Abstract
ObjectiveThe SCaling IntegRated Care in COntext (SCIROCCO) project tested a step-based scaling up strategy to explore what and how to scale up integrated care initiatives in five European regions. To...
Highlights
Numerous integrated care (IC) initiatives have been developed around the world to Strengths and limitations of this study►► This study was the first to assess the extent to which a step-based scaling up strategy in five European regions was implemented as planned within a European project.►► All five components of the scaling up strategy were implemented with acceptable fidelity
In order to evaluate the viability for scaling-up of the SCIROCCO Good Practices (GPs), a six-criterion assessment framework was built based on the criteria used in the European Innovation Partnership on Active and Healthy Ageing repository.[23]
This study assessed the implementation fidelity of a step- based scaling up strategy for IC, which was implemented in five European regions as part of a cross-national project
Summary
Numerous integrated care (IC) initiatives have been developed around the world to Strengths and limitations of this study►► This study was the first to assess the extent to which a step-based scaling up strategy in five European regions was implemented as planned within a European project.►► All five components of the scaling up strategy were implemented with acceptable fidelity. Bring about accessible, high-quality, effective and sustainable health and social care.[1] valuable lessons on the design and implementation of the transformation towards IC have been gained.[2] less known is what factors contribute to the progress and success of IC initiatives Obtaining such insights is challenging, which is partially induced by deficient and absent evaluation and measurement of IC initiatives, resulting in the lack of evidence on the working mechanisms in IC.[3] In addition, many of the available assessment tools for IC have been poorly or insufficiently validated.[4] in the presence of innumerable models of IC, there is no universal conceptual understanding of IC, which leads to a lack of understanding on what ‘integration’ might variously look like. This lack of knowledge means that it is hard to learn from experiences[7,8,9] and to know to Grooten L, et al BMJ Open 2020;10:e035002. doi:10.1136/bmjopen-2019-035002
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