The SUSTAIN Project: A European Study on Improving Integrated Care for Older People Living at Home

International Journal of Integrated Care

Jenny Billings¹  Kai Leichsenring²  Eliva A. Ambugo³  Nick Zonneveld⁴  María Gabriela Barbaglia⁵  Nhu Tram⁵  Georg Ruppe⁶  Annerieke Stoop⁷  Simone R. de Bruin⁷  Caroline A. Baan⁸  Giel Nijpels⁸  Gerli Paat-Ahi⁹  Gerald Wistow^1,10  Manon Lette^1,11  Aaltje P.D. Jansen^1,12  Usman Khan^1,13  Viktoria Stein^1,14  Henrik Hoffmann^1,15 

[1] Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam;and Tranzo, Tilburg University, Tilburg;AGE Platform Europe, Brussels;Agency for Health Quality and Assessment of Catalonia, Barcelona;Austrian Interdisciplinary Platform on Ageing, Vienna;Centre for Health Service Studies, University of Kent, Canterbury;Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven;Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam;Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo;European Health Management Association, Brussels;International Foundation for Integrated Care, Oxford;Personal Social Services Research Unit, Department of Social Policy, London School of Economics and Political Science, London;Praxis Centre for Policy Studies, health policy program, Tallinn;Stiftung Gesundheit, Hamburg;Vilans, National Center of Excellence in Long-term Care, Utrecht;

关键词: older people;    integrated care;    long-term care;    implementation science;    mixed methods;    knowledge translation;    European research;   

DOI  :  10.5334/ijic.3090

来源: DOAJ

【 摘 要 】

Introduction: Integrated care programmes are increasingly being put in place to provide care to older people who live at home. Knowledge of how to further develop integrated care and how to transfer successful initiatives to other contexts is still limited. Therefore, a cross-European research project, called Sustainable Tailored Integrated Care for Older People in Europe (SUSTAIN), has been initiated with a twofold objective: 1. to collaborate with local stakeholders to support and monitor improvements to established integrated care initiatives for older people with multiple health and social care needs. Improvements focus on person-centredness, prevention orientation, safety and efficiency; 2. to make these improvements applicable and adaptable to other health and social care systems, and regions in Europe. This paper presents the overall structure and approach of the SUSTAIN project.  Methods: SUSTAIN uses a multiple embedded case study design. In three phases, SUSTAIN partners: (i) conduct interviews and workshops with stakeholders from fourteen established integrated care initiatives to understand where they would prefer improvements to existing ways of working; (ii) collaborate with local stakeholders to support the design and implementation of improvement plans, evaluate implementation progress and outcomes per initiative, and carry out overarching analyses to compare the different initiatives, and; (iii) translate knowledge and experience to an online roadmap.  Discussion: SUSTAIN aims to generate evidence on how to improve integrated care, and apply and transfer the knowledge gained to other health and social care systems, and regions. Lessons learned will be brought together in practical tools to inform and support policy-makers and decision-makers, as well as other stakeholders involved in integrated care, to manage and improve care for older people living at home.

【 授权许可】

Unknown