TY - JOUR AB - 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. VL - 27 IS - 3 SN - 1476-9018 DO - 10.1108/JICA-04-2018-0029 UR - https://doi.org/10.1108/JICA-04-2018-0029 AU - Grooten Liset AU - Alexandru Cristina-Adriana AU - Alhambra-Borrás Tamara AU - Anderson Stuart AU - Avolio Francesca AU - Valia Cotanda Elisa AU - Gütter Zdenek AU - Henderson Donna AU - Kassberg Ann-Charlotte AU - de Manuel Keenoy Esteban AU - Lange Marc AU - Lundgren Lisa AU - Pavlickova Andrea AU - Txarramendieta Suarez Jon AU - Whitehouse Diane AU - Fullaondo Zabala Ane AU - Zabala Rementeria Joseba Igor AU - Vrijhoef Hubertus Johannes Maria PY - 2018 Y1 - 2018/01/01 TI - A scaling-up strategy supporting the expansion of integrated care: a study protocol T2 - Journal of Integrated Care PB - Emerald Publishing Limited SP - 215 EP - 231 Y2 - 2024/03/28 ER -