PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec | Zendy

Margaret MacAdam | Zendy

Open Access

PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec

Author(s) -

Margaret MacAdam

Publication year - 2015

Publication title -

international journal of integrated care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.083

H-Index - 32

ISSN - 1568-4156

DOI - 10.5334/ijic.2246

Subject(s) - integrated care , autonomy , acronym , process management , incentive , health care , business , nursing , knowledge management , operations management , engineering management , medicine , computer science , engineering , political science , philosophy , linguistics , economics , law , microeconomics

The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA) began in Quebec in 1999. Evaluation results indicated that the PRISMA Project improved the system of care for the frail elderly at no additional cost. In 2001, the Quebec Ministry of Health and Social Services made implementing the six features of the PRISMA approach a province-wide goal in the programme now known as RSIPA (French acronym). Extensive Province-wide progress has been made since then, but ongoing challenges include reducing unmet need for case management and home care services, creating incentives for increased physician participation in care planning and improving the computerized client chart, among others. PRISMA is the only evaluated international model of a coordination approach to integration and one of the few, if not the only, integration model to have been adopted at the system level by policy-makers.

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