The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data

Purpose: The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the e...

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Main Authors: Réjean Hébert, Marie-France Dubois, Michel Raïche, Nicole Dubuc
Format: Article
Language:English
Published: Ubiquity Press 2008-02-01
Series:International Journal of Integrated Care
Subjects:
Online Access:http://www.ijic.org/articles/229
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author Réjean Hébert
Marie-France Dubois
Michel Raïche
Nicole Dubuc
author_facet Réjean Hébert
Marie-France Dubois
Michel Raïche
Nicole Dubuc
author_sort Réjean Hébert
collection DOAJ
description Purpose: The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and satisfaction of frail older people, modify their health and social services utilization, without increasing the burden of informal caregivers. The objective of this paper is to present the methodology and give baseline data on the study participants. <br><br> Methods: A quasi-experimental study with pre-test, multiple post-tests, and a comparison group was used to evaluate the impact of PRISMA ISD. Elders at risk of functional decline (501 experimental, 419 control) participated in the study. <br><br> Results: At entry, the two groups were comparable for most variables. Over the first year, when the implementation rate was low (32%), participants from the control group used fewer services than those from the experimental group. After the first year, no significant statistical difference was observed for functional decline and changes in the other outcome variables. <br><br> Conclusion: This first year must be considered a baseline year, showing the situation without significant implementation of PRISMA ISD systems. Results for the following years will have to be examined with consideration of these baseline results.
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spelling doaj.art-ad685c0115c7454dbd6176afcf82696e2022-12-21T18:36:12ZengUbiquity PressInternational Journal of Integrated Care1568-41562008-02-018110.5334/ijic.229229The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline dataRéjean HébertMarie-France DuboisMichel RaïcheNicole DubucPurpose: The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and satisfaction of frail older people, modify their health and social services utilization, without increasing the burden of informal caregivers. The objective of this paper is to present the methodology and give baseline data on the study participants. <br><br> Methods: A quasi-experimental study with pre-test, multiple post-tests, and a comparison group was used to evaluate the impact of PRISMA ISD. Elders at risk of functional decline (501 experimental, 419 control) participated in the study. <br><br> Results: At entry, the two groups were comparable for most variables. Over the first year, when the implementation rate was low (32%), participants from the control group used fewer services than those from the experimental group. After the first year, no significant statistical difference was observed for functional decline and changes in the other outcome variables. <br><br> Conclusion: This first year must be considered a baseline year, showing the situation without significant implementation of PRISMA ISD systems. Results for the following years will have to be examined with consideration of these baseline results.http://www.ijic.org/articles/229health services for the agedintegrated service delivery systemsfrail elderlyprogram evaluation
spellingShingle Réjean Hébert
Marie-France Dubois
Michel Raïche
Nicole Dubuc
The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data
International Journal of Integrated Care
health services for the aged
integrated service delivery systems
frail elderly
program evaluation
title The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data
title_full The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data
title_fullStr The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data
title_full_unstemmed The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data
title_short The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data
title_sort effectiveness of the prisma integrated service delivery network preliminary report on methods and baseline data
topic health services for the aged
integrated service delivery systems
frail elderly
program evaluation
url http://www.ijic.org/articles/229
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