ArticleBMC medical research methodology2019
Assessing the maturity of the healthcare system for integrated care: testing measurement properties of the SCIROCCO tool.
Article in BMC medical research methodology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Tools for assessing the scalability of innovations in health: a systematic review.Health research policy and systems · 2022Pooled it
- Implementation outcome instruments for use in physical healthcare settings: a systematic review.Implementation science : IS · 2020Pooled it
- Measuring integrated hypertension care in community health centers: a cross-sectional study based on the Rainbow Model of Integrated Care in Chengdu, China.BMC health services research · 2026Article
- Changes in air composition driven by differences in biofuel consumption.Environmental science and pollution research international · 2026Article
- The Monash learning health system maturity matrix: codesign of a tool to measure and guide improvement in complex health system behaviour.BMC health services research · 2026Article
- Article
- Realist evaluation of Belgian pilot projects for paediatric transmural care: protocol for a mixed methods study.BMJ open · 2025Article
- Implementing the ICOPE program amongst community-dwelling older adults in Singapore: a multistage implementation study protocol.Frontiers in public health · 2025Article
- Models of Integrated Acute Care for Older Adult Inpatients That Incorporate Integrative Health: An Integrative Review.Journal of multidisciplinary healthcare · 2025Review
- A self-assessment maturity matrix to support large-scale change using collaborative networks in the New Zealand health system.BMC health services research · 2024Article
- Assembling a population health management maturity index using a Delphi method.BMC health services research · 2024Article
- A comprehensive analysis of digital health-focused Living Labs: innovative approaches to dementia.Frontiers in medicine · 2024Review
- Innovation ecosystems in health and care: the Andalusian Reference Site as an example.Frontiers in medicine · 2024Article
- How to successfully implement population health management: a scoping review.BMC health services research · 2023Article
- Scale-up of Digital Innovations in Health Care: Expert Commentary on Enablers and Barriers.Journal of medical Internet research · 2022Article
- Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open-ended question of a nationwide survey.Journal of evaluation in clinical practice · 2022Article
- Integrated primary care and social services for older adults with multimorbidity in England: a scoping review.BMC geriatrics · 2021Article
- Healthcare system maturity for integrated care: results of a Swiss nationwide survey using the SCIROCCO tool.BMJ open · 2021Article
- Mixed-method evaluation of CARITAS: a hospital-to-community model of integrated care for dementia.BMJ open · 2020Article
- Measuring the Maturity of Integrated Care in Singapore with the SCIROCCO Exchange Tool.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Scaling Integrated Care in Context (SCIROCCO) tool has been developed to facilitate knowledge transfer and learning about the implementation and scaling-up of integrated care in European regions. To adequately test the functionality of the tool in assessing the maturity for integrated care within regions, this study evaluated its structural validity, internal consistency and convergent validity.
methodsExploratory factor analysis was used to investigate the structural validity of the 12-items of the SCIROCCO tool. Hereafter, the internal consistency was assessed by calculating Cronbach's and ordinal alpha. The convergent validity was explored by testing 23 pre-hypothesized relationships between items of the SCIROCCO tool and items of an instrument measuring a similar construct.
resultsFactor analysis revealed a one-factor structure. Cronbach's alpha of the overall instrument was 0.92, ordinal alpha was 0.94. Only 30.34% of the hypotheses for testing the convergent validity were met.
conclusionThe one-factor structure is considered relevant in representing the structural validity of the SCIROCCO tool. The scale of the SCIROCCO tool shows good internal consistency. The tool (DMIC Quickscan) used to assess the convergent validity might measure a different aspect of integrated care than the SCIROCCO tool. Further research is needed to continue investigating the validity and reliability of the tool.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.