Adaptations d’une matrice de maturité des soins intégrés pour des prestataires de soins et des cantons suisses

Integrated care maturity matrix adaptations for healthcare providers and Swiss cantons

Caryn Mathy, Jocelyne Majo, Francesca Bosisio, Tania Carron, David Campisi, Isabelle Peytremann-Bridevaux and Audrey Wampler

MPRA Paper from University Library of Munich, Germany

Abstract: Context The performance of integrated care systems lacks evidence, partly due to the difficulty in conducting robust studies. This generates uncertainty among both providers and decision-makers. However, an evaluation tool has been developed under the auspices of the European Commission. It is a maturity matrix called “Scaling Integrated Care in Context” (SCIROCCO), developed from a macro perspective. Objective The project aimed to adapt SCIROCCO for healthcare providers, specifically the three health poles in Vaud, on one hand, and for the Canton of Vaud, on the other hand, requiring the adoption of two distinct meso-level perspectives. Method Seven researchers worked on structuring and rewriting each element of SCIROCCO in successive individual and collective phases, seeking consensus. This work was then reviewed by five professionals before being disseminated to users. Results Two maturity matrices were created: one for the health poles (SCIROCCO-POLE) and one for the canton (SCIROCCO-CANTON), retaining the original dimensions but contextualizing them differently. The response scale still has six levels, but it was standardized to remain consistent regardless of the health organization or evaluated dimension. Conclusion Adapting SCIROCCO to other healthcare organizations appears feasible, although it requires substantial effort. Nevertheless, it provides a pragmatic diagnostic and management response for stakeholders. Further work is desirable to enhance the tool and incorporate an additional dimension—the collaboration between actors.

Keywords: Institutions de santé; Organisation des soins; Soins intégrés; Performance; Matrice de maturité (search for similar items in EconPapers)
JEL-codes: D24 H11 I11 M10 O22 (search for similar items in EconPapers)
Date: 2025-03-25
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