Implementation topics added in July 2026 to the Dutch “Care Evaluation and Appropriate Use” program

The Care Evaluation and Appropriate Use program (Zorgevaluatie en Gepast Gebruik, ZE&GG) aims to implement appropriate care by evaluating and implementing knowledge about what constitutes appropriate care. The results of care evaluations within the Program will change medical practice. The Program is a joint initiative of all parties involved in medical specialist care, with the Dutch Organization for Health Research and Development (ZonMw) and the Dutch Healthcare Institute (ZIN) as strategic partners.

The Implementation Agenda covers what constitutes proven best care and what should be implemented in daily healthcare practice. Only topics that meet certain quality and effectiveness requirements are eligible for inclusion in the Implementation Agenda. Once the topics are included in the Implementation Agenda, healthcare providers must demonstrate implementation results for applicable topics within two years. 

On July 30, 2026, six new topics were added to the Implementation Agenda, including the following examples:

• Bridging to elective resection in obstructive colon carcinoma;
• NightWatch system for epilepsy;
• Vertebroplasty or balloon kyphoplasty for vertebral compression fractures caused by spinal metastases or multiple myeloma;
• Interdisciplinary medical specialist rehabilitation for chronic pain.

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