DOCSLIB.ORG

Health Care and Social Care Costs of Pneumonia in Denmark: a Register-Based Study of All Citizens and Patients with COPD in Three Municipalities

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Health Care and Social Care Costs of Pneumonia in Denmark: a Register-Based Study of All Citizens and Patients with COPD in Three Municipalities Journal name: International Journal of COPD Article Designation: Original Research Year: 2015 Volume: 10 International Journal of COPD Dovepress Running head verso: Brogaard et al Running head recto: Costs of pneumonia in Denmark open access to scientific and medical research DOI: http://dx.doi.org/10.2147/COPD.S92133 Open Access Full Text Article ORIGINAL RESEARCH Health care and social care costs of pneumonia in Denmark: a register-based study of all citizens and patients with COPD in three municipalities Susanne Lausten Brogaard1 Background: Pneumonia is a frequent lung infection and a serious illness, which is often Maj Britt Dahl Nielsen1 diagnosed among patients hospitalized with acute exacerbations of COPD. The aim of this Lars Ulrik Nielsen2 study was to estimate the attributable costs due to pneumonia among patients hospitalized Trine Mosegaard Albretsen3 with pneumonia compared to a matched general population control group without pneumonia Morten Bundgaard4 hospitalization. Niels Anker1 Methods: This study includes citizens older than 18 years from three municipalities (n=142,344). Based on national registers and municipal data, the health and social care costs of pneumonia in Maja Appel1 the second half of 2013 are estimated and compared with propensity score-matched population Kim Gustavsen1 controls. Rose-Marie Lindkvist5 For personal use only. Results: The average health care costs of 383 patients hospitalized with pneumonia in the 2 Anne Skjoldan second half of 2013 were US$34,561 per patient. Among pneumonia patients with COPD, 3 Grete Breinhild the costs were US$35,022. The attributable costs of patients with pneumonia compared to Peter Bo Poulsen5 the population control group for the 6-month period were US$24,155 per case. Overall, the 1COWI AS, Management - Health, attributable costs for the 383 pneumonia cases amounted to US$9.25 million. Subgroup analyses Kongens Lyngby, 2Seniors and Health showed that costs increased with age. The attributable costs due to pneumonia were highest Department, Gladsaxe Municipality, among the 18–59-year-old and the 70–79-year-old patients. This difference is likely to reflect an Welfare Technology, Søborg, 3Elderly and Health Care Department, Lolland increased risk of mortality among the pneumonia patients. Men have higher costs than women Municipality, Maribo, 4Department of in the pneumonia group. Public Health, Holbaek Municipality, Holbaek, 5Pfizer Denmark ApS, Conclusion: The costs of pneumonia are considerable. In three Danish municipalities, the attrib- Health & Value, Ballerup, Denmark utable costs due to pneumonia were US$24,155 per case or US$64,992 per 1,000 inhabitants in the second half of 2013. Similar high health care and social care costs were found for pneumonia patients with COPD – the largest group having pneumonia episodes. The municipalities are responsible for 49% of the costs, while a closer focus on the prevention of pneumonia may be advisable, eg, starting with citizens having COPD. Keywords: pneumonia, attributable costs, COPD, health care, social care, municipalities International Journal of Chronic Obstructive Pulmonary Disease downloaded from https://www.dovepress.com/ by 54.191.40.80 on 05-Jul-2017 Introduction Pneumonia is a frequent lung infection and a serious illness. Community-acquired pneumonia (CAP) is the most common type of pneumonia caused by bacteria, virus, or fungi and is ranked as the fifth leading cause of mortality globally.1 The most common cause of bacterial pneumonia in adults is Streptococcus pneumoniae (pneumococcus) accounting for up to 30% of all pneumonia cases.1 Increasing with age and comorbidi- Correspondence: Peter Bo Poulsen ties, the overall incidence of CAP among adults is increasing, now ranging between Pfizer Denmark ApS, Lautrupvang 8, DK-2750 Ballerup, Denmark 1.54 and 1.7 per 1,000 population in Europe.2 Tel +45 2920 3211 Pneumonia is often diagnosed among patients hospitalized with acute exacerbations Fax +45 4420 1114 Email [email protected] of COPD. In Denmark, this association has been shown in 40% of all COPD admissions submit your manuscript | www.dovepress.com International Journal of COPD 2015:10 2303–2309 2303 Dovepress © 2015 Brogaard et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further http://dx.doi.org/10.2147/COPD.S92133 permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php Powered by TCPDF (www.tcpdf.org) 1 / 1 Brogaard et al Dovepress to the hospital.3 Benfield et al found that 44% of the cases of (Gladsaxe, Holbaek, and Lolland). The total study popula- pneumococcal pneumonia were among patients with COPD.4 tion consisted of 142,344 citizens. Based on the newest data, The group of chronically ill patients having COPD is therefore cases comprised patients hospitalized with pneumonia as the largest risk group for pneumococcal pneumonia. primary diagnosis during the second half of 2013 (July 1, Treatment depends on the type of pneumonia and the 2013 to December 31, 2013) – with no prior pneumonia hos- severity of symptoms, but up to 80% of pneumonia episodes pitalization during the first half of 2013 (January 1, 2013 to are treated in the primary care.5 Hospitalization might be June 30, 2013; washout period). The potential control group required if symptoms are especially serious or if the patient consisted of citizens not hospitalized with pneumonia in 2013. has a weakened immune system or other serious illnesses. The The number of hospitalizations due to pneumonia in 2013 did annual rate of hospitalization due to pneumonia in Denmark not differ from previous years, besides that pneumonia hos- is 40,000 (approximately eight per 1,000 citizens).3,6 In recent pitalization rates have been shown to continuously increase, years, the rate of hospitalization for pneumonia has increased largely driven by recurrent pneumonia episodes in elderly in Denmark, and this trend is generally seen in other devel- patients and secondary diagnoses, eg, 40% of hospitalizations oped countries.6,7 This increase is likely to continue due to for exacerbation of COPD in Denmark are associated with the fast aging of the population, doubling the demand for pneumonia.16 However, by covering only the second half of health care in coming decades and leading to pneumonia to 2013, some of the important winter months have been omit- consume a much larger share of the health resources in the ted, whereas cases appearing in January and February are not future.2,3,6,8 As with COPD, which is among the most costly included in the analysis. This seasonal variation related to diseases and one of the largest chronic disease groups in the changes in the temperature has previously been documented Western world,9 the economic burden of pneumonia, includ- for pneumococcal bacteremia, where changes in temperature ing CAP, is therefore significant. predict peaks in the incidence.17 Omitting some of the coldest In Europe, previous studies have assessed that costs due months may then result in a conservative estimate of the true to pneumonia was ~€10.1 billion annually.10 A number of costs of illness related to pneumonia. For personal use only. European studies from countries such as Germany, Spain, Italy, and Romania have investigated the economic conse- The Danish health care system quences of pneumonia, including CAP.11–15 Some of these Access to a wide range of health services is largely free of studies are based on prospective designs, while others are charge for all citizens in Denmark. The health care system is retrospective utilizing registries, and some include a control organized according to three administrative levels: national, group without pneumonia, while others do not. However, regional, and local (municipalities). The regional level is most importantly none of the studies includes a broader per- responsible for providing hospital care and finances general spective than the direct health care costs. Moreover, no studies practitioners (GPs), specialists, physiotherapists, dentist, and have to date estimated the costs of pneumonia in Denmark. prescription medicine. The municipalities are responsible for Utilizing the national registries and local municipality disease prevention, health promotion, rehabilitation, nursing administrative data, the purpose of the present study is to esti- homes, home nurses, assistive devices, etc. Furthermore, the mate the attributable costs due to pneumonia in hospitalized municipalities pay part of the costs of the regional health care patients over a 6-month period in three Danish municipalities services, eg, 34% of the costs of having citizens hospitalized covering 142,344 (older than 18 years) citizens in total (3% up to a maximum of US$2,532 per year (2013 rules). There International Journal of Chronic Obstructive Pulmonary Disease downloaded from https://www.dovepress.com/ by 54.191.40.80 on 05-Jul-2017 of the Danish population). Furthermore, the attributable costs are relatively few out-of-pocket expenses for the citizens, due to pneumonia according to the different administrative which applies for
Load more

Recommended publications
  • Annual Report 2019
    Hovedstadens I Letbane Hovedstadens S Letbane I/S Annual Report Annual Report Hovedstadens Letbane I/S Metrovej DK- Copenhagen S CVR number: T + E [email protected] Read more about the Greater Copenhagen Light Rail at dinletbane.dk Cover visualisation: Gottlieb Paludan Architects Layout, e-Types Printing, GraphicUnit ApS ISBN number: ---- EMÆR AN KE V T S Tryksag 5041 0473 Annual Report 2019 Contents Foreword 05 2019 In Brief 06 Directors’ Report 08 Results and Expectations 08 Status of the Greater Copenhagen Light Rail 16 Design 22 Communication 23 Safety on the Right Track 25 Corporate Management 26 Compliance and CSR Report 27 Annual Accounts 35 Accounting Policies 36 Accounts 39 Management Endorsement 59 Independent Auditors’ Report 60 Appendix to the Directors’ Report 65 Long-Term Budget 66 3 The Light Rail will run under the viaduct at Buddingevej before continuing up to Lyngby Station. Visualisation: Gottlieb Paludan Architects Annual Report 2019 Foreword The Greater Copenhagen Light Rail will be 2019 was the year in which the Light Rail In May, the design of the coming Light Rail part of the public transport network that construction activities got underway and trains was decided on. The trains will be will enable residents, commuters and busi- the project became visible in several places green and will thereby have their own iden- nesspeople to get around in an easy, fast and along Ring 3. The major preparatory works tity in relation to the other modes of trans- more environmentally friendly way. When it at Lyngby Station, Buddinge Station and the port in the Greater Copenhagen area, while goes into operation, the Light Rail will run Control and Maintenance Centre in Glostrup also making it easy to spot the Light Rail in on electricity, which is one of the most en- picked up speed and utility line owners began the cityscape.
    [Show full text]
  • CTR Engelsk Version, 1. Korrektur
    WORLDCLASS, CLIMATE- FRIENDLY HEATING CTR – Centralkommunernes Transmissionsselskab I/S Worldclass, climate-friendly heating 3 CTR Comes into Being after reams of reports and a fight to the finish 4 The Technical Feat: On time and within the budget – without sacrificing quality 8 Greater Copenhagen’s Hotline 12 Aiming for Zero Carbon Emissions 14 Timeline 16 CONTENTS Board of Directors 18 COVER The transmission system’s 26 exchanger stations is located underneath the squaes of the city. The stations transfer the heat from the transmission system to the district heating network that supplies heat to households in the 5 Municipalities. WORLDCLASS, CLIMATE- FRIENDLY HEATING Twenty-five years ago, the five central municipalities and about the technical feat posed by constructing of Greater Copenhagen – Frederiksberg, Gentofte, the system in CTR’s early years. You can also read Gladsaxe, Copenhagen and Tårnby – joined forces to about what it means to be a heating utility for the ensure that their citizens would have a well-thought- municipalities involved and the benefits of district through system for supplying electricity and heat for heating – in the future as well. many years to come. This required an investment of billions of DKK in a vast heat transmission system CTR is a multifaceted success story involving many that would protect the environment, stabilise crucial factors for our society and our citizens: consumer prices and ensure highly reliable supplies. economy, safety, environment and comfort. The catchword for CTR’s activities is “teamwork” – which Looking back, we now see how the founding of the has been exemplary throughout the process.
    [Show full text]
  • From Challenges to Opportunities – Climate Adaptation in Danish Municipalities
    Faculty of Natural Resources and Agricultural Sciences From Challenges to Opportunities – Climate Adaptation in Danish Municipalities Helene Albinus Søgaard Department of Urban and Rural Development Master’s Thesis • 30 HEC Sustainable Development - Master’s Programme Uppsala 2015 From Challenges to Opportunities - Climate Adaptation in Danish Municipalities Helene Albinus Søgaard Supervisor: Hans Peter Hansen, Swedish University of Agricultural Sciences, Department of Urban and Rural Development, Division of Environmental Communication Examiner: Cristián Alarcón Ferrari, Swedish University of Agricultural Sciences, Department of Urban and Rural Development, Division of Environmental Communication Credits: 30 HEC Level: Second cycle (A2E) Course title: Independent Project in Environmental Science - Master’s thesis Course code: EX0431 Programme/Education: Sustainable Development - Master’s Programme Place of publication: Uppsala Year of publication: 2015 Other maps and/or images: (1) Photo p. 47, Flooding in Istedgade, Copenhagen 2011. Photographer: Anne Christine Imer Eskildsen, published with permission from copyright owner. (2) Water texture background in Figure 5 p. 43, open source from Flickr, for link click here, or see Reference list, Pictures, Flickr Online publication: http://stud.epsilon.slu.se Keywords: Climate Adapation, Organizational Learning Theory, Advocacy Coalition Framework, Innovative Practices, and Sustainable Development Sveriges lantbruksuniversitet Swedish University of Agricultural Sciences Faculty of Natural Resources and Agricultural Sciences Department of Urban and Rural Development Page 1/105 Abstract The increasingly dense and paved cities often situated in coastal areas, are challenged by climate change that intensifies damages to urban infrastructure. Through a theoretical framework combining Advocacy Coalition Framework with organizational learning theory of ‘Ba’, the public knowledge creation processes on climate adaptation in Danish municipalities are analyzed in an empirical study.
    [Show full text]
  • The Model Palle Nielsen Arken
    THE MODEL PALLE NIELSEN ARKEN 1 Contents 06 Foreword Christian Gether 12 The Model 2014 - A Model for Qualitative Participation Dorthe Juul Rugaard 26 Between Activism, Installation Art and Relational Aesthetics Palle Nielsen’s The Model – Then and Now Anne Ring Petersen 40 The Model as a Site of Inspiration Lars Geer Hammershøj 54 ”My Art is Not Made for the Art World” An interview with the artist Palle Nielsen Stine Høholt 68 A Brief History of the Model Palle Nielsen 72 The Social Artists Palle Nielsen 78 Social Aesthetics – What is it? Palle Nielsen and Lars Bang Larsen 82 Biography Mille Højerslev Nielsen 88 The Model at Work 3 Foreword Christian Gether To be perfectly honest, when we stood with Palle Nielsen on Feb- ruary 7 2014, enjoying the sight of all the children who with queals of delight, flushed cheeks and eager paintbrushes conquered The Model in ARKEN’s Art Axis, we were as nervous as we were happy. We were not entirely sure what we had started. We knew that we had given half of the museum’s exhibition area to children for almost a year, so they could experience free play and a new interpretation of the legendary The Model of 1968. But we had not dared to hope that the children would embrace The Model so wholeheartedly, bringing it to life and transforming it from a play- ground into an artwork, from an exhibition into a place. At ARKEN we have a strong focus on participation, people at play, and the role of the museum in society.
    [Show full text]
  • NORDIC AMBIENT ASSISTED LIVING Welfare Technologies for Active and Independent Living at Home Colophon
    NORDIC AMBIENT ASSISTED LIVING Welfare technologies for active and independent living at home Colophon Nordic Ambient Assisted Living – a stronghold of the Nordic health and care sector Nordic Welfare Solutions is one of six flagship projects under the Nordic Prime Ministers' joint initiative, Nordic Solutions to Global Challenges, coordinated by the Nordic Council of Ministers. Nordic Welfare Solutions is managed by Nordic Innovation and has the goal of increasing exports through Nordic cooperation, branding and storytelling. The aim is to create a critical mass, strengthen Nordic networks and improve market access for Nordic companies. This white paper introduces a selection of Nordic solutions for Ambient Assisted Living. These are technologies and welfare services developed in the Nordic Region, which enable the elderly to lead an independent life in their own home for a longer duration. It is one of three white papers derived from an analysis of the Strongholds of the Nor- dic Health Tech Ecosystem, published by Nordic Innovation in 2018. This white paper is based on input from more than 70 interviewees working within health and care provi- sion, research and technology development in the Nordic Region. Editors: Mona Truelsen, Nordic Innovation, Bengt Andersson, Nordic Welfare Centre. Contributors: Finnsson & Co, Páll Tómas Finnsson Photo credits: Finnsson & Co, Nectarine Health (p. 17), byACRE (p. 21), Assistep (p. 23), Evondos (p. 35) Nordic Export Task Force: Representatives from HealthCare Denmark (DK), Welfare Tech (DK), Danish Trade Council (DK), Scion DTU (DK), Innovation Norway (NO), Oslo Medtech (NO), Norwegian Smart Care Cluster (NO), FinPro (FI), Healthtech Finland (FI), Upgraded (FI), Business Sweden (SE) Swedish Medtech (SE), Swecare (SE), Feder- ation of Icelandic Industries (IS) and Promote Iceland (IS).
    [Show full text]
  • The Role of Pedestrian Safety in the Municipal Trac Safety Planning
    © Aleks Magnusson The Role of Pedestrian Safety in the Municipal Traffic Safety Planning When Maintenance Becomes Safety Camilla Lønne Nielsen & Sara Merete Kjeldbjerg Jensen Mobilities and Urban Studies, 2021 Master Thesis R E P O T R T E N D U T S Department of Architecture, Design & Media Technology Mobilities and Urban Studies Rendsburggade 14 9000 Aalborg https://www.create.aau.dk/ Title Abstract: The Role of Pedestrian Safety in the This thesis is an investigation of to Municipal Traffic Safety Planning which extent 18 of the biggest municipal- ities in Denmark focus on pedestrians Subtitle in their traffic safety planning, both in When Maintenance Becomes Safety terms of pedestrian accidents in general Project and solo accidents. This is primarily Master thesis, 4th semester investigated through the study of the 18 municipalities’ traffic safety plans, Project duration as well as possible pedestrian strategies. February 2021 – May 2021 However, interviews have likewise been used, since this method makes it possi- Authors ble to ask clarifying questions and ac- Camilla Lønne Nielsen quire knowledge that might not have Sara Merete Kjeldbjerg Jensen been possible to get by reading. The definition of a traffic accident does not Supervisor include solo accidents with pedestrians, Harry Lahrmann why these are not currently included in the official statistics, which the munici- Co-supervisor palities base their traffic safety plans on. Claus Lassen For this reason, there is not much focus on solo accidents with pedestrians, and to a low extent on other pedestrian ac- cidents. It has become clear that pedes- trian safety, when talking about solo accidents, to a great extent is a matter Circulation: 2 of the daily maintenance, therefore we Total pages: 80 recommend e.g.
    [Show full text]
  • Ring 3 Letbane I/S Annual Report 2014 Contents Ring 3 Letbane I/S
    Ring 3 Letbane I/S Annual Report 2014 Contents Ring 3 Letbane I/S Herlev Annual Report 2014 Contents Contents 1.0 Welcome 4 2.0 Directors' Report 8 2.1 Result for the Year 10 2.2 Company Management 14 2.3 Social Responsibility 16 2.4 Construction of a light railway in Ring 3 18 3.0 Annual Accounts 22 3.1 Accounting Policies 24 3.2 Profit and Loss Account 27 3.3 Balance Sheet 28 3.4 Cash Flow Statement 30 3.5 Notes 31 4.0 Board of Directors of Ring 3 Letbane I/S 38 4.1 Board of Directors of Ring 3 Letbane I/S 40 5.0 Endorsements 42 5.1 Management Endorsement 44 5.2 The Independent Auditors' Report 45 6.0 Appendix to the Directors' Report 46 6.1 Long-Term Budget 48 The English text in this document is an unofficial translation of the Danish original. In the event of any inconsistencies, the Danish version shall apply. 3 Welcome Ring 3 Letbane I/S 1.0 Welcome Dear reader, 2014 was a decisive year for the coming The light railway from Lyngby to Ishøj light railway in Greater Copenhagen. The will intersect the S-train network, with Folketing (Parliament) adopted the Act departures every five minutes in daytime on a Light Railway, and the preparatory hours, ensuring passengers a faster and work commenced. The company that simpler journey across the various areas is to undertake the engineering design, of the capital. The municipalities along construction and operation of the light the light railway will have new opportu- railway was established, and the Board nities to develop urban quarters, attract of Directors began the work of setting new employers and create new commu- the framework for the coming light rail- nal and social facilities.
    [Show full text]
  • Report for the Voluntary National Review
    Report for the Voluntary National Review Denmark’s implementation of the 2030 Agenda for Sustainable Development Ministry of Finance JUNE 2017 Report for the Voluntary National Review Denmark’s implementation of the 2030 Agenda for Sustainable Development Ministry of Finance JUNE 2017 Preface The 2030 Agenda and 17 SDGs together constitute a vision for our world and planet and a call to action. Delivering on this promise will require an enormous effort, and rightfully so. Lack of ambition is not an option when it comes to our people’s and planet’s collective well- being. Denmark is uniquely positioned to achieve and promote the 2030 Agenda and the 17 SDGs. As Minister of Finance, I am proud to say that we have a strong economy and low unem- ployment combined with green energy, healthcare and education for all, gender equality, freedom of speech and a social safety net that supports those furthest behind. Since 1980, Denmark has achieved economic growth without any significant increases in total energy consumption, and even decreased emissions. Denmark also takes responsibility internationally. We are among the six countries in the world that meet the common UN goal of providing 0.7 percent of GNI in ODA. We have done so since 1978 and will continue to do so. Having a head start does not imply that Denmark will sit back and relax. I was at the United Nations in 2015 when the 2030 Agenda was adopted, and as a politician I consider it an essential part of my responsibility that we take into account all three dimensions of sustaina- ble development when we propose new initiatives: economic, environmental and social.
    [Show full text]
  • Get the White Paper Here
    NATURE BASED SOLUTIONS Using rainwater as a resource to create resilient and liveable cities INSIDE THIS WHITE PAPER Managing rainwater with Nature Based Solutions Cross-disciplinary collaboration in climate adaptation Urban recirculation of rainwater 2 Nature Based Solutions Using rainwater as a resource to create resilient and liveable cities Version 2.0 February 2021 Front page photo Climate adaptation at Taasinge Plads in Copenhagen Photo: Kontraframe Editor in Chief State of Green Malene Bering Beitzel, [email protected] Technical Editors Water Vision Denmark / KLAR Utility Hanne Kjær Jørgensen, [email protected] Danish Technological Institute / DNNK, Danish Network for Climate Adaptation Ulrik Hindsberger, [email protected] Contributors 1:1 Landskab Jacob Kamp, [email protected] Amphi Consult Lars Briggs, [email protected] Aarhus Vand Anne Laustsen, [email protected] Aarhus Vand Pia Jacobsen, [email protected] BOGL Dorte Hermann, [email protected] Byggros Louise Hansen, [email protected] City of Copenhagen Lykke Leonardsen, [email protected] City of Copenhagen (Skt. Kjelds Kvarter) René Sommer Lindsay, [email protected] DHI Morten Just Kjølby, [email protected] HOFOR - Greater Copenhagen Water Utility Martin Vester, [email protected] LYTT Architecture Jacob Fischer, [email protected] NCC Brask Michael, [email protected] NIELS LÜTZEN landskabsarkitekter Niels Lützen, [email protected] NIRAS Jan Jeppesen, [email protected] NIRAS Jens Brandt Bering, [email protected] NIRAS Rikke Juul Monberg, [email protected] Novafos Tina Otterstrøm Jensen, [email protected] Pilebyg Vibe Gro Falk, [email protected] Ramboll Martin Zoffmann, [email protected] SLA Kristoffer Holm Pedersen, [email protected] The Climate City Bjarne Rasmussen.
    [Show full text]
  • DTU Vin Denergi Mas Te R R Ap Po Rt
    Energy Plan for Roskilde Municipality with Focus on Onshore Wind Turbines port ap R Master DTU Vindenergi Dorte Brandt Andersen [DTU Wind Energy Master Thesis M0084] November 2015 Author: Dorte Brandt Andersen [DTU Wind Energy Master Thesis Title: Energy Plan for Roskilde Municipality with Focus on M0084] Onshore Wind Turbines 2015 Project period: 02.02.2015 – 02.11.2015 ECTS: 30 Education: Master of Science Area: Wind Energy Supervisors: Niels-Erik Clausen Marie Münster Bonnie Ram Comments: This report is submitted as partial fulfillment of the requirements for graduation in the above education at the Technical University of Denmark. Project no.: DTU Wind Energy Master Thesis M-0084 Pages: 80 pages Appendix: 63 pages Danmarks Tekniske Universitet DTU Vindenergi Nils Koppels Allé Bygning 403 2800 Kgs. Lyngby Telefon www.vindenergi.dtu.dk Preface This thesis is made as a completion of the master education Sustainable Energy at The Technical University of Denmark. The author has a bachelor degree in Construction and Production from same university. Several persons have contributed to this thesis. I would like to thank all my supervisors; Niels- Erik Clausen, Marie Münster and Bonnie Ram. I would thank Niels Gylling Mortensen for help with the program WAsP. Lise-Lotte Pade for support and guidens. Further I would like to thank all who has taking the time for a meeting with me: Tyge Kjær from RUC, Marie Johansen from Aalborg Diocese, Peter Fischer-Møller bishop in Roskilde, Lærke Møller Toftlund from energy cluster Zealand, Thomas Budde Christensen from RUC, Lia Kaufmann from the wind turbine task force, Søren Magnussen from Roskilde municipality and Benedicte Julie Volelen from Energiplan.
    [Show full text]
  • Resilient Design Properties of a Driverless Transport System
    INTERNATIONAL DESIGN CONFERENCE - DESIGN 2018 https://doi.org/10.21278/idc.2018.0539 RESILIENT DESIGN PROPERTIES OF A DRIVERLESS TRANSPORT SYSTEM M. Wied, J. Oehmen and T. Welo Abstract From its origin in ecology, resilient system properties have attracted wider interest for their applications to man-made systems. Previous research has shown that a simple conceptual model seems to capture much resilience thinking across disciplines and system types. In this paper, we apply that model to study resilient properties in the design and development of an autonomous public transport system, attempting to circumvent the problem of commitment under uncertainty. We identify a number of resilient system properties and classify them by function into six distinct categories. Keywords: complex systems, risk management, project management, design strategy 1. Introduction Many important events in a system’s life cycle cannot be known in advance. Nonetheless, irreversible up-front design commitments have to be made. Addressing the problem of commitment under uncertainty, this paper argues that systems should generally be designed to perform under a wider range of conditions, than traditionally considered. In other words, systems should be more resilient to changing conditions. This problem is part of the wider challenge of implementing design strategy under uncertainty. Originally conceptualised for understanding natural systems, resilient system properties have recently gained wider interest for their application to the design of man-made systems. A
    [Show full text]
  • Mike Urban. Buddinge Case Study
    COMPARISON BETWEEN A SUSTAINABLE AND A TRADITIONAL URBAN DRAINAGE SOLUTION WITH MIKE URBAN. BUDDINGE CASE STUDY DIANA FRANCISCA CORDEIRO DE SOUSA GOMES ABRUNHOSA Dissertação submetida para satisfação parcial dos requisitos do grau de MESTRE EM ENGENHARIA CIVIL — ESPECIALIZAÇÃO EM HIDRÁULICA Orientador: Professor Doutor Francisco Manuel de Oliveira Piqueiro JUNHO DE 2015 MESTRADO INTEGRADO EM ENGENHARIA CIVIL 2014/2015 DEPARTAMENTO DE ENGENHARIA CIVIL Tel. +351-22-508 1901 Fax +351-22-508 1446 [email protected] Editado por FACULDADE DE ENGENHARIA DA UNIVERSIDADE DO PORTO Rua Dr. Roberto Frias 4200-465 PORTO Portugal Tel. +351-22-508 1400 Fax +351-22-508 1440 [email protected] http://www.fe.up.pt Reproduções parciais deste documento serão autorizadas na condição que seja mencionado o Autor e feita referência a Mestrado Integrado em Engenharia Civil - 2014/2015 - Departamento de Engenharia Civil, Faculdade de Engenharia da Universidade do Porto, Porto, Portugal, 2015. As opiniões e informações incluídas neste documento representam unicamente o ponto de vista do respetivo Autor, não podendo o Editor aceitar qualquer responsabilidade legal ou outra em relação a erros ou omissões que possam existir. Este documento foi produzido a partir de versão eletrónica fornecida pelo respetivo Autor. A meus pais e irmã In the end, it’s not the years in your life that count. It’s the life in your years. Abraham Lincoln Comparison between a sustainable and a traditional drainage solution with Mike Urban. Buddinge Case Study ACKNOWLEDGMENTS First of all, I deeply value Professor Francisco Piqueiro, the advisor of this dissertation, for the passion to his work and the enlightened way he transfers it to his students.
    [Show full text]