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Integrated health and social care model – PRISMA, Quebec Lindsay Kinnaird Policy & Research Officer 6 June 2011
Integration central to Scottish health and social care policy agenda  <ul><li>Audit Scotland report on Community Health Pa...
Integration in Quebec  <ul><li>Since 1970s, Quebec has continued to implement a regional structure to coordinate and integ...
Correlation between Scotland and Quebec  <ul><li>Publicly funded health system founded at time when population was younger...
PRISMA model <ul><li>Developed in Eastern Townships of Quebec from 1997 to 2007 </li></ul><ul><li>Model specific to local ...
PRISMA model <ul><li>Case finding tool – to identify those with potential health and social care needs previously unknown ...
PRISMA - case finding tool <ul><li>Resource pressures and difficulty accessing services; however,  </li></ul><ul><li>Ident...
PRISMA - case finding tool <ul><li>Questionnaire developed from literature review of risk factors for functional decline a...
PRISMA - population planning  <ul><li>Purpose to estimate the proportion of the population with support needs likely to: <...
PRISMA - population planning  <ul><li>Data from single assessment tool used to identify those with similar characteristics...
Integrated health and social care model – PRISMA, Quebec Further information: Lindsay Kinnaird [email_address]
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International lessons from a whole system approach to integrating health and social care – PRISMA model, Quebec

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Lindsay Kinnaird, Policy and Research Officer, Alzheimer Scotland

Presentation from Alzheimer Scotland conference 2011 - Creating Better Dementia Care.

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International lessons from a whole system approach to integrating health and social care – PRISMA model, Quebec

  1. 1. Integrated health and social care model – PRISMA, Quebec Lindsay Kinnaird Policy & Research Officer 6 June 2011
  2. 2. Integration central to Scottish health and social care policy agenda <ul><li>Audit Scotland report on Community Health Partnerships </li></ul><ul><li>Reshaping Care for Older People and Change Fund </li></ul><ul><li>Scottish National Dementia Strategy </li></ul>
  3. 3. Integration in Quebec <ul><li>Since 1970s, Quebec has continued to implement a regional structure to coordinate and integrate health and social care </li></ul><ul><li>However, many factors have impeded effective service delivery and integration, including: </li></ul><ul><ul><li>Lack of adequate investment by government in regional structures </li></ul></ul><ul><ul><li>Organisational complexity </li></ul></ul>
  4. 4. Correlation between Scotland and Quebec <ul><li>Publicly funded health system founded at time when population was younger and to respond to mainly acute conditions </li></ul><ul><li>Older population will make-up an increasing proportion of total population; rise in long-term conditions </li></ul>
  5. 5. PRISMA model <ul><li>Developed in Eastern Townships of Quebec from 1997 to 2007 </li></ul><ul><li>Model specific to local circumstances; where access to services controlled and information can be shared locally </li></ul><ul><li>Whilst not transferable wholesale, impact on wider system and elements being adopted throughout Quebec </li></ul><ul><li>Two specific elements may provide lessons for Scotland </li></ul>
  6. 6. PRISMA model <ul><li>Case finding tool – to identify those with potential health and social care needs previously unknown to health care system </li></ul><ul><li>Population planning – to anticipate and plan for increasing needs </li></ul>
  7. 7. PRISMA - case finding tool <ul><li>Resource pressures and difficulty accessing services; however, </li></ul><ul><li>Identifying level and type of population needs viewed as essential to determining who receives support </li></ul>
  8. 8. PRISMA - case finding tool <ul><li>Questionnaire developed from literature review of risk factors for functional decline and tested to measure success in identification of those at risk </li></ul><ul><li>Identify those with potential disability who should undergo a comprehensive assessment of support needs </li></ul><ul><li>Opportunistic and systematic approach used in local community services and primary health centres </li></ul><ul><li>Rationale - identify cases to avoid postponement of diagnosis and escalation in health problems </li></ul>
  9. 9. PRISMA - population planning <ul><li>Purpose to estimate the proportion of the population with support needs likely to: </li></ul><ul><ul><li>Remain stable </li></ul></ul><ul><ul><li>Improve </li></ul></ul><ul><ul><li>Deteriorate </li></ul></ul>
  10. 10. PRISMA - population planning <ul><li>Data from single assessment tool used to identify those with similar characteristics </li></ul><ul><li>From this cluster sampling used to identify care groups – 14 groups identified </li></ul><ul><li>Population planning based on current circumstances and estimating the proportion likely to remain stable, improve or their condition deteriorate </li></ul>
  11. 11. Integrated health and social care model – PRISMA, Quebec Further information: Lindsay Kinnaird [email_address]

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