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

  • Hébert R
  • Durand P
  • Dubuc N
  • et al.
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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.




Hébert, R., Durand, P. J., Dubuc, N., & Tourigny, A. (2003). PRISMA: a new model of integrated service delivery for the frail older people in Canada. International Journal of Integrated Care, 3(1).

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