905 research outputs found

    Innostu ja onnistu opetuksessa

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    Barriers to Asthma Treatment in the United States: Results From the Global Asthma Physician and Patient Survey

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    BACKGROUND: The Global Asthma Physician and Patient (GAPP) survey evaluated the perceptions of both physicians and patients on the management of asthma. Here we present the results from the United States (US) subpopulation of the GAPP survey. METHODS: The GAPP Survey was a large, global study (physicians, n = 1733; patients, n = 1726; interviews, n = 3459). In the US, 208 adults (aged ≥ 18 years) with asthma and 224 physicians were recruited. Respondents were questioned using self-administered online interviews with close-ended questionnaires. RESULTS: Physician and patient responses were found to differ in regard to perception of time spent on asthma education, awareness of disease symptoms and their severity, asthma medication side effects, and adherence to treatment and the consequence of nonadherence. Comparison of the US findings with the global GAPP survey results suggest the US physician-patient partnership compared reasonably well with the other countries in the survey. Both patients and physicians cited a need for new asthma medication. CONCLUSIONS: Similar to the global GAPP survey, the US-specific findings indicate that in general there is a lack of asthma control, poor adherence to therapy, and room for improvement in patient-physician communication and partnership in treating asthma

    The potential of innovation contests in articulating demand for system-level transformation: The case of the Helsinki Energy Challenge

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    As local authorities and providers of services and infrastructures, cities can advance sustainability transformations through instruments like public procurement. However, a disconnect exists between broad (supra)national sustainability challenges and public procurers’ local needs. We examine innovation contests as a tool for articulating societal challenges as local demands for innovation. We study Helsinki Energy Challenge, where the city of Helsinki, Finland, sought solutions for decarbonizing its heating system, offering a million-euro reward. We explore how innovation contest-related activities contribute to articulating demand for system innovation locally and their influence on participants’ problem-solving approaches. The case demonstrates how innovation contests could localise demand for sustainable solutions and direct innovation processes toward a societal challenge, while supporting solutions’ broader scalability. We identify six demand articulation activities: expressing strategic intent, scoping, boundary-setting, user-producer interaction, evaluation, and embedding. We enhance understanding of demand articulation processes for system innovation and the potential of innovation contests for transformative innovation missions

    Public Procurement for Sustainability

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    Public procurement emerges as an instrument to promote sustainability and innovation, facilitating the implementation of policy goals. Adaptive procurement leverages sustainable innovation available in the market. Developmental procurement creates demand for solutions that do not exist yet but need to be developed first. Real-world applications from sectors such as construction, transportation, and waste management illustrate the transformative role of procurement. However, challenges persist, including the inconsistent implementation of sustainability and innovation-oriented procurement practices across organizations and sectors and the presence of multiple potentially conflicting objectives
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