Participatory Approach to Program Sustainment: Example From a Multisite National Geriatrics Telemedicine Program

Participatory Approach to Program Sustainment: Example From a Multisite National Geriatrics Telemedicine Program

Sustainment of evidence-based programs within dynamic health care environments requires ongoing adaptation to internal and external changes. Yet, strategies to support the sustainment of large-scale programs in heterogeneous settings are understudied. We developed and implemented a 3-phase participatory approach to support the sustainment of GRECC Connect, a 19-site Veterans Health Administration program that uses a hub-and-spoke model to expand rural access to geriatric specialty care.

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A participatory and stakeholder-driven approach helped strengthen the long-term sustainability of a national geriatrics telemedicine program by identifying practical challenges and adapting implementation strategies across multiple sites.


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