Integrated Care Models for Older People: An Umbrella Review

In an ageing population, the World Health Organisation highlights that meeting the needs of older people is a growing priority for the health and social care system. This requires realignment of systems and policies towards integrated care.

This study aimed to synthesize evidence on the key elements of care models integrating health and social services for older people and the evidence about what works in such models and their mechanisms of change.  Drawing on 19 eligible reviews, the research highlights that most integrated care initiatives focus on clinical delivery, with fewer addressing organisational or system-level integration. It calls for stronger collaboration across sectors, leadership commitment, and cultural alignment to ensure holistic, sustainable care for ageing populations.

Key mechanisms for implementing an integrated care initiative included coordinated multidisciplinary care, patient-centered care, co-location of services and providers. These supported by a shared vision and commitment across implementing partners and strong leadership are essential to reducing hospital admissions rates and improving community service uptake and quality of life for older people.