BENEFIT for all: An ecosystem to facilitate sustained healthy living and reduce the burden of cardiovascular disease

A healthy lifestyle forms the basis for preventing cardiovascular disease (CVD).1 However, initiating and maintaining a healthy lifestyle is notoriously difficult. Despite large investments in cardiac prevention and rehabilitation programmes, the majority of people with CVD still do not achieve guideline treatment goals for cardiovascular risk management, such as lipid targets or receiving lifestyle modification programmes.2 The following pillars, each from a different discipline, are known as instrumental to facilitate sustained healthy living: (a) target both individual and environmental lifestyle factors (social and behavioural sciences;3 (b) develop interventions in continuous co-creation with stakeholders (design sciences);4 (c) ensure continuous, transmural access to these interventions (medicine, data and implementation science;5 and (d) create public–private partnership (economics, management science).6 An ecosystem for healthy living linking each of these pillars is currently being designed, implemented, and evaluated nationwide in The Netherlands for people with or at high risk of CVD