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Knowledge implementation in healthcare practice: a view from The Netherlands.
Michel Wensing1, Roland Bal, Roland Friele
1Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands. m.wensing@iq.umcn.nl
Implementing health knowledge in the Netherlands requires clearer terms, systematic consideration of context, and integration with practice. Policies need adjustment to prevent isolation and foster substantial improvement.
Area of Science:
- Health Services Research
- Knowledge Translation
- Implementation Science
Background:
- Knowledge implementation is crucial for improving healthcare.
- The Netherlands' largest public health research funder, ZonMw, is a key player.
- Existing implementation research and infrastructure require critical evaluation.
Purpose of the Study:
- To identify pertinent issues in knowledge implementation in the Netherlands.
- To analyze projects funded by ZonMw and published implementation research.
- To assess the current implementation infrastructure and suggest policy adjustments.
Main Methods:
- Structured analysis of 79 ZonMw-funded projects.
- Survey of 141 systematic reviews on implementation research.
- Qualitative study of the Dutch implementation infrastructure.
Main Results:
- The term 'knowledge implementation' may need more specific terminology.
- Contextual factors require systematic integration into planning and evaluation.
- Implementation can alter knowledge; this needs project consideration.
- Implementation science risks isolation from practice and societal needs.
- Project-focused funding and limited structural support may hinder progress.
Conclusions:
- Policies for knowledge implementation in the Netherlands need adjustment.
- ZonMw has begun incorporating recommendations into its policy.
- Strengthening the link between implementation science, practice, and societal needs is vital.
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