Impact of PRISMA, a Coordination-Type Integrated Service Delivery System for Frail Older People in Quebec (Canada): A Quasi-experimental Study

Hébert, Réjean; Raı̂che, Michel; Dubois, Marie-France; Gueye, Ndèye Rokhaya; Dubuc, Nicole; Tousignant, Michel

doi:10.1093/geronb/gbp027

Cited by 184 publications

(227 citation statements)

References 26 publications

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“…The analyses showed a 7% reduction in functional decline in the experimental group with a threshold effect of about 70% of model implementation (Hébert et al, 2010). Other results did not have a threshold effect: individual autonomy increased in the experimental areas; use of emergency services and hospitalizations remained stable in the experimental areas while increasing significantly over time in the control areas; individuals in the experimental areas reported a significant increase in their satisfaction with services (Hébert et al, 2010). This integration system, which received a positive evaluation in terms of public health, was adopted across Quebec in a modified form.…”

Section: Results Of the Quebec Pilot Projectsmentioning

confidence: 94%

“…It was shown that the model is reproducible when the implementation rate reaches over 70% . The impact was measured by a controlled cohort study (Hébert et al, 2008b;Hébert et al, 2010). The primary end point was a combination of functional decline, death or institutionalization (Hébert et al, 2008b).…”

Section: Results Of the Quebec Pilot Projectsmentioning

confidence: 99%

“…This synthetic indicator is the total number from an evaluation grid that measures the density and quality of the implementation. This grid was constructed from the grid developed in the PRISMA implementation study , whose relevance had been validated by a Quebec impact study (Hébert et al, 2008b;Hébert et al, 2010). Based on a context analysis, the French configuration was modified by the multidisciplinary team in collaboration with the PRISMA team in Quebec.…”

Section: A Dedicated Tool: Implementation Evaluation Gridmentioning

confidence: 99%

See 2 more Smart Citations

The PRISMA France Study: Is There a Way to Measure Implementation of Integration in Different Countries?

Trouvé¹,

Veil²,

Hébert³

et al. 2010

Health Management

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Section: Results Of the Quebec Pilot Projectsmentioning

confidence: 94%

Section: Results Of the Quebec Pilot Projectsmentioning

confidence: 99%

Section: A Dedicated Tool: Implementation Evaluation Gridmentioning

confidence: 99%

See 1 more Smart Citation

The PRISMA France Study: Is There a Way to Measure Implementation of Integration in Different Countries?

Trouvé¹,

Veil²,

Hébert³

et al. 2010

Health Management

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“…Le modèle français a ceci de particulier que son objectif est non seulement d'aider les personnes les plus en difficulté grâce à l'intervention directe d'un gestionnaire de cas, mais aussi d'améliorer l'organisation du système de soin au bénéfice de l'ensemble de la population âgée. L'organisation mise en place en France s'inspire du modèle PRISMA, « Projet et recherches sur l'intégra-tion des services pour le maintien de l'autonomie », d'abord développé puis validé au Québec [17,18]. La recherche action PRISMA France [19,20] a ensuite démontré la faisabilité de l'implantation d'une telle organisation en France.…”

Section: Gestion De Cas Et Dépenses De Santéunclassified

“…La recherche action PRISMA France [19,20] a ensuite démontré la faisabilité de l'implantation d'une telle organisation en France. Le contexte français est en effet particulier du fait de la grande fragmentation [18] du système de soin aux personnes âgées : financeurs multiples (état, conseils généraux, sécurité sociale, collectivités locales, assurances retraite et autres acteurs économiques), intervenants salariés ou libéraux, structures hospitalières traditionnelles ou ambulatoires, organismes publics, associatifs ou privés. Cette fragmentation a pour conséquence un accès aux soins et aux services parfois difficile, associé à des démarches socio-administratives complexes.…”

Section: Gestion De Cas Et Dépenses De Santéunclassified

La gestion de cas en gérontologie

2012

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Définition de gestion de cas et intérêt dans l'accompagnement de la démence• le repérage des patients relevant de sa compé-tence ; • une évaluation globale standardisée de leur situation et de leurs besoins, qu'ils soient sanitaires ou sociaux ; • l'élaboration d'un plan de service individualisé réca-pitulant l'ensemble des services nécessaires (livraison des repas, soins à domicile, suivi médical, aménage-ment du domicile, visites de bénévoles, etc.) ; • la mise en oeuvre de ce plan, son adaptation à l'évo-lution de la maladie et la réévaluation régulière des besoins. La pratique de la gestion de cas pour les patients pré-sentant un syndrome démentiel semble d'autant plus pertinente que leur prise en charge requiert la collaboration de nombreux professionnels, médicaux, paramé-dicaux et du secteur social. La nécessité du recours à un professionnel pour aider la personne malade à organiser sa vie quotidienne est flagrante lorsque celle-ci est isolée et ne peut s'appuyer sur des proches, ou lorsque les proches en question n'ont pas la capacité de lui venir en aide.

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Case management for integrated care of older people with frailty in community settings

Sadler

Khadjesari

Ziemann

et al. 2023

Cochrane Database of Systematic Reviews

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Background Ageing populations globally have contributed to increasing numbers of people living with frailty, which has significant implications for use of health and care services and costs. The British Geriatrics Society defines frailty as "a distinctive health state related to the ageing process in which multiple body systems gradually lose their inbuilt reserves". This leads to an increased susceptibility to adverse outcomes, such as reduced physical function, poorer quality of life, hospital admissions, and mortality. Case management interventions delivered in community settings are led by a health or social care professional, supported by a multidisciplinary team, and focus on the planning, provision, and co‐ordination of care to meet the needs of the individual. Case management is one model of integrated care that has gained traction with policymakers to improve outcomes for populations at high risk of decline in health and well‐being. These populations include older people living with frailty, who commonly have complex healthcare and social care needs but can experience poorly co‐ordinated care due to fragmented care systems. Objectives To assess the effects of case management for integrated care of older people living with frailty compared with usual care. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Health Systems Evidence, and PDQ Evidence and databases from inception to 23 September 2022. We also searched clinical registries and relevant grey literature databases, checked references of included trials and relevant systematic reviews, conducted citation searching of included trials, and contacted topic experts. Selection criteria We included randomised controlled trials (RCTs) that compared case management with standard care in community‐dwelling people aged 65 years and older living with frailty. Data collection and analysis We followed standard methodological procedures recommended by Cochrane and the Effective Practice and Organisation of Care Group. We used the GRADE approach to assess the certainty of the evidence. Main results We included 20 trials (11,860 participants), all of which took place in high‐income countries. Case management interventions in the included trials varied in terms of organisation, delivery, setting, and care providers involved. Most trials included a variety of healthcare and social care professionals, including nurse practitioners, allied healthcare professionals, social workers, geriatricians, physicians, psychologists, and clinical pharmacists. In nine trials, the case management intervention was delivered by nurses only. Follow‐up ranged from three to 36 months. We judged most trials at unclear risk of selection and performance bias; this consideration, together with indirectness, justified downgrading the certainty of the evidence to low or moderate. Case managem...

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Impact of PRISMA, a Coordination-Type Integrated Service Delivery System for Frail Older People in Quebec (Canada): A Quasi-experimental Study

Abstract: The PRISMA model improves the efficacy of the health care system for frail older people.

Cited by 184 publications

References 26 publications

The PRISMA France Study: Is There a Way to Measure Implementation of Integration in Different Countries?

The PRISMA France Study: Is There a Way to Measure Implementation of Integration in Different Countries?

La gestion de cas en gérontologie

Case management for integrated care of older people with frailty in community settings

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