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Contributing to sustainability of a health research field and community – examples from the SNF NRP 74 “Smarter Health Care” Fourth Sustainability Forum - UN Sustainability & Health SDG 3 Basel, June 3 2019 Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care

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Page 1: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

Contributing to sustainability of a health research field

and community – examples from the SNF NRP 74

“Smarter Health Care” Fourth Sustainability Forum - UN Sustainability & Health SDG 3

Basel, June 3 2019

Milo Puhan, prof. epidemiology & public health

president steering committee NRP 74

Smarter Health Care

Page 2: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Health services research studies how to…

SNF Smarter Health Care

… organize, manage, and finance health

systems in order to deliver

health care services accessibly, safely,

effectively, efficiently, and user-oriented.

Page 3: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

3 goals of NRP 74, all targeted towards sustainability

Provide insight into healthcare structure and

utilisation in Switzerland, particular focus on

patients with chronic conditions

Research

Knowledge transfer

Research community

Create a strong community conducting world-

leading, excellent research

Foster exchange between researchers, stakeholders

and the public

Smarter Health Care

Page 4: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Research areas of NRP 74

Modul 3 Caring for patients with

multiple chronic conditions

Module 1 Countering under-

and overuse to improve allocation

of resources

Module 2 Coordination and

collaboration between healthcare

professionals

Smarter Health Care

Page 5: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

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Funded projects according to health care setting

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Page 6: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

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From regional variation in health care delivery

SNF Smarter Health Care

Elective procedures: Aujesky et al.

Regional variation and trends

(Swiss Health Care Atlas)

Page 7: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

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and polypharmacy in nursing homes

SNF Smarter Health Care

Medication in Homes: Bugnon et al.

An interdisciplinary approach to

deprescribing

Page 8: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

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to home treatment

SNF Smarter Health Care

Setting of psychiatric care:

Crivelli et al.

Effectiveness and cost-effectiveness of

home treatment for acute mental illness

Page 9: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Foster exchange between researchers, stakeholders and the public

Smarter Health Care

Research

Knowledge transfer

Research community

Researchers

NRP74 & and otherresearchers

Public

Knowledge transfer Stakeholders

§ Patients§ Care providers§ FOPH, FOS§ Cantons§ Associations§ Payers

Page 10: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Researchers

NRP74 & and other researchers

Public

Knowledge

transfer Stakeholders §  Patients §  Care providers §  FOPH, FOS §  Cantons §  Associations §  Payers

Key principles

Open-minded

Mutual learning

Focus on needs and

solutions

Smarter Health Care

Page 11: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Unique opportunities to connect science and policy

https://www.wennberg-zurich.org/welcome.html

Smarter Health Care

Page 12: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Strengthening the research community and promoting international excellence

Smarter Health Care

Research

Knowledge transfer

Research community

Emerging Health Care Leaders

Page 13: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Special program for young scientists

Emerging Health Care Leaders

To train and empower early career scientists

To facilitate collaborations

To create a strong community of health services researchers

Smarter Health Care

Page 14: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Training individuals – building a research community

Training of

individuals

Building a

research

community

Smarter Health Care

Page 15: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Rolf Heusser [email protected]

“If you want to go quickly, go alone. If you want to go far, go together.”

— AFRICAN PROVERB

Smarter Health Care

Page 16: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Inclusive approach

Service-oriented, subsidiarity principle

Focused on early career scientists

Guiding Principles

Needs-driven (scholars, PIs, external stakeholders)

Innovative Spirit

Smarter Health Care

Page 17: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

http://www.oscarberg.net/blog//2014/11/the-collaboration-pyramid-revisited.html

Gradually building the research community

Smarter Health Care

Page 18: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

The EHCL program in 2018

Training of

individuals

Building a research

community

§  3 “Spark Sessions” national

and international experts

§  6 community building

activities

§  “Expert Visitor Grant

Programme” (3 events)

§  7 professional skill

trainings

§  Individual goal-

oriented coaching

for scholars

Smarter Health Care

Page 19: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Evaluation Summaries 2018 Enjoyment

Personal and professional relevance

Engagement of speakers and moderators

Overall event environment

Smarter Health Care

Page 20: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF Smarter Health Care

A quote from one of the EHCL scholars

“The EHCL community is a close community where most of

the scholars know each other and learn from each other. Not

only on content and methods but also discuss career

possibilities and personal issues. Most of the scholars have

different professional backgrounds and that makes it

interesting.”

Page 21: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF Smarter Health Care

A quote from one of the primary investigators

”My student, like many other scholars, has difficulties

dividing their time between the projects, the EHCL

community, and personal life. There is just not enough time

in academia to join all aspects 100%. And they feel guilty

about it. It is great that the scholars can discuss this

challenge together and ‘not feel alone’ in this situation.”

Page 22: Contributing to sustainability of a health research field ... · Milo Puhan, prof. epidemiology & public health president steering committee NRP 74 Smarter Health Care . SNF Health

SNF

Strive for sustainability of «Smarter Health Care»

Research

Knowledge transfer

Research community

Smarter Health Care

Researchers

NRP74 & and otherresearchers

Public

Knowledge transfer Stakeholders

§ Patients§ Care providers§ BAG, BfS§ Cantons§ Associations§ Payers

Training of

individuals

Building a research

community

Common grant Common paper Discuss Build trust Inform Get to know

Professional skills Career reflection Selected methods and subject courses