The effect of incentives on the implementation and upscaling of healthcare innovations

Abstract

Background The Dutch healthcare system faces significant pressure due to an aging population and a shortage of healthcare professionals. Innovations are essential for improving patient outcomes, efficiency, and sustainability. However, implementation and scaling face barriers such as resistance to change, financial constraints, and regulatory challenges. The ZonMw IOC subsidy program, introduced in 2020, provides up to €10,000 per application for hiring external coaches to support healthcare innovation. Theoretical Framework The study employs a conceptual model analysing relationships between independent variables (coaching characteristics), dependent variables (learning ability and organizational value creation), and context variables (perceived value, acceptance by healthcare professionals, organizational readiness, and regulatory influences). It also considers confounding variables (innovation type, number of IOC rounds, organization size, and sector) and moderating variables (goal achievement and satisfaction with support). Methodology Using a mixed-methods approach, quantitative and qualitative data were collected from organizations participating in the IOC program. The data was collected through a survey, with a total of 67 respondents. Quantitative data were analysed using statistical methods to measure the impact of coaching on learning ability and value creation. Qualitative data, obtained through open-ended survey responses, were thematically analysed. Results The findings reveal key factors in healthcare innovation. Goal achievement and diverse coaching activities significantly boost value creation and learning ability. Acceptance by healthcare professionals and organizational readiness positively affect outcomes, while regulatory content and perceived value do not. Qualitative data highlight the importance of tailored support, structured planning, and clear communication. Discussion This study provides critical recommendations for ZonMw to enhance the implementation and scaling of healthcare innovations. Emphasizing targeted, high-quality coaching sessions tailored to organizational needs can improve outcomes. Improving communication strategies by training coaches and providing standardized templates are advised. Increasing healthcare professional engagement through workshops and decision-making involvement is crucial for fostering a supportive culture and enhancing innovation adoption. Policy recommendations include developing funding mechanisms for professional development, training implementation specialists, and fostering a collaborative innovation ecosystem. Conclusion The research demonstrates that financial incentives and expert coaching are pivotal for the implementation and scaling of healthcare innovations. However, their impact is heavily influenced by the quality and focus of coaching, the readiness of the organization, and the engagement of healthcare professionals. The findings suggest that the IOC subsidy program significantly impacts the implementation and scaling of healthcare innovation.