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PRISMA: a new model of integrated service delivery for the frail older people in Canada.

Hébert R, Durand PJ, Dubuc N, Tourigny A, PRISMA Gro - Int J Integr Care (2003)

Bottom Line: PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations.The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised.The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost.

View Article: PubMed Central - PubMed

Affiliation: Institute of Aging, 1036 Belvédère Sud, Sherbrooke, Québec, J1H 4C4, Canada. rhebert@courrier.usherb.ca

ABSTRACT

Purpose: PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations.

Description: The mechanisms and tools developed and implemented by PRISMA include: (1) co-ordination between decision-makers and managers, (2) a single entry point, (3) a case management process, (4) individualised service plans, (5) a single assessment instrument based on the clients' functional autonomy, and (6) a computerised clinical chart for communicating between institutions for client monitoring purposes.

Preliminary results: The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised.

Conclusion: The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost.

No MeSH data available.


Comparison of two models of Integrated Service Delivery.
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Related In: Results  -  Collection


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fg001: Comparison of two models of Integrated Service Delivery.

Mentions: The other level of integrated care, co-ordination, involves the development and implementation of defined structures and mechanisms to manage the complex and evolving needs of patients in a co-ordinated fashion. Every organisation keeps its own structure but agrees to participate in an “umbrella” system and to adapt its operations and resources to the agreed requirements and processes. At this level, the ISD system is not only nested in the health care and social service system but is embedded within it. Figure 1 and Table 1 compare the co-ordination model with the full integration model.


PRISMA: a new model of integrated service delivery for the frail older people in Canada.

Hébert R, Durand PJ, Dubuc N, Tourigny A, PRISMA Gro - Int J Integr Care (2003)

Comparison of two models of Integrated Service Delivery.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC1483944&req=5

fg001: Comparison of two models of Integrated Service Delivery.
Mentions: The other level of integrated care, co-ordination, involves the development and implementation of defined structures and mechanisms to manage the complex and evolving needs of patients in a co-ordinated fashion. Every organisation keeps its own structure but agrees to participate in an “umbrella” system and to adapt its operations and resources to the agreed requirements and processes. At this level, the ISD system is not only nested in the health care and social service system but is embedded within it. Figure 1 and Table 1 compare the co-ordination model with the full integration model.

Bottom Line: PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations.The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised.The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost.

View Article: PubMed Central - PubMed

Affiliation: Institute of Aging, 1036 Belvédère Sud, Sherbrooke, Québec, J1H 4C4, Canada. rhebert@courrier.usherb.ca

ABSTRACT

Purpose: PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations.

Description: The mechanisms and tools developed and implemented by PRISMA include: (1) co-ordination between decision-makers and managers, (2) a single entry point, (3) a case management process, (4) individualised service plans, (5) a single assessment instrument based on the clients' functional autonomy, and (6) a computerised clinical chart for communicating between institutions for client monitoring purposes.

Preliminary results: The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised.

Conclusion: The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost.

No MeSH data available.