ArticleBMJ open2021
Healthcare system maturity for integrated care: results of a Swiss nationwide survey using the SCIROCCO tool.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Developing the Digital Health Communication Maturity Model: Systematic Review.Journal of medical Internet research · 2025Pooled 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
- Models of Integrated Acute Care for Older Adult Inpatients That Incorporate Integrative Health: An Integrative Review.Journal of multidisciplinary healthcare · 2025Review
- 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 Care in Switzerland: Strengths and Weaknesses of a Federal System.International journal of integrated careArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the maturity of the Swiss healthcare system for integrated care and to explore whether this maturity varied according to several variables.
designA Swiss nationwide individual electronic survey in November 2019. SETTING AND POPULATION: Stakeholders identified via lists of the Swiss Forum for Integrated Care and of the integrated care unit of the Swiss Federal Office of Public Health, and representatives of 26 cantonal public health departments, were invited to participate. PRIMARY OUTCOME MEASURE: The outcome was the maturity of the Swiss healthcare system for integrated care, measured with the Scaling Integrated Care in Context maturity model tool (SCIROCCO tool), which comprises 12 dimensions and questions rated on a 6-point scale. ANALYSIS: Univariate analyses were first performed, followed by bivariate analyses, to find out whether maturity varied according to working linguistic region, healthcare profession, main domain of professional activity, implication in integrated care, attitude towards integrated care and attitude towards the Swiss healthcare system.
resultsThe 642 respondents were 53.7 years on average, 42.5% were women, 60.0% and 20.7% worked in the German and French-speaking parts of Switzerland, respectively. Overall, the maturity of the Swiss healthcare system for integrated care was evaluated as low, with dimension means ranging from 1.0 (±1.0) for the 'Funding' dimension to a maximum of 2.7 (±1.1) for 'eHealth Services'. Results only varied according to the working linguistic region.
conclusionsResults highlight a limited maturity of the Swiss healthcare system for integrated care, as assessed at a national level by a large and varied number of healthcare stakeholders. They represent important information for the further development of integrated care in Switzerland, and should help identify areas requiring attention for a successful transformation of the Swiss healthcare system towards more integrated care.
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