Due to population ageing, health and social care systems face the challenge of providing care and support to an increasing number of older adults. Numerous integrated care initiatives have been rolled out in a range of settings and contexts, in order to improve care and support for frail older adults living at home. Despite this rich and varied field of practical examples, evidence on the effectiveness of integrated care remains inconsistent, and knowledge on successful implementation and transferability of experiences to other contexts is still limited. To take a step forward in the development of integrated care, the cross-European research project SUSTAIN was initiated in 2015. Partners from nine countries collaborate to: 1. support and monitor improvements to thirteen established integrated care initiatives for older adults living at home, and 2. to identify improvements that could be applicable and adaptable to other health and social care systems and regions. This symposium presents the results of this project. The first presenter outlines the overall approach of the SUSTAIN project, illustrating how a multiple case-study design was used to monitor and evaluate improvements to established integrated care initiatives. The second and third presentations focus on a case study in Norway and the Netherlands respectively, showing results of participatory research to implement and evaluate improvements in two participating initiatives. The fourth presenter shares results of an overarching analysis, in which outcomes of all case studies are integrated to support the understanding of what works for whom, in which context and with what outcomes.
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