Investment in research and implementation: ZonMw policyBarbara van der Linden, MD, PhD, Staffmember implementation and innovation

linden@zonmw.nl

ZonMw: Dutch medical research council•Financer of research:

• fundamental, prevention, curative and long term care

•± 70 programs, annual budget :± € 150M •Program plan with priorities, committee of experts•Call for proposals, digital application•Peer review•Grant commission•Monitoring, accountability•Dissemination and implementation

ZonMw implementation policy: 1. Implementation team2. Commissioning focusing on implementation:

research for practice3. Implementation programs4. Support implementation

infrastructure/fellowships5. Generate implementation knowledge

Recent ZonMw investments in Primary care•Research for practice:•2007-2012: € 3.4 M

Everyday ailments research program

•2007-2012: € 18 M Disease management research and development

program

•2013-2020: € 7 M Research program General practice and Elderly

medicine (investment from practice)

Investment in implementation and infrastructure•VIMP’s (up to €50.000)

• knowledge syntheses and uptake in guidelines

•2009-2014 • €57 M support GP and home care nurse infrastructure

•2014: • comprehensive knowledge packages for municipalities

including prevention, elderly care and primary care

•2014: • synthesis of implementation expertise

Impact?‘ZonMw is succesful in attaining

implementation goals within programs and projects and in creating an extensive implementation infrastructure in the last 10 years’

Kip report 2010

‘Every euro invested in the health care efficiency program saves 3 euro’s within 10 years’

Zorgmarktadvies report 2013

Beyond 2014

•Monitoring societal impact•User involvement in all phases•Public-private investment (providers and payers)•De-implementation of non cost-effective practices•Useful research designs incl. use (big) existing data•(International) research on successful implementation policy/strategies

Research and quality cycle

Guidelinedevelopment

Implementation

Outcomes measurement

Reinforcement adaptation innovation

Scientific research

Stimulate implementation

Program evaluation

Knowledge agenda

Providerspayers

Professional societies

Professional societiesProviders, payers

Researchers