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. 2003:3:e08.
doi: 10.5334/ijic.73. Epub 2003 Mar 18.

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

Réjean Hébert  1 , Pierre J Durand, Nicole Dubuc, André Tourigny; PRISMA Group
Affiliations

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

Réjean Hébert et al. Int J Integr Care. 2003.

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.

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Figures

Figure 1
Figure 1
Comparison of two models of Integrated Service Delivery.
Figure 2
Figure 2
The PRISMA model of Integrated Service Delivery System.
See this image and copyright information in PMC

References

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