TY - JOUR
AU - S. R. Marques
AU - R. Rodrigues
AU - J. Zerth
AU - C. Orrego
A1 - 
AB - BACKGROUND: The increasing number of older adults with complex care needs underscores the urgent need for improved coordination between health and social services, emphasizing the importance of integrated care models. The Social Return on Investment (SROI) framework is a valuable tool for evaluating the social, economic, and environmental impact of healthcare interventions, including integrated long-term care (LTC) solutions. However, a gap remains in reviews specifically analyzing its application to integrated LTC interventions. OBJECTIVE: To examine how SROI has been used to evaluate integrated LTC interventions, particularly for older adults. METHODS: A scoping review of peer-reviewed and grey literature was conducted, covering January 2012 to June 2024, through MEDLINE, CINAHL, Google Scholar, and citation searches. Three independent reviewers assessed study eligibility, following PRISMA guidelines. Data were extracted using PICOS terms and organized into summary tables detailing study characteristics and SROI findings. RESULTS: Out of 556 screened papers, only 11 studies met the inclusion criteria, with most conducted in the UK. SROI evaluations focused on Personal and Community Resources, such as improved physical and mental health and social connections, while Public Resource benefits, including reduced healthcare workloads, were noted in seven studies. Financial proxies came from sources like HACT Social Value Bank and Global Value Exchange. All studies reported positive SROI ratios, though methodological limitations affect interpretation. CONCLUSIONS: The application of SROI to integrated LTC remains limited, primarily UK-based and reliant on context-specific methodologies. Expanding its use requires standardized methods, broader geographic representation, and localized proxies for more accurate evaluations.
AD - ISEG Research, ISEG, Universidade de Lisboa, Lisboa, Portugal. Electronic address: smarques@iseg.ulisboa.pt.; ISEG Research, ISEG, Universidade de Lisboa, Lisboa, Portugal.; KUEI, Catholic University of Eichstaett-Ingolstadt, Professorship for Management in Institutions of the Social and Healthcare System, Faculty of Social Work, Kapuzinergasse 2, 85072 Eichstaett, Germany.; Avedis Donabedian Research Institute (FAD), Universitat Autònoma de Barcelona (UAB), Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain.
AN - 40818294
BT - Health Policy
C5 - Healthcare Disparities; Measures
DA - Nov
DO - 10.1016/j.healthpol.2025.105414
DP - NLM
ET - 20250805
JF - Health Policy
LA - eng
N2 - BACKGROUND: The increasing number of older adults with complex care needs underscores the urgent need for improved coordination between health and social services, emphasizing the importance of integrated care models. The Social Return on Investment (SROI) framework is a valuable tool for evaluating the social, economic, and environmental impact of healthcare interventions, including integrated long-term care (LTC) solutions. However, a gap remains in reviews specifically analyzing its application to integrated LTC interventions. OBJECTIVE: To examine how SROI has been used to evaluate integrated LTC interventions, particularly for older adults. METHODS: A scoping review of peer-reviewed and grey literature was conducted, covering January 2012 to June 2024, through MEDLINE, CINAHL, Google Scholar, and citation searches. Three independent reviewers assessed study eligibility, following PRISMA guidelines. Data were extracted using PICOS terms and organized into summary tables detailing study characteristics and SROI findings. RESULTS: Out of 556 screened papers, only 11 studies met the inclusion criteria, with most conducted in the UK. SROI evaluations focused on Personal and Community Resources, such as improved physical and mental health and social connections, while Public Resource benefits, including reduced healthcare workloads, were noted in seven studies. Financial proxies came from sources like HACT Social Value Bank and Global Value Exchange. All studies reported positive SROI ratios, though methodological limitations affect interpretation. CONCLUSIONS: The application of SROI to integrated LTC remains limited, primarily UK-based and reliant on context-specific methodologies. Expanding its use requires standardized methods, broader geographic representation, and localized proxies for more accurate evaluations.
PY - 2025
SN - 0168-8510
SP - 105414
ST - The use of social return on investment approaches to evaluate integrated long-term care in high-income countries: A scoping review
T1 - The use of social return on investment approaches to evaluate integrated long-term care in high-income countries: A scoping review
T2 - Health Policy
TI - The use of social return on investment approaches to evaluate integrated long-term care in high-income countries: A scoping review
U1 - Healthcare Disparities; Measures
U3 - 10.1016/j.healthpol.2025.105414
VL - 161
VO - 0168-8510
Y1 - 2025
ER -