Defining sustainability outcomes of health programs: Illustrations from an on-line survey
Abstract
Evaluative research for questions of program sustainability has expanded substantially in recent years, but definitional issues remain. This paper presents definitions for four different types of sustainability as potential outcomes of health programs. We then illustrate these definitions with descriptive findings from an on-line survey to "look back" at the extent and types of sustainability that occurred among 48 community-based projects that had received short-term funding from a foundation-funded health program in New Jersey. We found that large percentages of respondents reported positively to each of four types of sustainability measures-maintaining program activities, continuing to serve substantial numbers of clients, building and sustaining collaborative structures, and maintaining attention to the ideas underlying the projects by disseminating them to others. Strengths and limitations of this methodology for future evaluation are also discussed.
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In recent years, sustainability outcomes have been conceptualized as including continuing or improving health benefits, maintaining community-level partnerships, maintaining organizational practices, and continuing program activities.
“In recent years, sustainability outcomes have been conceptualized as (118, 119, 135) (a) continuing or improving health benefits or outcomes for patients/consumers at the individual level; (b) maintaining community-level partnerships or coalitions and community capacity for collaboration; (c) maintaining organizational practices, procedures, and policies started during implementation (institutiona”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [119]
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AlKetbi, L. B., Nagelkerke, N. J. D., & Abdelbaki, H. (2025) · medRxiv · doi:10.1101/2025.03.11.25323728
Community Health Nursing Practice in Pakistan
Ali, T. S., Gulzar, S. A., Vertejee, S. S., & Karmaliani, R. (2025) · Advances in healthcare information systems and administration book series · doi:10.4018/979-8-3693-9092-4.ch014
Sustainability of evidence-based primary care programs in Abu Dhabi: impact of COVID-19
AlKetbi, L. B., Nagelkerke, N. J. D., & Abdelbaki, H. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1591667
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Iqbal, A., Michel, D. E., & Gülpınar, G. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-26472-6.00084-x
Wong, E. L., Wang, D. Y., Yeung, N. C.-Y., Mo, P. K.-H., Nilsen, P., Wong, C. W. Y., Wong, S. Y. S., & Yeoh, E.-K. (2026) · Implementation Science Communications · doi:10.1186/s43058-026-00920-3
- Authors
- Scheirer, M. A., Hartling, G., & Hagerman, D.
- Corresponding author
- Scheirer, Mary Ann
- Venue
- Evaluation and Program Planning
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 31
- Issue
- 4
- Pages
- 335-346
- ISSN
- 0149-7189 (ISSN-L)
- OpenAlex
- W2016090888
- Cited by
- 93
- References
- 22
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 8 · 2019: 3 · 2018: 8 · 2017: 5 · 2016: 6 · 2015: 8 · 2014: 10 · 2013: 10 · 2012: 7
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Evaluation and Program Planning (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- program sustainability, health programs, sustainability outcomes, program evaluation, community projects, collaborative structures, dissemination, program continuation, customer retention
- MeSH terms
- Community Health Services, Data Collection, Diffusion of Innovation, Foundations, Health Plan Implementation, Health Services Research, Humans, New Jersey, Organizational Innovation, Research Support as Topic, Program Evaluation, Organizational Policy, Program Development, Internet
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