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The operational potential of an integrated flexibility market for Dutch system operations
A PROOF-OF-CONCEPT STUDY
To address this issue and improve system efficiency, this study explored the possible integration of these markets, combining two or more of the current products into a single flexible reserve product, which offers can be used universally. This provides TSOs with more leeway to mix and match, increasing the use of the available capacity, and simplifies the offering process for market participants. The study specifically analyzed a combination of the capacities currently offered through aFRR and ROP in context of the Dutch system operations. These products turned out to have notable similarities, including moderate response times, overlapping procurement timelines, and comparable system properties, which increases the likelihood that their capacities can be used universally. In addition, these products had the highest accessibility of historical data, which was important for the proposed quantitative analysis, an area identified as a significant gap in the existing literature. The simulation compared the current market design, where aFRR and ROP handle distinct BA and CM issues, with an integrated system where capacities are interchangeable. Performance was measured by problem-solving capacity, failure frequency, capacity usage for BA and CM, and costs. Historical data over five days was used, simulating various imbalance and congestion scenarios.
Results showed a significant improvement: BA and CM costs for the TSO dropped by 70% and 80%, respectively, thanks to better utilization of low-priced bids. The problem-solving capacity, especially in the upward balancing direction, rose by 360%, attributed to complementary reserves from aFRR and ROP. CM capacity usage increased by 11%, as low-priced aFRR bids overruled the increased effectivity of bids for CM. While integrating aFRR and ROP showed significant benefits, combining markets like FCR and CRC, which have specific characteristics, is less promising. A partial integration of more general markets, while keeping specialized products, appears more feasible and still offers flexibility for TSOs. Challenges remain, including the need for locational information in all bids and potential auction structure adjustments. Further research should explore the best auction designs and operational rules for integrated market designs. ...
To address this issue and improve system efficiency, this study explored the possible integration of these markets, combining two or more of the current products into a single flexible reserve product, which offers can be used universally. This provides TSOs with more leeway to mix and match, increasing the use of the available capacity, and simplifies the offering process for market participants. The study specifically analyzed a combination of the capacities currently offered through aFRR and ROP in context of the Dutch system operations. These products turned out to have notable similarities, including moderate response times, overlapping procurement timelines, and comparable system properties, which increases the likelihood that their capacities can be used universally. In addition, these products had the highest accessibility of historical data, which was important for the proposed quantitative analysis, an area identified as a significant gap in the existing literature. The simulation compared the current market design, where aFRR and ROP handle distinct BA and CM issues, with an integrated system where capacities are interchangeable. Performance was measured by problem-solving capacity, failure frequency, capacity usage for BA and CM, and costs. Historical data over five days was used, simulating various imbalance and congestion scenarios.
Results showed a significant improvement: BA and CM costs for the TSO dropped by 70% and 80%, respectively, thanks to better utilization of low-priced bids. The problem-solving capacity, especially in the upward balancing direction, rose by 360%, attributed to complementary reserves from aFRR and ROP. CM capacity usage increased by 11%, as low-priced aFRR bids overruled the increased effectivity of bids for CM. While integrating aFRR and ROP showed significant benefits, combining markets like FCR and CRC, which have specific characteristics, is less promising. A partial integration of more general markets, while keeping specialized products, appears more feasible and still offers flexibility for TSOs. Challenges remain, including the need for locational information in all bids and potential auction structure adjustments. Further research should explore the best auction designs and operational rules for integrated market designs.
A New Market Design For Balancing and Redispatch
Evaluation of New Market Design Options for Integrating Balancing and Redispatch in the Dutch Electricity Market
Reproducing the “Flip a Coin or Vote” experiment with GPT-3.5 and GPT-4o
An simulation study to the suitability of LLMs as participants in economic and behavioural experiments
The findings indicate that GPT-3.5 (1) struggles to fully understand the rules of the experiment, especially in calculating payoffs; (2) has difficulties interpreting negative and positive valuations; (3) fails to match the percentage of rational choices observed in the lab results; and (4) demonstrate results that deviate too much with the lab results to be considered human-like.
In contrast, GPT-4o shows greater promise as a ‘good’ participant. GPT-4o understands the rules of the game correctly and demonstrates a much stronger ability to make rational choices, even matching, and sometimes surpassing, the percentage of rational choices made by human participants. However, in the second part of the experiment, GPT-4o's decision-making becomes "inhumanly" accurate. Moreover the results deviate too much with the lab results to be considered human-like.
Future research should be focused on how to steer the results of LLMs towards more human-like results, possibly through enhanced prompting techniques or further model training and fine-tuning. Furthermore, future research should focus on establishing best practices for developing a more standardised approach to conducting simulation research with LLMs. ...
The findings indicate that GPT-3.5 (1) struggles to fully understand the rules of the experiment, especially in calculating payoffs; (2) has difficulties interpreting negative and positive valuations; (3) fails to match the percentage of rational choices observed in the lab results; and (4) demonstrate results that deviate too much with the lab results to be considered human-like.
In contrast, GPT-4o shows greater promise as a ‘good’ participant. GPT-4o understands the rules of the game correctly and demonstrates a much stronger ability to make rational choices, even matching, and sometimes surpassing, the percentage of rational choices made by human participants. However, in the second part of the experiment, GPT-4o's decision-making becomes "inhumanly" accurate. Moreover the results deviate too much with the lab results to be considered human-like.
Future research should be focused on how to steer the results of LLMs towards more human-like results, possibly through enhanced prompting techniques or further model training and fine-tuning. Furthermore, future research should focus on establishing best practices for developing a more standardised approach to conducting simulation research with LLMs.
Success Factors of an Energy Community in an Urban Area
A Mixed Method Approach
An energy community typically comprises a designated area or neighborhood where households aim to produce and consume electricity locally as much as possible. Additionally, these communities actively adjust their energy consumption patterns to avoid peak loads, significantly reducing the need for extensive investments in electrical infrastructure. To encourage participation, a demand response program is implemented that financially rewards households for adjusting their usage during peak times. This strategy not only facilitates more efficient grid management but also provides incentives for participating stakeholders.
This research presents a case study from the Sporenburg neighborhood in Amsterdam, where an energy community model is being tested. The study aims to identify the factors that contribute to the success of such communities. Sporenburg is an ideal case study due to its equipped smart meters and Amsterdam's ambitious climate goals, which necessitate a higher rate of electrification. Although currently stable, projections suggest that by 2050, Amsterdam’s electricity demand could increase threefold to fivefold compared to 2022 levels. The primary research question this study addresses is: What are the critical factors, categorized into distinct groups, that contribute to the success of the energy community?
The research is structured into three sections focusing on different aspects of the energy community: the technical system, organizational structure, and individual perspectives. It identifies critical success factors, differentiated into essential conditions for success and contributory factors. The study employs various analytical methods, including a technical analysis of Sporenburg, stakeholder analysis, and a survey. ...
An energy community typically comprises a designated area or neighborhood where households aim to produce and consume electricity locally as much as possible. Additionally, these communities actively adjust their energy consumption patterns to avoid peak loads, significantly reducing the need for extensive investments in electrical infrastructure. To encourage participation, a demand response program is implemented that financially rewards households for adjusting their usage during peak times. This strategy not only facilitates more efficient grid management but also provides incentives for participating stakeholders.
This research presents a case study from the Sporenburg neighborhood in Amsterdam, where an energy community model is being tested. The study aims to identify the factors that contribute to the success of such communities. Sporenburg is an ideal case study due to its equipped smart meters and Amsterdam's ambitious climate goals, which necessitate a higher rate of electrification. Although currently stable, projections suggest that by 2050, Amsterdam’s electricity demand could increase threefold to fivefold compared to 2022 levels. The primary research question this study addresses is: What are the critical factors, categorized into distinct groups, that contribute to the success of the energy community?
The research is structured into three sections focusing on different aspects of the energy community: the technical system, organizational structure, and individual perspectives. It identifies critical success factors, differentiated into essential conditions for success and contributory factors. The study employs various analytical methods, including a technical analysis of Sporenburg, stakeholder analysis, and a survey.
For this study, a model has been constructed to simulate the Dutch electricity and hydrogen market in 2040. Four different energy systems have been modelled, differing mainly in the extent to which the Netherlands is self-sufficient in their electricity and hydrogen demand. The model is constructed in Linny-R: a graphical modelling tool specifically designed for the formulation of Mixed Integer Linear Programming (MILP) problems, particularly for Unit Commitment (UC) problems.
Firstly, using the model, the required underground hydrogen storage capacity in 2040 in the four different energy systems has been determined. The performance of different storage configurations, consisting of a certain number of short-cyclic salt caverns in addition to a certain policy for seasonal storage in gas fields, has been compared, and it has been concluded that only when a large installed capacity of solar and wind energy is placed in the Netherlands, the preference is for a mid-seasonal storage policy. In the other energy systems, the preference was for a low-seasonal storage policy.
The second part of the research focuses on the financial feasibility of underground hydrogen storage facilities. The average system costs and profits have been mapped out. For the most plausible energy system, it has been determined that the storage facilities in 2040, when they have to generate their income purely based on market prices, are not profitable. To recoup the investment in salt caverns, the government will need to subsidise 0.26 €/kg of hydrogen.
In addition to the insight that subsidisation will be needed to kickstart investments in underground hydrogen storage, some other important insights for policymakers have emerged. The installed capacity of hydrogen turbines has a significant effect on both the operational system costs of the entire energy system and the economic feasibility of the storage facilities. Furthermore, it has been found that in an energy system already dominated by green electricity and green hydrogen, adding additional storage facilities does not result in further CO2 reduction. As long as the carbon capture rate is limited to 90%, approximately 10,000 kton of CO2 will still be emitted annually. To become fully carbon-neutral, the Dutch government must therefore consider negative emission measures such as reforestation and ecosystem restoration.
...
For this study, a model has been constructed to simulate the Dutch electricity and hydrogen market in 2040. Four different energy systems have been modelled, differing mainly in the extent to which the Netherlands is self-sufficient in their electricity and hydrogen demand. The model is constructed in Linny-R: a graphical modelling tool specifically designed for the formulation of Mixed Integer Linear Programming (MILP) problems, particularly for Unit Commitment (UC) problems.
Firstly, using the model, the required underground hydrogen storage capacity in 2040 in the four different energy systems has been determined. The performance of different storage configurations, consisting of a certain number of short-cyclic salt caverns in addition to a certain policy for seasonal storage in gas fields, has been compared, and it has been concluded that only when a large installed capacity of solar and wind energy is placed in the Netherlands, the preference is for a mid-seasonal storage policy. In the other energy systems, the preference was for a low-seasonal storage policy.
The second part of the research focuses on the financial feasibility of underground hydrogen storage facilities. The average system costs and profits have been mapped out. For the most plausible energy system, it has been determined that the storage facilities in 2040, when they have to generate their income purely based on market prices, are not profitable. To recoup the investment in salt caverns, the government will need to subsidise 0.26 €/kg of hydrogen.
In addition to the insight that subsidisation will be needed to kickstart investments in underground hydrogen storage, some other important insights for policymakers have emerged. The installed capacity of hydrogen turbines has a significant effect on both the operational system costs of the entire energy system and the economic feasibility of the storage facilities. Furthermore, it has been found that in an energy system already dominated by green electricity and green hydrogen, adding additional storage facilities does not result in further CO2 reduction. As long as the carbon capture rate is limited to 90%, approximately 10,000 kton of CO2 will still be emitted annually. To become fully carbon-neutral, the Dutch government must therefore consider negative emission measures such as reforestation and ecosystem restoration.
In the Netherlands, hydropower is clearly lagging behind compared to other European coun- tries, for various reasons. Some pioneering companies are still trying to utilize the potential of hydropower they see in the large water system in the Netherlands. However, they are struggling to progress and deploy their solutions, as happened at the Bosscherveld project in the south of the Netherlands, Maastricht. The companies involved there claimed that stakeholder processes were the main causes for barriers that stalled project advancements.
Within energy transition projects, stakeholder management often causes problems, and the ac- tual factors that make an actor oppose or stall a project are multifaceted and hard to grasp. Additionally, there is a lack of tools and methods for a company working on technologies in this field to gain a thorough understanding of their stakeholders and translate that understanding into concrete strategic decisions on how to behave in such a project. With this research it was attempted to identify the most important stakeholder-related factors for a company to consider when working within an energy transition based project. This should add managerial guidance as well as the ability to assess the status of a project. For a company already working on the project or that joins it, they can estimate the condition the project is in and see what is missing for its success, improving the overall certainty for potential revenues.
With a mixed-framework approach consisting of the definition of the main structural compo- nents and policies of the technology innovation system (TIS) surrounding the SHP, a classic stakeholder analysis using a power-interest-grid, and semi-structured interviews to create an expert model for the small-scale hydropower (SHP) project has been applied. The first two areas were mainly used to get an understanding of the technology’s surrounding market and to make assumptions regarding the roles involved in the project. The interviews were aimed to fully understand the project’s processes and each stakeholder’s perceptions on barriers in those processes, so that an ideal process and the stakeholders’ views on most important factors for such a project could be derived.
With this approach it was possible to identify 25 stakeholder-related factors that are important to consider for a company working on such a project, as well as understanding their interconnec- tions and reasons for why they are important. The factors then could be classified into themes
covering Motivation, Purpose, Effective Teamwork, Investment, Entrepreneurial Activities, Base of Collaboration, and Macro-Environment and clustered into areas that build the Foundation of the Venture the factors that are Supporting Collaboration, and the ones that influ- ence and define the Stakeholder Interest. The first area consists of factors, that need to be present at the beginning of the project or need to be established within the starting phase such as resources, a business model, and trust. The factors to support the collaboration are fostering continuous interaction and general rules for how it should be worked together, such as planning and ownership. The factors of stakeholder interest, achieve a higher resolution of how a stakeholder’s interest is formed, and what should be looked at during the stakeholder analysis, to understand the actors positioning within and towards the project, like a stakeholder’s drive, their personal vision, or simply what they can gain from the project. This must be done on a continuous bases, since a stakeholder’s motivation and gains can change due to unforeseeable events or a change in for instance a country’s policy.
Therefore, it could be seen that not one or a few instances or factors could be identified that resulted in the halt of the project, but a variety of aspects combined hampered its progress.
Furthermore, it has been pointed out that the previously identified factors are only partly ad- dressed by an adapted TIS framework by Ortt and Kamp (2022), which has been applied at the end of the research, due to its claim that it had an improved managerial perspective for companies working in a niche environment, trying to bring their technology to a wide market diffusion.
The possibility of generalizing the conclusions regarding the crucial factors regarding stakeholder participation for a company working on an SHP project in the Netherlands are limited due to the specificity of the project and the limited number of stakeholders and perspectives that could be gathered. Therefore, it is suggested to investigate additional hydropower projects in the Netherlands, compare them with the Bosscherveld case, and see whether the concluded factors can capture the dynamics there as well or if further refinements are necessary. ...
In the Netherlands, hydropower is clearly lagging behind compared to other European coun- tries, for various reasons. Some pioneering companies are still trying to utilize the potential of hydropower they see in the large water system in the Netherlands. However, they are struggling to progress and deploy their solutions, as happened at the Bosscherveld project in the south of the Netherlands, Maastricht. The companies involved there claimed that stakeholder processes were the main causes for barriers that stalled project advancements.
Within energy transition projects, stakeholder management often causes problems, and the ac- tual factors that make an actor oppose or stall a project are multifaceted and hard to grasp. Additionally, there is a lack of tools and methods for a company working on technologies in this field to gain a thorough understanding of their stakeholders and translate that understanding into concrete strategic decisions on how to behave in such a project. With this research it was attempted to identify the most important stakeholder-related factors for a company to consider when working within an energy transition based project. This should add managerial guidance as well as the ability to assess the status of a project. For a company already working on the project or that joins it, they can estimate the condition the project is in and see what is missing for its success, improving the overall certainty for potential revenues.
With a mixed-framework approach consisting of the definition of the main structural compo- nents and policies of the technology innovation system (TIS) surrounding the SHP, a classic stakeholder analysis using a power-interest-grid, and semi-structured interviews to create an expert model for the small-scale hydropower (SHP) project has been applied. The first two areas were mainly used to get an understanding of the technology’s surrounding market and to make assumptions regarding the roles involved in the project. The interviews were aimed to fully understand the project’s processes and each stakeholder’s perceptions on barriers in those processes, so that an ideal process and the stakeholders’ views on most important factors for such a project could be derived.
With this approach it was possible to identify 25 stakeholder-related factors that are important to consider for a company working on such a project, as well as understanding their interconnec- tions and reasons for why they are important. The factors then could be classified into themes
covering Motivation, Purpose, Effective Teamwork, Investment, Entrepreneurial Activities, Base of Collaboration, and Macro-Environment and clustered into areas that build the Foundation of the Venture the factors that are Supporting Collaboration, and the ones that influ- ence and define the Stakeholder Interest. The first area consists of factors, that need to be present at the beginning of the project or need to be established within the starting phase such as resources, a business model, and trust. The factors to support the collaboration are fostering continuous interaction and general rules for how it should be worked together, such as planning and ownership. The factors of stakeholder interest, achieve a higher resolution of how a stakeholder’s interest is formed, and what should be looked at during the stakeholder analysis, to understand the actors positioning within and towards the project, like a stakeholder’s drive, their personal vision, or simply what they can gain from the project. This must be done on a continuous bases, since a stakeholder’s motivation and gains can change due to unforeseeable events or a change in for instance a country’s policy.
Therefore, it could be seen that not one or a few instances or factors could be identified that resulted in the halt of the project, but a variety of aspects combined hampered its progress.
Furthermore, it has been pointed out that the previously identified factors are only partly ad- dressed by an adapted TIS framework by Ortt and Kamp (2022), which has been applied at the end of the research, due to its claim that it had an improved managerial perspective for companies working in a niche environment, trying to bring their technology to a wide market diffusion.
The possibility of generalizing the conclusions regarding the crucial factors regarding stakeholder participation for a company working on an SHP project in the Netherlands are limited due to the specificity of the project and the limited number of stakeholders and perspectives that could be gathered. Therefore, it is suggested to investigate additional hydropower projects in the Netherlands, compare them with the Bosscherveld case, and see whether the concluded factors can capture the dynamics there as well or if further refinements are necessary.
The impact of the CBAM
Exploring the impact of the CBAM on promoting sustainable adjustments in the production process of semiconductor machines: A Malaysian case study in the semiconductor industry
The literature review highlighted the significance of life cycle assessment (LCA) as a carbon accounting tool and its potential to assess the relevant embedded emissions for the CBAM. The review showed indeed that LCA could be useful to assess the first phases of the production of the raw materials. Additionally, the review showed that it is less useful as a decision-making tool due to the fact that decision-making regarding the CBAM requires the consideration of other parameters as well, not only the environmental ones. Additionally, the review revealed the novelty of the EU’s CBAM regarding the carbon accounting tools and the CBAM’s design. At the same time, it highlighted the relevance of this research project.
The statistical sensitivity analysis (SSA) conducted as an element of the case study showed that there exists a significant variation in the total embedded emissions of the semiconductor machine depending on the kind of steel and aluminium used. This highlighted the opportunity for improvements in the embedded emissions caused by the semiconductor machines. The SSA is also used to evaluate the cost-benefit analysis (CBA) of the implementation of green steel and aluminium in semiconductor machines. The CBA showed that a high reduction in embedded emissions is required to achieve a break-even level with the costs of sustainable steel and aluminium. However, this reduction also depends on the design and implementation of the CBAM. The stakeholder analysis highlighted the actors, transactions, frictions, and games caused by the implementation of the CBAM. A concluding policy analysis was conducted to present possible implementations of the CBAM. The analysis showed that under the current circumstances for the CBAM to be successful in promoting sustainable changes in the semiconductor machine, while considering the uncertainty in the carbon reporting process, an unrealistically
high carbon price is needed to break even. The analysis, however, indicated a bright spot; if global electricity production becomes less carbonintensive, the CBAM may work very well in promoting sustainable materials. Thus, this thesis concludes that for this case study the EU’s CBAM is not effective in promoting sustainable adjustments in semiconductor machines. However, this conclusion is obtained for this specific case with its specific extreme policy scenarios. Therefore, further research could be conducted in assessing other policy scenarios or carbon accounting tools and test how they evaluate the CBAM on its potential to promote the use of sustainable materials in other industries as well. ...
The literature review highlighted the significance of life cycle assessment (LCA) as a carbon accounting tool and its potential to assess the relevant embedded emissions for the CBAM. The review showed indeed that LCA could be useful to assess the first phases of the production of the raw materials. Additionally, the review showed that it is less useful as a decision-making tool due to the fact that decision-making regarding the CBAM requires the consideration of other parameters as well, not only the environmental ones. Additionally, the review revealed the novelty of the EU’s CBAM regarding the carbon accounting tools and the CBAM’s design. At the same time, it highlighted the relevance of this research project.
The statistical sensitivity analysis (SSA) conducted as an element of the case study showed that there exists a significant variation in the total embedded emissions of the semiconductor machine depending on the kind of steel and aluminium used. This highlighted the opportunity for improvements in the embedded emissions caused by the semiconductor machines. The SSA is also used to evaluate the cost-benefit analysis (CBA) of the implementation of green steel and aluminium in semiconductor machines. The CBA showed that a high reduction in embedded emissions is required to achieve a break-even level with the costs of sustainable steel and aluminium. However, this reduction also depends on the design and implementation of the CBAM. The stakeholder analysis highlighted the actors, transactions, frictions, and games caused by the implementation of the CBAM. A concluding policy analysis was conducted to present possible implementations of the CBAM. The analysis showed that under the current circumstances for the CBAM to be successful in promoting sustainable changes in the semiconductor machine, while considering the uncertainty in the carbon reporting process, an unrealistically
high carbon price is needed to break even. The analysis, however, indicated a bright spot; if global electricity production becomes less carbonintensive, the CBAM may work very well in promoting sustainable materials. Thus, this thesis concludes that for this case study the EU’s CBAM is not effective in promoting sustainable adjustments in semiconductor machines. However, this conclusion is obtained for this specific case with its specific extreme policy scenarios. Therefore, further research could be conducted in assessing other policy scenarios or carbon accounting tools and test how they evaluate the CBAM on its potential to promote the use of sustainable materials in other industries as well.
Adoption and implementation of AI-driven Clinical Decision Support Systems in Cancer Care
A Case Study on Mammaprint in the Dutch Healthcare System using an Institutional Actor Analysis
The research finds that the primary barrier to adoption is an institutional void in reimbursement by basic health insurance. Institutional voids refer to the absence or inadequacy of supportive structures, regulations, and frameworks. In the case of Mammaprint, the reimbursement process relies on the “state of science and practice” (SWP) criterion, which assesses whether clinical utility—demonstrated health benefits for the patient—is proven. Since no definitive requirements exist for diagnostic AI-CDSS, the SWP criterion is open to interpretation. Disagreements between policy analysts and medical specialists emerged regarding burden of proof, study design, and the trade-off between quality of life and survival, highlighting the institutional ambiguity that hinders adoption.
The study further reveals that the use of AI per se is not a determining factor in reimbursement. AI-CDSS adoption pathways vary depending on technology type (molecular diagnostics vs. image analysis) and use case (in-hospital vs. screening). Similar institutional voids were identified for other AI-CDSS, emphasizing that these challenges are not unique to Mammaprint. Broader contextual factors also affect adoption, including limited hospital-based development resources, regulatory hurdles for certification, and additional evidence requirements for marketing. Comparisons with other countries reveal significant differences between predominantly public European healthcare systems and private U.S. systems.
This thesis applies a case study methodology using interviews and grey literature. Eighteen interviews with nineteen stakeholders, including policy analysts and medical specialists, were analyzed through an institutional actor analysis framework. This framework maps formal and informal institutions, identifies key actors and interactions, and assesses their power and interests. Findings were categorized using a sequential framework of device adoption phases, allowing structured analysis of barriers across the innovation lifecycle.
The research identifies actionable recommendations for Mammaprint and similar AI-CDSS. Consensus is needed on the required burden of proof, appropriate study designs to establish clinical utility, and ethical trade-offs between quality of life and survival. Temporary admission policies can facilitate data collection while maintaining accessibility. Furthermore, clarifying reimbursement pathways for molecular diagnostics and image analysis-based AI-CDSS, alongside developing a strategic vision for AI-CDSS in Dutch cancer care, is essential to future-proof the system. Without a clear vision and strategy, AI-CDSS adoption risks being impeded, potentially undermining sustainability and quality of cancer care.
In conclusion, institutional voids in reimbursement are the main factor stalling adoption of AI-CDSS in Dutch cancer care. Addressing these gaps through consensus building, clearer frameworks, and strategic planning can enhance the uptake of AI innovations, contributing to a more sustainable, patient-centered healthcare system. ...
The research finds that the primary barrier to adoption is an institutional void in reimbursement by basic health insurance. Institutional voids refer to the absence or inadequacy of supportive structures, regulations, and frameworks. In the case of Mammaprint, the reimbursement process relies on the “state of science and practice” (SWP) criterion, which assesses whether clinical utility—demonstrated health benefits for the patient—is proven. Since no definitive requirements exist for diagnostic AI-CDSS, the SWP criterion is open to interpretation. Disagreements between policy analysts and medical specialists emerged regarding burden of proof, study design, and the trade-off between quality of life and survival, highlighting the institutional ambiguity that hinders adoption.
The study further reveals that the use of AI per se is not a determining factor in reimbursement. AI-CDSS adoption pathways vary depending on technology type (molecular diagnostics vs. image analysis) and use case (in-hospital vs. screening). Similar institutional voids were identified for other AI-CDSS, emphasizing that these challenges are not unique to Mammaprint. Broader contextual factors also affect adoption, including limited hospital-based development resources, regulatory hurdles for certification, and additional evidence requirements for marketing. Comparisons with other countries reveal significant differences between predominantly public European healthcare systems and private U.S. systems.
This thesis applies a case study methodology using interviews and grey literature. Eighteen interviews with nineteen stakeholders, including policy analysts and medical specialists, were analyzed through an institutional actor analysis framework. This framework maps formal and informal institutions, identifies key actors and interactions, and assesses their power and interests. Findings were categorized using a sequential framework of device adoption phases, allowing structured analysis of barriers across the innovation lifecycle.
The research identifies actionable recommendations for Mammaprint and similar AI-CDSS. Consensus is needed on the required burden of proof, appropriate study designs to establish clinical utility, and ethical trade-offs between quality of life and survival. Temporary admission policies can facilitate data collection while maintaining accessibility. Furthermore, clarifying reimbursement pathways for molecular diagnostics and image analysis-based AI-CDSS, alongside developing a strategic vision for AI-CDSS in Dutch cancer care, is essential to future-proof the system. Without a clear vision and strategy, AI-CDSS adoption risks being impeded, potentially undermining sustainability and quality of cancer care.
In conclusion, institutional voids in reimbursement are the main factor stalling adoption of AI-CDSS in Dutch cancer care. Addressing these gaps through consensus building, clearer frameworks, and strategic planning can enhance the uptake of AI innovations, contributing to a more sustainable, patient-centered healthcare system.
Cost-Optimal Transition of the Dutch Electricity System From 2030 to 2050
Development of a Myopic Electricity System Optimisation Model
The OPM has been applied to a reference case and two targeted experiments on the development of the Dutch electricity system from 2030 to 2050. The reference case showed that in case natural gas-fired power plants with carbon capture and storage are included in the OPM, the electricity system becomes highly dependent on this technology for the provision of electricity and flexibility. If this technology is not included in the OPM, the maximum number of additional generation and storage units per year is shown to have a major impact on system development. In case this factor is sufficiently high to not limit investments, the system becomes mainly dependent on onshore wind for the provision of electricity and energy storage in underground hydrogen storage facilities for flexibility. In case this factor is limited to a lower level, the system develops a more balanced technology mix. Multiple recommendations are made for future research continuing on the work presented in this report.
1. Applying the OPM to more experiments can result in more in-depth insights into factors influencing the development path of the Dutch electricity system. This could entail analysing scenarios with variations of the costs for the different technologies to assess under which cost levels the system develops a favourable or unfavourable technology mix.
2. The spatial scope of the OPM can be expanded to assess the importance of cross-border trade for ensuring system reliability and gaining insights into the co-evolution of interconnected electricity systems.
3. The demand side is assumed to be inflexible in the OPM. Including demand side flexibility can result in a more accurate view of the electricity system's development between 2030 and 2050.
4. The used time series data is based on a single year. An alternative approach is suggested in which time series data from multiple years is used which would better represent that perfect forecasting of capacity factors and electricity demand for a future year is not possible. ...
The OPM has been applied to a reference case and two targeted experiments on the development of the Dutch electricity system from 2030 to 2050. The reference case showed that in case natural gas-fired power plants with carbon capture and storage are included in the OPM, the electricity system becomes highly dependent on this technology for the provision of electricity and flexibility. If this technology is not included in the OPM, the maximum number of additional generation and storage units per year is shown to have a major impact on system development. In case this factor is sufficiently high to not limit investments, the system becomes mainly dependent on onshore wind for the provision of electricity and energy storage in underground hydrogen storage facilities for flexibility. In case this factor is limited to a lower level, the system develops a more balanced technology mix. Multiple recommendations are made for future research continuing on the work presented in this report.
1. Applying the OPM to more experiments can result in more in-depth insights into factors influencing the development path of the Dutch electricity system. This could entail analysing scenarios with variations of the costs for the different technologies to assess under which cost levels the system develops a favourable or unfavourable technology mix.
2. The spatial scope of the OPM can be expanded to assess the importance of cross-border trade for ensuring system reliability and gaining insights into the co-evolution of interconnected electricity systems.
3. The demand side is assumed to be inflexible in the OPM. Including demand side flexibility can result in a more accurate view of the electricity system's development between 2030 and 2050.
4. The used time series data is based on a single year. An alternative approach is suggested in which time series data from multiple years is used which would better represent that perfect forecasting of capacity factors and electricity demand for a future year is not possible.
Design of a Decision-making Business Process for Transport Method Selection of Shell Chemicals
A Process Balancing Decarbonization, Cost and On-time Delivery Key Performance Indicators in Transporting Chemicals to the European Customers
Power system planning is a strenuous exercise for both people and computers. As carbon goals and geopolit- ical complexities intensify, the number of scenarios for electricity system development is limitless. In search of robust policy and profitable investments, policymakers and investment managers rely on long-term elec- tricity system simulation models. Those seeking to simulate myopic investment behaviour in systems reliant on intermittent generation, batteries and seasonal storage then encounter a computational barrier. The sole model detailed enough to conduct such simulations – MIDO (Myopic Investment Detailed Operational) – takes over 12 hours to run a 20-year scenario. Exploring avenues to cut back computational time is key to un- locking the potential to meaningful scenario analyses. Also, due to its novelty, many of its assumptions and modeling choices were not validated with stakeholders. Research into methodologies to reduce the computational burden at an acceptable compromise to model behaviour thus holds merit.
To this end, this methodological thesis explores myopic optimisation, developing the MODO methodology: Myopic Optimisation, with Detailed Operational analysis of system performance. We have realised an 85% improvement in computational efficiency with a sufficient degree of accuracy for it to be considered as an alternative to MIDO. The essence of our approach is the replacement of an iterative investment loop with a single optimisation. In doing so, we transfer insights from the field of agent-based modeling into the field of myopic optimisation, potentially enabling the revitalisation of a research area which has seen little activity in recent years.
MODO has been implemented as a modular toolkit in Linny-R, in such a way that users need not have any technical modeling knowledge to be able to construct their own system and/ or analyse their own scenarios. The implementation in Linny-R greatly enhances model transparency and usability.
We create a projection for the state of the Dutch electricity system by 2030 and use MODO to simulate the transition path from 2030-2050. Preliminary results suggest the significant potential of both seasonal (hy- drogen) and battery (lithium-ion) storage to lower electricity prices below 2030 levels, bringing down annual consumer spending to EUR 15 bn annually in a scenario with mid-range commodity price forecasts. Addi- tionally, results affirm the functionality of MODO in more complex electricity systems.
We identify three exciting avenues for future research. The risk of contemporary investment decisions is largely mitigated through long-term contracting, such as bilateral power purchase agreements or forward ENDEX markets. Ideally, academic work would converge to the point where a first model simulates a range of potential portfolio choices based on long-term contracting, after which - based on risk appetite - the upside potential of offering excess capacity on spot markets is assessed with a methodology such as MODO. However, as the data on such long-term contracting is often kept secret, research into ways to approximate the data or work with it using ’black-box’ models could prove fruitful. Secondly, researchers could choose to build upon this work by leveraging it to conduct large-scale exploratory analyses. The case studies in this work illustrate the potential of MODO, but only provide a preliminary insight into system development. Whilst model devel- opment has been informed by a stakeholder consultation, the scenarios analysed have not. This is simplified by the highly accessible nature of MODO’s implementation in Linny-R. Lastly, we suspect that qualitative re- search into the empirical applicability of power system simulation models might prove invaluable. Research that treats decision-makers and policy analysts as clients to discover their modeling needs could result in a roadmap for the participatory development of power simulation models in order to better foster their adop- tion, and that of their findings. ...
Power system planning is a strenuous exercise for both people and computers. As carbon goals and geopolit- ical complexities intensify, the number of scenarios for electricity system development is limitless. In search of robust policy and profitable investments, policymakers and investment managers rely on long-term elec- tricity system simulation models. Those seeking to simulate myopic investment behaviour in systems reliant on intermittent generation, batteries and seasonal storage then encounter a computational barrier. The sole model detailed enough to conduct such simulations – MIDO (Myopic Investment Detailed Operational) – takes over 12 hours to run a 20-year scenario. Exploring avenues to cut back computational time is key to un- locking the potential to meaningful scenario analyses. Also, due to its novelty, many of its assumptions and modeling choices were not validated with stakeholders. Research into methodologies to reduce the computational burden at an acceptable compromise to model behaviour thus holds merit.
To this end, this methodological thesis explores myopic optimisation, developing the MODO methodology: Myopic Optimisation, with Detailed Operational analysis of system performance. We have realised an 85% improvement in computational efficiency with a sufficient degree of accuracy for it to be considered as an alternative to MIDO. The essence of our approach is the replacement of an iterative investment loop with a single optimisation. In doing so, we transfer insights from the field of agent-based modeling into the field of myopic optimisation, potentially enabling the revitalisation of a research area which has seen little activity in recent years.
MODO has been implemented as a modular toolkit in Linny-R, in such a way that users need not have any technical modeling knowledge to be able to construct their own system and/ or analyse their own scenarios. The implementation in Linny-R greatly enhances model transparency and usability.
We create a projection for the state of the Dutch electricity system by 2030 and use MODO to simulate the transition path from 2030-2050. Preliminary results suggest the significant potential of both seasonal (hy- drogen) and battery (lithium-ion) storage to lower electricity prices below 2030 levels, bringing down annual consumer spending to EUR 15 bn annually in a scenario with mid-range commodity price forecasts. Addi- tionally, results affirm the functionality of MODO in more complex electricity systems.
We identify three exciting avenues for future research. The risk of contemporary investment decisions is largely mitigated through long-term contracting, such as bilateral power purchase agreements or forward ENDEX markets. Ideally, academic work would converge to the point where a first model simulates a range of potential portfolio choices based on long-term contracting, after which - based on risk appetite - the upside potential of offering excess capacity on spot markets is assessed with a methodology such as MODO. However, as the data on such long-term contracting is often kept secret, research into ways to approximate the data or work with it using ’black-box’ models could prove fruitful. Secondly, researchers could choose to build upon this work by leveraging it to conduct large-scale exploratory analyses. The case studies in this work illustrate the potential of MODO, but only provide a preliminary insight into system development. Whilst model devel- opment has been informed by a stakeholder consultation, the scenarios analysed have not. This is simplified by the highly accessible nature of MODO’s implementation in Linny-R. Lastly, we suspect that qualitative re- search into the empirical applicability of power system simulation models might prove invaluable. Research that treats decision-makers and policy analysts as clients to discover their modeling needs could result in a roadmap for the participatory development of power simulation models in order to better foster their adop- tion, and that of their findings.
Institutions and contact tracing applications
Comparing design processes in France, Germany and the Netherlands
Institutional interactions in climate adaptation of interdependent transport infrastructures
The case surrounding the Port of Rotterdam
Multi-value comparison for (raw) materials and innovations in the growing media sector
A Multi-Criteria Decision Analysis comparing alternatives to contribute towards the use of more sustainable materials in the growing media sector considering all the business constraints, applied to a selection of materials from growing media company Kekkilä-BVB
The idea that underlies this thesis is to represent industrial clusters as networks of processes that are owned and operated by different companies, and interdependent via their input-output flows. Such representation should then facilitate analysis from an industrial ecosystem perspective, and identification of potential investment options that would improve the cluster’s sustainability. From a game theory perspective, these investment options can then be seen as potential moves, and the companies as players. Assuming a time horizon (e.g., somewhere between 10 and 40 years), any combination of investments in that period constitutes a strategy, while for each company the difference in cumulative cash flow for that company with/without these investments constitutes the players’ payoffs. Analysis of such a multi-company investment game will reveal rational strategies. We have elaborated and tested this idea by using the Linny-R modelling language and its associated MILP optimisation tool that is being developed at TU Delft first to represent and analyse a variety of simple process configurations with only one or two investment options. Conducting this first series of small-scale simulation experiments, and verifying their outcomes has demonstrated the feasibility of our approach. Subsequently, we have applied the same approach to a realistic, albeit simplified and stylised, industrial cluster that comprises three companies. After identifying a set of potential investment options, we have used the resulting Linny R model to conduct a second series of experiments to simulate and analyse solitary investment strategies per company, a cluster-wide cooperative strategy, as well as competitive strategies with various contractual arrangements. The results of this study show that we can indeed use Linny-R as a modelling language and simulation tool to represent and analyse investment decisions as multi-actor games, which then allow us to infer and evaluate cooperative as well as competitive investment strategies. This study has several limitations. We did not investigate the scalability of the method. We experimented with a relatively small and simplified cluster; upscaling to a cluster with 10 or 100 times more processes could become computationally infeasible. Another limitation is that we did not test in practice whether models in the Linny-R notation will indeed effectively support communication and negotiation between companies. Thirdly, the set of categories of investment options that we have identified is not exhaustive. Our recommendations for future research hence are to explore the computational limits using a state-of-the-art commercial solver, and to conduct real-world case studies, meanwhile extending and refining the categories of investment options that can be instrumental in furthering the transition towards more sustainable industrial clusters. ...
The idea that underlies this thesis is to represent industrial clusters as networks of processes that are owned and operated by different companies, and interdependent via their input-output flows. Such representation should then facilitate analysis from an industrial ecosystem perspective, and identification of potential investment options that would improve the cluster’s sustainability. From a game theory perspective, these investment options can then be seen as potential moves, and the companies as players. Assuming a time horizon (e.g., somewhere between 10 and 40 years), any combination of investments in that period constitutes a strategy, while for each company the difference in cumulative cash flow for that company with/without these investments constitutes the players’ payoffs. Analysis of such a multi-company investment game will reveal rational strategies. We have elaborated and tested this idea by using the Linny-R modelling language and its associated MILP optimisation tool that is being developed at TU Delft first to represent and analyse a variety of simple process configurations with only one or two investment options. Conducting this first series of small-scale simulation experiments, and verifying their outcomes has demonstrated the feasibility of our approach. Subsequently, we have applied the same approach to a realistic, albeit simplified and stylised, industrial cluster that comprises three companies. After identifying a set of potential investment options, we have used the resulting Linny R model to conduct a second series of experiments to simulate and analyse solitary investment strategies per company, a cluster-wide cooperative strategy, as well as competitive strategies with various contractual arrangements. The results of this study show that we can indeed use Linny-R as a modelling language and simulation tool to represent and analyse investment decisions as multi-actor games, which then allow us to infer and evaluate cooperative as well as competitive investment strategies. This study has several limitations. We did not investigate the scalability of the method. We experimented with a relatively small and simplified cluster; upscaling to a cluster with 10 or 100 times more processes could become computationally infeasible. Another limitation is that we did not test in practice whether models in the Linny-R notation will indeed effectively support communication and negotiation between companies. Thirdly, the set of categories of investment options that we have identified is not exhaustive. Our recommendations for future research hence are to explore the computational limits using a state-of-the-art commercial solver, and to conduct real-world case studies, meanwhile extending and refining the categories of investment options that can be instrumental in furthering the transition towards more sustainable industrial clusters.
Emergence of leadership in communities
A study on how leadership emerges through an innovation process for solving community problems
I synthesized leadership studies from different domains and created Leadership for Community Development (LCD) theory. Based on LCD, leadership emerges from influencing interactions that are done to share a vision and make other community members dedicated to it. In this process, leaders gather the requirements of collective action, like support or political capital. Central to this idea is the innovation process, which has four phases of idea generation, idea elaboration, idea promotion, and idea adoption. The idea in the innovation process is the same as the vision.
According to this theory, first, there might be problematizing leaders who challenge the current state and give attention to a problem through influencing interactions. Dissatisfaction with the current state can lead to idea generation. In the idea elaboration phase, the idea creator will try to elaborate and gather support for the idea among his or her close connections. If this is successful and enough support is received, dedicated actors will start promoting the idea by influencing others. In the idea promotion phase, enabling leadership emerges when actors promote their own vision and echoing leadership emerges when convinced actors advocate the vision of their influencers. Enabling leadership and echoing leadership form up effective leadership, which is the indispensable influencing effort of actors for reaching the next phase. Idea adoption or implementation, which is in the domain of management, starts when requirements such as political and intellectual capitals are enough. This theory is further supported by a case study and interview.
I created an agent-based model based on the LCD theory. The model was a successful proof of concept for the LCD theory and how the identified types of leadership emerge through the process of initiating collective action. I used the model to identify the most significant factors on the role of leaders and the initiation of collective action. The social network proved to be the most important factor.
Based on these findings, I emphasized on the importance of focusing on networks and building connections in the communities. Moreover, I have suggested using these findings to diagnose the lack of collective action in communities and to use this diagnosis in the process of facilitating collective action in communities. I proposed many recommendations for future steps in this study. The top priority recommendations are a call for case studies to be done to further validate the LCD theory and to perform group experiments to increase understanding of the role of the social network in collective action problems.
...
I synthesized leadership studies from different domains and created Leadership for Community Development (LCD) theory. Based on LCD, leadership emerges from influencing interactions that are done to share a vision and make other community members dedicated to it. In this process, leaders gather the requirements of collective action, like support or political capital. Central to this idea is the innovation process, which has four phases of idea generation, idea elaboration, idea promotion, and idea adoption. The idea in the innovation process is the same as the vision.
According to this theory, first, there might be problematizing leaders who challenge the current state and give attention to a problem through influencing interactions. Dissatisfaction with the current state can lead to idea generation. In the idea elaboration phase, the idea creator will try to elaborate and gather support for the idea among his or her close connections. If this is successful and enough support is received, dedicated actors will start promoting the idea by influencing others. In the idea promotion phase, enabling leadership emerges when actors promote their own vision and echoing leadership emerges when convinced actors advocate the vision of their influencers. Enabling leadership and echoing leadership form up effective leadership, which is the indispensable influencing effort of actors for reaching the next phase. Idea adoption or implementation, which is in the domain of management, starts when requirements such as political and intellectual capitals are enough. This theory is further supported by a case study and interview.
I created an agent-based model based on the LCD theory. The model was a successful proof of concept for the LCD theory and how the identified types of leadership emerge through the process of initiating collective action. I used the model to identify the most significant factors on the role of leaders and the initiation of collective action. The social network proved to be the most important factor.
Based on these findings, I emphasized on the importance of focusing on networks and building connections in the communities. Moreover, I have suggested using these findings to diagnose the lack of collective action in communities and to use this diagnosis in the process of facilitating collective action in communities. I proposed many recommendations for future steps in this study. The top priority recommendations are a call for case studies to be done to further validate the LCD theory and to perform group experiments to increase understanding of the role of the social network in collective action problems.
Comparing the Performance of different Market Structures for Regional Heat Networks
A simulation study into the impact of fuel prices, consumption growth and investment decisions