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

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.