The research and development programme of CCTR aims on a significant contribution to innovation and improvement of long-term extramural care and care related prevention. The results will support the trend towards integration of prevention and care outside intramural settings and towards empowering patients to self manage their potential chronic conditions. CCTR aims to establish a centre that is self supporting after seven years, then financed in a 1:2 ratio by the participating partners and other external funding.
Substantial savings in costs of health care
Improvement of long-term extramural care and empowering patients to self management will be substantial savings in the costs of healthcare. By enabling point of care diagnosis in primary care, more patients can be treated outside the hospital and therapy can be much more directed, leading to less unnecessary medication (e.g. antibiotics), less medical complications and better treatment results.
Patients more autonomous – decreased pressure on care facilities
The new monitoring devices and services developed by CCTR will enable people with chronic health conditions and/or disabilities, including patients with dementia, to remain autonomous in their own living environment with less professional and informal care for a much longer period. This will lead to prevention or at least postponement of the negative consequences of their health condition and to a decreased pressure on intramural care facilities.
Treatment more efficient
By enabling treatment and therapy in the home environment of patients, treatment can be more efficient and effective, with less need for support by healthcare professionals. This also contributes significantly to the cost-effectiveness of healthcare.
Combination expertise enables innovations
The expertise of the partner organizations in one dedicated centre with a strong externally oriented governance structure enables innovations which would not be possible without CCTR.
Added value in summary
The added value of CCTR has three dimensions:
- better and more cost-effective (extramural) healthcare and care related prevention;
- increased economic activity in the field of care technology;
- high quality scientific output.
It is hard to calculate the return on investment in financial terms, but it is more than likely that the effects will by far outnumber the investment, in economic as well as care quality and scientific terms.
The trends and challenges described on the page Vision are not unique to the Netherlands or other western countries. Similar trends can be observed worldwide. On the basis of an analysis of healthcare needs throughout the world and the potential of technology as an element in responding to these needs, the WHO strongly advises putting effort into the development of new medical devices related to the identified needs.
Prevention and care protocols
There is an obvious need for the development of prevention and care protocols which are less dependent on healthcare professionals, but build on the potential of citizens/patients themselves and informal caregivers. Self management – for whom, where and when possible – is one of the key issues in recent visions on long-term care, along with extramural care and an increasing role of informal caregivers. CCTR builds on these concepts.
Bridging technology and implementation
At present, much of the technology being developed does not reach care practice because there is a suboptimal ‘fit’ between the needs in care practice and the technical solutions. This will change with CCTR because of the unique combination of expertise of the partners. This makes it possible to bridge technology and implementation.
Opinions on urgency might differ, but most experts agree that the current healthcare system will not last much longer than a few more years (5-10) unless radical changes are made. Until now the most common solutions have been to cut costs, with the concomitant loss of quality and unmet care needs both having potentially negative consequences. Extramural prevention and care technology are potentially alternative solutions. They support efficiency and improve the quality of care. The aim of CCTR is to develop, evaluate and implement this technology for long-term extramural care and care related prevention.