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A scaling-up strategy supporting the expansion of integrated care: a study protocol

Title: A scaling-up strategy supporting the expansion of integrated care: a study protocol
Authors: Grooten, L.; Alexandru, C.A.; Alhambra-Borras, T.; Anderson, S.; Avolio, F.; Cotanda, E.V.; Gutter, Z.; Henderson, D.; Kassberg, A.C.; Keenoy, E.D.; Lange, M.; Lundgren, L.; Pavlickova, A.; Suarez, J.T.; Whitehouse, D.; Zabala, A.F.; Rementeria, J.I.Z.; Vrijhoef, H.J.M.
Source: Grooten, L, Alexandru, C A, Alhambra-Borras, T, Anderson, S, Avolio, F, Cotanda, E V, Gutter, Z, Henderson, D, Kassberg, A C, Keenoy, E D, Lange, M, Lundgren, L, Pavlickova, A, Suarez, J T, Whitehouse, D, Zabala, A F, Rementeria, J I Z & Vrijhoef, H J M 2019, 'A scaling-up strategy supporting the expansion of integrated care: a study protocol', Journal of Integrated Care, vol. 27, no. 3, pp. 215-231. https://doi.org/10.1108/JICA-04-2018-0029
Publication Year: 2019
Collection: Maastricht University Research Publications
Subject Terms: diabetes self-management; evaluation protocol; experiences; implementation fidelity; integrated care; realist evaluation; scaling-up
Description: Purpose To ensure that more people will benefit from integrated care initiatives, scaling-up of successful initiatives is the way forward. However, new challenges present themselves as knowledge on how to achieve successful large-scale implementation is scarce. The EU-funded project SCIROCCO uses a step-based scaling-up strategy to explore what to scale-up, and how to scale-up integrated care initiatives by matching the complementary strengths and weaknesses of five European regions involved in integrated care. The purpose of this paper is to describe a multi-method evaluation protocol designed to understand what factors influence the implementation of the SCIROCCO strategy to support the scaling-up of integrated care. Design/methodology/approach The first part of the protocol focuses on the assessment of the implementation fidelity of the SCIROCCO step-based strategy. The objective is to gain insight in whether the step-based strategy is implemented as it was designed to explore what works and does not work when implementing the scaling-up strategy. The second part concerns a realist evaluation to examine what it is about the SCIROCCO's strategy that works for whom, why, how and in which circumstances when scaling-up integrated care. Findings The intended study will provide valuable information on the implementation of the scaling-up strategy which will help to explain for what specific reasons the implementation succeeds and will facilitate further improvement of project outcomes. Originality/value The expected insights could be useful to guide the development, implementation and evaluation of future scaling-up strategies to advance the change towards more sustainable health and care systems.
Document Type: article in journal/newspaper
Language: English
ISSN: 1476-9018; 2042-8685
Relation: info:eu-repo/semantics/altIdentifier/wos/000476676600004; info:eu-repo/semantics/altIdentifier/pissn/1476-9018; info:eu-repo/semantics/altIdentifier/eissn/2042-8685
DOI: 10.1108/JICA-04-2018-0029
Availability: https://cris.maastrichtuniversity.nl/en/publications/e7943045-924d-40e2-8e52-55b8eb7f2d11; https://doi.org/10.1108/JICA-04-2018-0029
Rights: info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.B2EE9BDA
Database: BASE