplinary research, combining knowledge from pharmacy practice research with consumer research, has been a useful approach to add information on queueing behaviour of consumers.

  18. Consumer Fetish

    DEFF Research Database (Denmark)

    Arnould, Eric; Cayla, Julien

    2015-01-01

    What is the sovereign consumer that occupies such a central role in organizational discourse whose satisfaction has become an organizational imperative? Our research draws from extended fieldwork in the world of commercial ethnography. Our analysis shows how ethnography is implicated in the organ......What is the sovereign consumer that occupies such a central role in organizational discourse whose satisfaction has become an organizational imperative? Our research draws from extended fieldwork in the world of commercial ethnography. Our analysis shows how ethnography is implicated...... in the organizational fetishization of consumers, that is, how in the process of understanding and managing markets, a quasimagical fascination with amalgams of consumer voices, images, and artefacts comes about. We offer several contributions. First, we demonstrate the pertinence of (primarily anthropological......) theories of the fetish to organizational sensemaking. Second, we describe a distinctive process of organizational market sensemaking that is sensuous, magical, and analogical. Third, we offer a subtle critique of commercial ethnography, a popular research practice that aims to bring ‘real’ consumers...

  19. Research and Design for Thermal Comfort in Dutch Urban Squares

    NARCIS (Netherlands)

    Lenzholzer, S.

    2012-01-01

    Human thermal comfort in urban outdoor places was generally not an issue in Dutch urban design. This neglect shows problematic effects of discomfort, but also missed chances in urban life quality. The existing problems are alleviated due to the expected effects of climate change with even higher tem

  20. The social missions of Dutch 'hofjes' in architecture

    NARCIS (Netherlands)

    Wilms Floet, W.W.L.M.

    2011-01-01

    The Dutch 'Hofje van liefdadigheid' [little charity courtyard] as a building type has a number of qualities which attracted the attention of social committed builders up until today: the form of the 'hofje' - a central outdoor space enclosed by dwellings - holds the natural expression of 'community'

  1. Characteristics, expectations and needs of the dutch endometriosis society members

    NARCIS (Netherlands)

    Roos-Eysbouts, Y.K.; Bie-Rocks, B. De; Dijk, J. van; Nap, A.W.

    2015-01-01

    Background/Aim Study Question: Endometriosis is associated with a significant reduction in the quality of life and higher depression and anxiety rates. The Dutch Endometriosis Society (ES) was founded to increase the recognition and knowledge in patients and health care professionals, stimulate rese

  2. "Modern" Governance and Codes of Conduct in Dutch Higher Education

    Science.gov (United States)

    de Boer, Harry; Goedegebuure, Leo

    2007-01-01

    As one of the first countries in Europe to do so, The Netherlands moved towards a new relationship between the state and the higher education institutions in the mid-1980s. Autonomy, quality and accountability were key considerations in this move. In 2006 the Dutch government proposed another radical innovation in its approach to higher education…

  3. Soil processes as a guiding principle in precision agriculture : a case study for Dutch arable farming

    NARCIS (Netherlands)

    Alphen, van J.

    2002-01-01

    The fact that conventional agricultural practices have many detrimental effects is widely acknowledged (Rabbinge, 1997). To mitigate these effects, Dutch policy makers have implemented environmental laws that are essentially based on characteristic indicators for groundwater quality. This

  4. Quality of care in a low-income consumer-driven health plan: assessment of healthcare effectiveness data information set (HEDIS) scores for secondary prevention.

    Science.gov (United States)

    Westover, Chad; Arredondo, Patricia H; Chapa, Griselda; Cole, Evan; Campbell, Claudia R

    2014-01-01

    The passage of the Patient Protection and Affordable Care Act of 2010 (PPACA) may create an estimated 16 million new Medicaid enrollees. This underscores the need to develop innovative strategies to provide efficient care to this population without compromising quality. To address concerns that consumer-driven health plans (CDHPs) and cost sharing discourage individuals from seeking needed care, we examined the Healthcare Effectiveness Data Information Set (HEDIS) measures of secondary prevention for a CDHP offered to uninsured, non-Medicaid eligible adults with incomes under 200% of the federal poverty level and compared them to the National Committee for Quality Assurance (NCQA) benchmarks achieved by national Medicaid and commercially insured health plans. Results suggest that the cost-sharing component in the CDHP plan did not deter these low-income enrollees from pursuing or receiving appropriate care when compared to either Medicaid or commercially insured populations. As these results are only descriptive and not statistical measures, further research is needed with comparable populations and more detailed data for hypothesis testing.

  5. Quality index, consumer acceptability, bioactive compounds, and antioxidant activity of fresh-cut "ataulfo" mangoes (mangifera indica L.) as affected by low-temperature storage.

    Science.gov (United States)

    Robles-Sánchez, R M; Islas-Osuna, M A; Astiazarán-García, H; Vázquez-Ortiz, F A; Martín-Belloso, O; Gorinstein, S; González-Aguilar, G A

    2009-04-01

    To measure bioactive compound losses due to minimal processing, mature green fresh-cut mangoes (Mangifera indica L.) cv. "Ataulfo" were subjected to an antioxidant treatment and stored at 5 degrees C during 15 d. Quality index, total phenols, flavonoids, beta-carotene, ascorbic acid, vitamin E, and antioxidant activity were measured during the storage period of fruits. Antioxidant capacity was estimated using ORAC(FL), TEAC, and DPPH assays. The dipping treatments with ascorbic acid (AA) + citric acid (CA) + CaCl2 affected positively quality delaying deterioration of fresh-cut mango as compared with whole fruit. However, dipping treatment affected the consumer preferences of fresh-cut mangoes. The highest vitamin C, beta-carotene, and vitamin E losses were observed after 10 d, being similar in whole and fresh-cut mangoes. The antioxidant activity was not significantly affected by storage time. We conclude that fresh-cut mangoes retained their bioactive compound content during storage and their antioxidant and nutritional properties make them a good source of these compounds.

  6. Patient Experience Assessment is a Requisite for Quality Evaluation: A Discussion of the In-Center Hemodialysis Consumer Assessment of Health Care Providers and Systems (ICH CAHPS) Survey.

    Science.gov (United States)

    Cavanaugh, Kerri L

    2016-01-01

    Patient experience surveys provide a critical and unique perspective on the quality of patient-centered healthcare delivery. These surveys provide a mechanism to systematically express patients' voice on topics valued by patients to make decisions about choices in care. They also provide an assessment to healthcare organizations about their service that cannot be obtained from any other source. Regulatory agencies have mandated the assessment of patients' experience as part of healthcare value based purchasing programs and weighted the results to account for up to 30% of the total scoring. This is a testimony to the accepted importance of this metric as a fundamental assessment of quality. After more than a decade of rigorous research, there is a significant body of growing evidence supporting specifically the validity and use of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, including a version specific to in-center hemodialysis (ICH CAHPS). This review will focus on the ICH CAHPS survey including a review of its development, content, administration, and also a discussion of common criticisms. Although it is suggested that the survey assesses activities and experiences that are not modifiable by the healthcare organization (or the dialysis facility in our case) emerging evidence suggests otherwise. Dialysis providers have an exclusive opportunity to lead the advancement of understanding the implications and serviceability of the evaluation of the patient experience in health care. © 2016 Wiley Periodicals, Inc.

  7. Development of a diet quality index with special reference to micronutrient adequacy for adolescent girls consuming a lacto-vegetarian diet.

    Science.gov (United States)

    Chiplonkar, Shashi A; Tupe, Rama

    2010-06-01

    Recent dietary guidelines emphasize micronutrient sufficiency by giving importance to consumption of whole grains and a variety of fruits and vegetables. The objective of this study was to identify a measure of micronutrient quality of diets in adolescent girls consuming a lacto-vegetarian diet. Data were collected on the nutritional status of 630 schoolgirls (ages 10 to 16 years) from Pune city, India, in a cross-sectional survey during 2006-2007. Dietary intakes were assessed by 24-hour recall on 3 nonconsecutive days. Nutrient intakes were calculated from the Indian nutritive value databases. Micronutrient adequacy was expressed as a ratio of observed intake to reference intake. An Adolescent Micronutrient Quality Index (AMQI) was formulated using the Indian and the recent US dietary guidelines. Fasting blood samples were analyzed for plasma levels of vitamin C, beta carotene, and zinc. The average energy intake of the majority of the girls was below the Indian recommended dietary intakes, whereas micronutrient intakes were 50% to 70% lower than recommended dietary intakes. The mean AMQI score was 41.5+/-9.4. The age of subjects as well as mother's education and occupation were significantly associated with the AMQI. The AMQI was correlated with nutrient intakes and the ratio of observed intake to reference intake (Pvegetarian diets. 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  8. Opinion mining in Dutch Hansards

    NARCIS (Netherlands)

    Grijzenhout, S.; Jijkoun, V.; Marx, M.

    2010-01-01

    The question is addressed if opinion mining techniques can be successfully used to automatically retrieve political viewpoints in Dutch parliamentary publications. Two specific tasks are identified: automatically determining subjectivity in the publications and automatically determining the semantic

  9. Regulated competition in health care: Switching and barriers to switching in the Dutch health insurance system

    Directory of Open Access Journals (Sweden)

    Rijken Mieke

    2011-05-01

    Full Text Available Abstract Background In 2006, a number of changes in the Dutch health insurance system came into effect. In this new system mobility of insured is important. The idea is that insured switch insurers because they are not satisfied with quality of care and the premium of their insurance. As a result, insurers will in theory strive for a better balance between price and quality. The Dutch changes have caught the attention, internationally, of both policy makers and researchers. In our study we examined switching behaviour over three years (2007-2009. We tested if there are differences in the numbers of switchers between groups defined by socio-demographic and health characteristics and between the general population and people with chronic illness or disability. We also looked at reasons for (not-switching and at perceived barriers to switching. Methods Switching behaviour and reasons for (not-switching were measured over three years (2007-2009 by sending postal questionnaires to members of the Dutch Health Care Consumer Panel and of the National Panel of people with Chronic illness or Disability. Data were available for each year and for each panel for at least 1896 respondents - a response of between 71% and 88%. Results The percentages of switchers are low; 6% in 2007, 4% in 2008 and 3% in 2009. Younger and higher educated people switch more often than older and lower educated people and women switch more often than men. There is no difference in the percentage of switchers between the general population and people with chronic illness or disability. People with a bad self-perceived health, and chronically ill and disabled, perceive more barriers to switching than others. Conclusion The percentages of switchers are comparable to the old system. Switching is not based on quality of care and thus it can be questioned whether it will lead to a better balance between price and quality. Although there is no difference in the frequency of switching

  10. Fisheries and aquaculture industries involvement to control product health and quality safety to satisfy consumer-driven objectives on retail markets in Europe.

    Science.gov (United States)

    Roth, Eva; Rosenthal, Harald

    2006-01-01

    Over the past years the export of agricultural and fishery products from developing countries has substantially increased to markets within the OECD. Retailers and importers are expanding their international operations to meet consumer demands for year-round delivery of products. Moreover, consumers have become increasingly concerned about the safety of food, including those derived from aquatic resources [FAO/NACA/WHO Joint Study Group, 1999. Report food safety issues associated with products from aquaculture. WHO Technical Report Series No 883: VII, pp. 1-55]. Governments and leading businesses are responding by imposing new safety regulations and standards to the international food system (e.g. HACCP, EUREP-GAP), product liability and labeling [Reilly, A., Howgate, P., Käferstein, F., 1997. Safety hazards and the application of HACCP in aquaculture. In: Proceedings of the Second International Conference on Fish Inspection and Quality Control: A Global Focus, Arlington, VA, 19-24 May 1996. Technomic Publishing, Lancaster, PA, pp. 353-373]. Initial concerns for imports of aquacultural products from developing to industrialized countries focussed on bacterial contamination [Buras, N. 1993. Microbial safety of produce from wastewater-fed aquaculture. In: Pullin, R.V.C., Rosenthal, H., MacLean, J.L.(Eds.), Proceedings of ICLARM Conferences, vol. 31, pp. 285-295]. Today, if trade opportunities are to be maintained, these countries must adapt to a full array of regulations and standards. This paper describes four scenarios in aquaculture and fishing product trade between developing countries and countries in the European Union.

  11. Quality of the forage apparently consumed by beef calves in natural grassland under fertilization and oversown with cool season forage species

    Directory of Open Access Journals (Sweden)

    Denise Adelaide Gomes Elejalde

    2012-06-01

    Full Text Available The objective of this study was to evaluate the chemical composition of the forage apparently consumed by steers in a natural grassland on region of Campanha, in Rio Grande do Sul, Brazil, subjected or not to different inputs: NP - natural pasture without inputs; FNP - fertilized natural pasture and INP - improved natural grassland with fertilization and over-seeded with cultivated winter species. Three Angus steers testers and a variable number of regulator animals per experimental unit were utilized in order to maintain 13 kg of DM/100 kg of live weight (LW as forage allowance. One time at each season, hand plucking samples were performed along the daily grazing time simulating forage harvested by the animals. The collected samples after drying and grind were submitted to chemical analysis to determine the forage quality. Except in winter and spring, the values of neutral detergent fiber were higher than the critical value of 550 g/kg of DM, which could limit forage intake, demonstrating that the values of forage on offer provided (15.6; 13.7; 13.5; 15.8 kg of DM/100 kg of LW/day in summer, autumn, winter and spring, respectively were not restrictive to intake. The oversowing of winter cultivated species or fertilization positively alter the degradable fiber content. The seasons had marked influence on the chemical composition of forage apparently consumed; positively increasing some fractions of forage chemical composition in the seasons in which native or cultivated winter species increased their participation. The forage chemical composition is the determining factor in animal performance in natural pasture.

  12. PRINCIPLES OF DETERMINATION OF VALUE IN USE FOR MEAT AND MEAT PRODUCTS BASED ON QUALITY INDICATORS — THE COEFFICIENTS OF CONSUMER PROPERTIES

    Directory of Open Access Journals (Sweden)

    N. F. Neburchilova

    2016-01-01

    Full Text Available Price setting is as complex process, which requires taking into considerationmany factors. In different periods, the systems of price setting existed in the meat sector of the agro-industrial complex, which took into account only the external factors: competition, value of goods and production costs. The system of price formation thatwas in existence in Russia up to now was based only on the costbased principle. Transition to formation of the free market prices practically has not led to changes in the methodological approaches in price setting and has not influenced their structure. The current price formation system in the meat sector of the agro-industrialcomplex does not correspond to the contemporary requirements of the economic science. Thus, it is an obstacle on the way of introduction of the objective economic laws in conditions of the market relations. It is possible to achieve production efficiency with such use of the existing resources when the differentiated production costs are proportional to the utility of these resources. The utility of products is determined by a complex of properties that reflect their value in use. The main qualitative parameters are consumer properties of products. The main internal factor influencing the priceparameters is the qualitative composition of raw material. In order to create parity in price setting for different groups of products, the unified method of price equivalence with regard to the qualitative parameters of the raw material constituent was developed. Quality characteristics of meat products are composed of the product structure, morphology and chemical composition, and, finally, coefficients of consumer properties calculated with consideration for all above-mentioned factors.

  13. Characterising convinced sustainable food consumers

    OpenAIRE

    von Meyer-Höfer, Marie; von der Wense, Vera; Spiller, Achim

    2013-01-01

    The objective of this article is to identify the distinguishing socio-demographic and psychographic features of convinced sustainable consumers in contrast to convinced conventional consumers. Furthermore, it contributes to the sparse literature about tea consumption. This study is based on data collected via an online consumer survey. First respondents took part in a choice experiment with tea varying in its price (four levels) and quality (conventional / organic / fair trade / organic & fai...

  14. The role of trust in the perception of the quality of local food products: with particular reference to direct relationships between producer and consumer

    Directory of Open Access Journals (Sweden)

    Catherine Hérault-Fournier

    2005-05-01

    Full Text Available Cette recherche s’intéresse à la perception de la qualité des produits alimentaires à travers les relations directes entre producteurs et consommateurs. Elle s’efforce d’apporter un éclairage sur la manière dont se construisent ou se reconstruisent les liens de proximité entre ces acteurs parallèlement à un système de commercialisation plus classique. Elle a plus précisément pour ambition d’étudier l’influence des relations directes entre un producteur et un consommateur sur la manière dont ce dernier perçoit la qualité des produits alimentaires. Pour répondre à ce questionnement nous avons choisi deux terrains différents en fonction de la nature des relations développées : la vente directe de viande de bœuf apparue suite à la crise de la vache folle et l’animation commerciale par des éleveurs de volaille dans les grandes surfaces. Les résultats tendent à montrer d’une part que la dimension relationnelle prend une part effective dans le processus de qualification des produits alimentaires et d’autre part que l’influence qu’elle exerce est très étroitement liée à la nature de la confiance établie entre les acteurs concernés.This research examines how the quality of food products is perceived when there is a direct relationship between the producer and consumer. It attempts to throw light on the way that customer-intimacy links are forged or restored between these two participants in the chain and draws a parallel with the more standard distribution channels. The goal is more precisely to study the influence of direct relationship on consumers’ perception of food quality. To address these issues we have selected two different areas according to the type of relationship developed: the farmer-to-consumer sale of beef that emerged after the BSE crisis and promotional events in the supermarkets organized by chicken farmers. The results show that the relational dimension does influence the

  15. Supplementation based on protein or energy ingredients to beef cattle consuming low-quality cool-season forages: II. Performance, reproductive, and metabolic responses of replacement heifers.

    Science.gov (United States)

    Cappellozza, B I; Cooke, R F; Reis, M M; Moriel, P; Keisler, D H; Bohnert, D W

    2014-06-01

    This experiment evaluated the influence of supplement composition on performance, reproductive, and metabolic responses of Angus × Hereford heifers consuming a low-quality cool-season forage (8.7% CP and 57% TDN). Sixty heifers (initial age = 226 ± 3 d) were allocated into 15 drylot pens (4 heifers/pen and 5 pens/treatment) and assigned to 1) supplementation with soybean meal (PROT), 2) supplementation with a mixture of cracked corn, soybean meal, and urea (68:22:10 ratio, DM basis; ENER), or 3) no supplementation (CON). Heifers were offered meadow foxtail (Alopecurus pratensis L.) hay for ad libitum consumption during the experiment (d -10 to 160). Beginning on d 0, PROT and ENER were provided daily at a rate of 1.30 and 1.40 kg of DM/heifer to ensure that PROT and ENER intakes were isocaloric and isonitrogenous. Hay and total DMI were recorded for 5 consecutive days during each month of the experiment. Blood was collected every 10 d for analysis of plasma progesterone to evaluate puberty attainment. Blood samples collected on d -10, 60, 120, and 150 were also analyzed for plasma concentrations of plasma urea N (PUN), glucose, insulin, IGF-I, NEFA, and leptin. Liver samples were collected on d 100 from 2 heifers/pen and analyzed for mRNA expression of genes associated with nutritional metabolism. No treatment effect was detected (P = 0.33) on forage DMI. Total DMI, ADG, and mean concentrations of glucose, insulin, and IGF-I as well as hepatic mRNA expression of IGF-I and IGFBP-3 were greater (P ≤ 0.02) for PROT and ENER compared with CON and similar between PROT and ENER (P ≥ 0.13). Mean PUN concentrations were also greater (P beef heifers consuming a low-quality cool-season forage had a similar increase in DMI, growth, and overall metabolic status if offered supplements based on soybean meal or corn at 0.5% of BW.

  16. Alcoholic beverage preference and diet in a representative Dutch population: the Dutch national food consumption survey 2007-2010.

    Science.gov (United States)

    Sluik, D; van Lee, L; Geelen, A; Feskens, E J

    2014-03-01

    The habitual consumption of a specific type of alcoholic beverage may be related to the overall dietary pattern. The objective of this cross-sectional study was to investigate associations between alcoholic beverage preference and dietary intake in The Netherlands. A total of 2100 men and women from the Dutch National Food Consumption Survey 2007-2010 were studied. A general questionnaire assessed alcoholic beverage preference and two non-consecutive 24-h dietary recalls assessed overall diet. Mean nutrient and food group intakes, and adherence to the 2006 Dutch dietary guidelines across categories of alcoholic beverage preference were compared and adjusted for age, sex, body mass index (BMI), education, smoking, physical activity, energy intake and frequency and absolute alcohol consumption. Largest differences in dietary habits were detected between persons who preferred wine and those who preferred beer. Persons with a beer preference had a higher absolute intake of meat, soft drinks, margarine and snacks. In contrast, persons with a wine preference had a higher absolute consumption of healthy foods. However, after multiple adjustments, wine consumers still consumed less energy and more vegetables and fruit juices compared with beer consumers. Adherence to the Dutch dietary guidelines did not differ between preference categories after multiple adjustments. In this cross-sectional analysis in a representative sample of the Dutch population, a beer preference was associated with less healthy dietary behaviour, especially compared with wine preference. However, these differences were largely explained by other socio-demographic and lifestyle factors. These results suggest that alcoholic beverage preference may not be independently related to diet.

  17. Marketing de banana: preferências do consumidor quanto aos atributos de qualidade dos frutos Marketing of banana: consumer preferences relating to fruit quality attributes

    Directory of Open Access Journals (Sweden)

    Fernando César Akira Urbano Matsuura

    2004-04-01

    das Almas town, Bahia State considering the fruit quality attributes of fresh mature banana. The methodology used was descriptive research for statistical method. The data were collected by questionnaire, in the form of personal interview with 400 people. The quality attributes (variables questioned and appraised were related with the appearance, color, texture, aroma, flavor and shelf-life of the banana fruits. In agreement with the consumers' preference, the fruit of ideal mature banana should present characteristics like hand contends 10 to 12 fingers (fruits, fingers of medium or big size, medium diameter, present angularity, absence of black spots in the peel, color of the pulp light or medium yellow, firm texture, aroma and flavor of medium intensity, medium sweet and shelf-useful of 7 to 10 days in natural conditions. The flavor, shelf-life and appearance of the banana fruits are considered the most important attributes at the purchase, according the consumers.

  18. End-product quality characteristics and consumer response of chickpea flour-based gluten-free muffins containing corn starch and egg white.

    Science.gov (United States)

    Alvarez, María Dolores; Herranz, Beatriz; Jiménez, María José; Canet, Wenceslao

    2017-03-15

    The objective of this work was to study changes in technological characteristics and sensory properties of gluten-free muffins when using chickpea flour (CF) alone and/or with partial CF replacement by corn starch (CS). The effect of partial whole egg replacement by egg white (EW) was also investigated. Four different CF:CS ratios (100:0, 75:25, 50:50, and 25:75) were used in formulations with and without incorporated EW, and compared with wheat flour (WF) muffins (0:0). Muffins prepared from CF alone had lower hardness, springiness, cohesiveness, chewiness, and resilience than control ones. However, reducing protein content by CS addition significantly increased texture profile analysis parameters of muffin crumb. Muffins prepared with 25:75 ratio had a structure with springiness similar to muffins made with WF but were too hard. Reducing whole egg content by partial replacement with EW also significantly increased muffin hardness. Flash profile performed by consumers showed a clear discrimination of muffins according to CF:CS ratio. Muffins containing both CF and CS at 50:50 ratio had the same high overall acceptability and purchase intention as gluten ones. Gluten-free CF-based muffins of satisfactory quality can be manufactured by CS incorporation, either with or without EW. By decreasing and increasing protein and starch contents of chickpea flour (CF) by incorporation of corn starch (CS), muffins formulated from a combination of CF and CS at different CF:CS ratios, either with or without partial replacement of whole egg with egg white, result in high-quality muffins with similar technological and sensory characteristics to those of their gluten counterparts. Sensory overall acceptability and purchase intention of muffins made with a 50:50 ratio did not differ significantly from those of the controls. These findings will benefit celiac population, while promoting the value and utilization of pulses through muffins. © 2017 Wiley Periodicals, Inc.

  19. Sisters in Dutch hospitals.

    Science.gov (United States)

    van den Bergh-Braam, A H

    1985-11-01

    This study focuses on hospital sisters in 30 Dutch hospitals. The so-called role-set approach has been adopted. In this approach the sisters are the focal persons. Direct superiors, specialists, registered nurses and student nurses acted as role-senders. The possible number of respondents is 600 (120 of each group). The response of hospital sisters is 100%, that of role-senders 88%. The study started out as an attempt to collect background information on the causes of wastage of sisters. High wastage rates are generally regarded as an indication of an unfavourable working environment. Since hospital sisters occupy a key position in hospitals, the ward problems will be studied from their angle. Although wastage rates have dropped recently, it does not necessarily follow that the working environment has improved. Wastage is known to act as a safety valve, thus allowing tensions to resolve. The threat of unemployment clogs this outlet, which increases the tensions on the hospital ward. Data from the study show that work overload is one of the major stress factors for sisters. Analyses demonstrated that there exists a relationship between work overload and tensions with the management and direct superiors, tensions in job execution, irritableness on the ward, low self-esteem, health complaints and psychological condition. Sisters with an excessive job involvement refer to work overload more often than their moderate colleagues. There is a relationship between an unfavourable working environment and irritableness of sisters.

  20. Health care consumer reports: an evaluation of consumer perspectives.

    Science.gov (United States)

    Longo, Daniel R; Everet, Kevin D

    2003-01-01

    There has been a proliferation of health care consumer reports, also known as "consumer guides," "report cards," and "performance reports," which are designed to assist consumers in making more informed health care decisions. While there is evidence that providers use such reports to identify and make changes in practice, thus improving the quality of care, there is little empirical evidence on how consumer guides/report cards are used by consumers. This study fills that gap by surveying 925 patients as they wait for ambulatory care in several clinics in a midwestern city. Findings indicate that consumers are selective in their use of these reports and quickly identify those sections of the report of most interest to them. Report developers should take precautions to ensure such reports are viewed as credible sources of health care information.

  1. Re-Minding the Dutch

    Directory of Open Access Journals (Sweden)

    H. Pols

    2009-01-01

    Full Text Available Re-Minding the DutchVerward van Geest is commended because of its careful, balanced, detailed, meticulously researched, and comprehensive approach of the development of the psychiatric profession in the Netherlands. The authors relate Dutch developments to initiatives abroad, some of which were taken up by Dutch psychiatrists and developed further. The development of the extensive network of out-patient mental health facilities in particular, which makes the Dutch system stand apart from that of most others, receives a lot of attention. Unfortunately, the history of psychiatry in the former Dutch colonial empire is not covered. The study is applauded for providing a wealth of material that could give a new impulse to discussions about the nature of mental health in the Netherlands, such as the following: How are supply and demand in mental health care related to each other? Do individuals with a lower socio-economic status have adequate access to care? How did the relationship between biological, social, and psychological approaches to mental illness and individual distress change over time?

  2. Opportunities for Local for Local Food Production. A Case in the Dutch Fruit and Vegetables

    NARCIS (Netherlands)

    Visser, J.; Trienekens, J.H.; Beek, van P.

    2013-01-01

    This paper investigates the opportunities for farmers to produce for local consumers, based on a case study in the Dutch horticulture sector. Main requirements for the set-up of a local chain of supply chain actors are investigated. Producer requirements are added value, availability of time, infras

  3. Opportunities for Local for Local Food Production. A Case in the Dutch Fruit and Vegetables

    NARCIS (Netherlands)

    Visser, J.; Trienekens, J.H.; Beek, van P.

    2013-01-01

    This paper investigates the opportunities for farmers to produce for local consumers, based on a case study in the Dutch horticulture sector. Main requirements for the set-up of a local chain of supply chain actors are investigated. Producer requirements are added value, availability of time,

  4. Digital Risk Inventory and Evaluation (RIE) : a Dutch approach offering valuable support for small business owners

    NARCIS (Netherlands)

    Meeuwsen, J.M.

    2008-01-01

    The Dutch Working Conditions Act requires employers to perform a Risk Inventory and Evaluation (RIE). Until recently, small business owners (SMEs) in particular were unhappy about this rather time-consuming obligation. However, the introduction of digital RIE instruments disseminated through the web

  5. Technology for transparency: The case of the web-based Dutch national health portal

    NARCIS (Netherlands)

    Ossebaard, Hans Cornelis; van Gemert-Pijnen, Julia E.W.C.; Seydel, E.R.

    2012-01-01

    Against a backdrop of New Public Management and healthcare system reform the Dutch Ministry of Health commissioned the National Institute for Public Health and the Environment (RIVM) to develop, host and manage an online public national health and care portal. The portal aims to facilitate consumer

  6. Contribution of fruit research in the developments in Dutch fresh fruit chain

    NARCIS (Netherlands)

    Groot, M.J.; Peppelman, G.

    2004-01-01

    Due to the poor financial results of the fruit industry in the last decade, the changing trade structures and more consumer-driven fruit chains, Dutch fruit growers change their market behaviour. In these circumstances, the fruit industry itself and the applied fruit research are also changing.

  7. Digital Risk Inventory and Evaluation (RIE) : a Dutch approach offering valuable support for small business owners

    NARCIS (Netherlands)

    Meeuwsen, J.M.

    2008-01-01

    The Dutch Working Conditions Act requires employers to perform a Risk Inventory and Evaluation (RIE). Until recently, small business owners (SMEs) in particular were unhappy about this rather time-consuming obligation. However, the introduction of digital RIE instruments disseminated through the web

  8. Third Dutch Process Security Control Event

    NARCIS (Netherlands)

    Luiijf, H.A.M.

    2009-01-01

    On June 4th, 2009, the third Dutch Process Control Security Event took place in Amsterdam. The event, organised by the Dutch National Infrastructure against Cybercrime (NICC), attracted both Dutch process control experts and members of the European SCADA and Control Systems Information Exchange (Eur

  9. Consumer wants and use of ingredient and nutrition information for alcoholic drinks: A cross-cultural study in six EU countries Food Quality and Preference

    DEFF Research Database (Denmark)

    Grunert, Klaus G; Hieke, Sophie; Juhl, Hans Jørn

    2017-01-01

    In the EU, alcoholic beverages are exempt from Regulation 1169/2011 on the provision of food information to consumers (FIC) that requires food labels to contain both ingredient information and information on key nutrients. We investigate to which extent consumers want and use information...

  10. The purchasing of maintenance service delivery in the Dutch social housing sector: optimising commodity strategies for delivering maintenance services to tenants

    NARCIS (Netherlands)

    Van Mossel, J.H.

    2008-01-01

    For housing associations, maintenance is an opportunity for high quality interaction with their tenants, and thus an opportunity for effectively influencing the quality of service delivery to tenants. Dutch housing associations have a market share of about one third of the entire Dutch housing stock

  11. The purchasing of maintenance service delivery in the Dutch social housing sector: optimising commodity strategies for delivering maintenance services to tenants

    NARCIS (Netherlands)

    Van Mossel, J.H.

    2008-01-01

    For housing associations, maintenance is an opportunity for high quality interaction with their tenants, and thus an opportunity for effectively influencing the quality of service delivery to tenants. Dutch housing associations have a market share of about one third of the entire Dutch housing

  12. Effects of level of concentrate supplementation on growth performance of Arsi-Bale and Boer × Arsi-Bale male goats consuming low-quality grass hay.

    Science.gov (United States)

    Mohammed, Seid; Urge, Mengistu; Animut, Getachew; Awigechew, Kassahun; Abebe, Girma; Goetsch, Arthur Louis

    2012-08-01

    Eighteen Arsi-Bale (local) and 18 Boer × Arsi-Bale (crossbred) male goats, initially approximately 10 months of age, were used in a 12-week experiment to investigate potential interactions between genotype and nutritional plane in growth performance, carcass and skin characteristics, and mass of non-carcass components. Grass hay (6.7% crude protein and 71.9% neutral detergent fiber) was consumed ad libitum supplemented with 150, 300, or 450 g/day (dry matter; low, moderate, and high, respectively) of a concentrate mixture (50% wheat bran, 49% noug seed cake, and 1% salt). Initial body weight was 20.7 and 14.0 kg for crossbred and local goats, respectively (SE = 0.36). Hay dry matter intake was greater (P goats (461 and 429 g/day) and similar among concentrate levels (438, 444, and 451 g/day for high, moderate, and low, respectively; SE = 4.7). Average daily gain was greater (P goats (36.6 and 20.8 g) and differed (P goats, respectively; SE = 0.59) and greater (P goats, respectively) and high and low (8.80 and 6.66 kg, respectively). Carcass concentrations of physically dissectible lean and fat were similar between genotypes and high and low concentrate levels. There were few differences between genotypes or concentrate levels in other carcass characteristics such as color and skin properties. Relative to empty body weight, the mass of most non-carcass tissues and organs did not differ between genotypes. However, the low concentrate-level mass of omental-mesenteric fat was greater (P goats (1.06% vs. 0.54% empty body weight, respectively). In conclusion, growth performance and carcass weight advantages from crossing Boer and Arsi-Bale goats were similar with a low-quality basal grass hay diet regardless of level of supplemental concentrate.

  13. 消费者异质下基于质量-价格竞争的定价策略选择%Consumer Heterogeneity and Pricing Strategies:A Quality-Price Competition Model

    Institute of Scientific and Technical Information of China (English)

    孙晓东; 田澎; 赵藜

    2013-01-01

    在质量敏感市场上,消费者往往基于质量和价格作出购买决策.分析了市场上同时存在质量敏感型消费者和价格敏感型消费者时双寡头企业的质量与价格竞争,讨论了消费者异质性对企业质量和定价策略选择的影响,其中,消费者异质性表现为对价格和质量的敏感程度.基于经典Hotelling模型构造消费者的效用函数,并由此获得企业的需求和利润函数;分析了企业对消费者实施统一定价和差别定价策略时的质量和价格竞争.结果表明:在同一的竞争策略下,企业遵循“最小差异化原则”.在差别定价策略下,企业提供的产品质量高于统一定价时的质量;企业为价格敏感型消费者设置较低的价格,而为质量敏感型消费者设置较高的价格.研究表明,消费者的转换成本较高时企业应该实行差别定价,消费者的转换成本较低时应采用统一定价.此外,讨论了市场上消费者的组成结构对企业均衡价格和均衡质量的影响.%We consider duopoly quality-price competition in a market with two types of consumers:pricesensitive consumers and quality-sensitive consumers.The characteristics of consumers are reflected by both the price sensitivity and the quality sensitivity.We first establish the utility function for each type of consumers and derive the demand function for every firm based on Hotelling model.Then,we analyze the duopoly quality-price competition under two pricing strategies:uniform pricing sand discriminatory pricing.The results show that under price discrimination the quality is higher than that under the uniform pricing strategy; firms set lower prices for price-sensitive consumers and higher price for quality-sensitive consumers.By comparisons,we conclude that the firms may carry out discriminatory pricing when consumer's transportation cost is high,and adopt uniform pricing when consumer's transportation cost is low.Additionally,the proportion of

  14. Segmental and suprasegmental contributions to spoken-word recognition in Dutch

    OpenAIRE

    Koster, M; Cutler, A.

    1997-01-01

    Words can be distinguished by segmental differences or by suprasegmental differences or both. Studies from English suggest that suprasegmentals play little role in human spoken-word recognition; English stress, however, is nearly always unambiguously coded in segmental structure (vowel quality); this relationship is less close in Dutch. The present study directly compared the effects of segmental and suprasegmental mispronunciation on word recognition in Dutch. There was a strong effect of su...

  15. Segmenting Consumers According to Their Purchase of Products with Organic, Fair-Trade, and Health Labels

    NARCIS (Netherlands)

    Verhoef, Peter C.; van Doorn, Jenny

    2016-01-01

    Using actual purchase data of food products with different labels, we examine Dutch consumers' purchases of organic, fair-trade, and health labels. Empirically, consumers' purchase behavior of labeled products can be categorized into two dimensions: a health-related and a sustainable dimension compr

  16. Trends in Energy. 'The consumer decides'; Trends in Energy. 'De consument bepaalt'

    Energy Technology Data Exchange (ETDEWEB)

    Brzezowsky-Ruys, Y.; Van der Zalm, M.; Van Zutphen, M. (eds.)

    2012-03-15

    A report is given of the Capgemini organised congress 'Trends in Energy 2011' which has the Dutch subtitle 'De consument bepaalt' (The consumer decides'. The focus of the articles, interviews, debates and presentations is on the role of the consumer in the supply of and demand for energy. Parts of the report are in Dutch and English [Dutch] Dit rapport bestaat uit een verslag van het congres 'Trends in Energy 2011. De consument bepaalt' en een aantal artikelen met achtergrondinformatie over onder meer de rol van de consument in vraag en aanbod van energie.

  17. Dutch museum marks Einstein anniversary

    Science.gov (United States)

    van Calmthout, Matijn

    2016-01-01

    A new painting of Albert Einstein's field equation from his 1915 general theory of relativity was unveiled in a ceremony in November 2015 by the Dutch physicist Robbert Dijkgraaf, who is director of the Princeton Institute for Advanced Study in the US.

  18. Nitrification in Dutch heathland soils.

    NARCIS (Netherlands)

    Boer, de W.

    1989-01-01

    This thesis is the result of a study on the production of nitrate in Dutch heathland soils. Most of the heathlands are located on acid, sandy soils. Therefore , it has dealt mainly with the occurrence, nature and mechanisms of nitrification in acid soils. In the Netherlands, the production of nitrat

  19. The Dutch interbank computer network

    NARCIS (Netherlands)

    Michiels, Eddie

    1988-01-01

    At the end of 1980, a strategic decision was made by the Dutch banks and savings banks to commence the development of a Data Communications Infrastructure (DCI), to be used for a number of forthcoming interbank applications. It was agreed that this new data communications infrastructure should be ba

  20. Dutch Architecture with Landscape Methods

    NARCIS (Netherlands)

    Jauslin, D.

    2009-01-01

    14 Project Documentations and Analysis of Dutch Architecture with Landscape Methods. MVRDV Villa VPRO, Powerhouse Company Villa 1, Herman Herzberger Coda Museum, NL Architects Basket Ba, SeARCH Posbank Pavillion, Wiel Arets Hedge House, OMA Kunsthal and Educatorium, Maaskant Johnson Wax, Diller & Sc