The Belgian Evidence-Based Practice Program: network governance to improve efficiency and effectiveness of...

Area of Science:

• Public Health
• Health Services Research
• Healthcare Management

Background:

• A national initiative in Belgium aimed to centralize governance for evidence-based practice (EBP) starting in 2016.
• The existing landscape necessitated a coordinated approach to integrate EBP into healthcare.
• A model with six EBP life cycle cells and a governance layer was conceptualized in 2017.

Purpose of the Study:

• To establish a central governance structure for evidence-based practice (EBP) in Belgium.
• To define the operational framework and organizational model for EBP.
• To facilitate the integration of EBP across the Belgian healthcare system.

Main Methods:

• Development of a model comprising six EBP life cycle cells and a bipolar governance layer.
• Selection of a network administrative organization to coordinate EBP operational processes.
• Design of an intermediate function connecting stakeholders with funders and policymakers.

Main Results:

• The chosen model utilizes a network administrative organization for coordination and facilitation.
• Scientific processes are managed by EBP experts within designated cells.
• The governance structure is in an advanced stage of development, set for operationalization in 2019.

Conclusions:

• A network administrative organization is deemed suitable for coordinating Belgium's EBP landscape.
• Building trust and consensus are critical for the successful implementation of this organizational change.
• The new EBP governance structure is nearing operationalization, aiming to enhance evidence-based healthcare in Belgium.