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Integrated Services for Frail Elders (SIPA): A Trial of a Model for Canada*

Published online by Cambridge University Press:  31 March 2010

Francois Béland
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
Howard Bergman
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
Paule Lebel
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
Luc Dallaire
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
John Fletcher
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
Pierre Tousignant
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
André-Pierre Contandriopoulos
Affiliation:
Université de Montréal-McGill University Research Group on Integrated Services for Older Persons
Corresponding

Abstract

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Type
Special Feature/Article Spécial
Copyright
Copyright © Canadian Association on Gerontology 2006

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Footnotes

*

This research was funded by the Canadian Health Services Research Foundation, the Canadian Institute for Health Research, the Health Canada Health Transition Funds, the Ministère de la Santé et des Services sociaux du Québec, the Régie de la santé et des services sociaux de Montréal-Centre, and the CLSC Bordeaux-Cartierville.

References

1.Statistique Canada. Profil de la population canadienne selon l'âge et le sexe: le Canada vieillit. Ottawa: Statistique Canada; 2002 (Catalogue n° 96F0030XIF2001002).Google Scholar
2.Statistique Canada. Projections démographiques pour le Canada, les provinces et les territoires, 2000–2026 «Cédérom». Ottawa: Statistique Canada; 2001.Google Scholar
3.Gee, EM, Gutman, GM. The overselling of population aging. Don Mills: Oxford University Press; 2000.Google Scholar
4.Barer, ML, Evans, RG, Hertzman, C. Avalanche or glacier? Health care and the demographic rhetoric. Can J Aging 1995;14:193224.CrossRefGoogle Scholar
5.Rochon, M. Vieillissement démographique et dépenses de Santé et de prise en charge de la dependence au Québec: 1981–2056. Santé, société et solidarité 2002;2:155172.CrossRefGoogle Scholar
6.Mayhew, L. Health and elderly care expenditure in an aging world. Laxenburg: International Institute for Applied Systems Analysis; 2000. (RR-00-21).Google Scholar
7.McGrail, K, Green, B, Barer, ML, Evans, RG, Hertzman, C, Normand, C. Age, costs of acute and long-term care and proximity to death: evidence for 1987–88 and 1994–95 in British Columbia. Age Ageing 2000;29:249253.CrossRefGoogle ScholarPubMed
8.Ruggeri, J. Population aging, health care spending and sustainability: do we really have a crisis? Ottawa: Calendon Institute of Social Policy; September 2002.Google Scholar
9.Mérette, M. The brightside. A positive view on the economics of aging. Choices IRPP 2002;8(1):128.Google Scholar
10.Lubitz, J, Cai, L, Kramorow, E, Leutzner, H. Health, life expectancy, and health care spending among the elderly. N Engl J Med 2003;319:10481055.CrossRefGoogle Scholar
11.Spillman, BC, Lubitz, J. The effect of longevity on spending for acute and long-term care. N Engl J Med 2000;342:14021415.CrossRefGoogle ScholarPubMed
12.Manton, KG, Corder, L, Stallard, E. Chronic disability trends in elderly in United States populations: 1982–1994. Proc Natl Acad Sci 1997;94:25932598.CrossRefGoogle ScholarPubMed
13.Manton, KG, Gu, X. Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999. Proc Natl Acad Sci 1999;98:63546359.CrossRefGoogle Scholar
14.Singer, BH, et Manton, KG. The effects of health changes on projections of health services needs for the elderly population of the United States. Proc Natl Acad Sci 1998;95:1561815622.CrossRefGoogle ScholarPubMed
15.Statistique Canada. Enquěte sur la participation et les limites d'activités «en ligne»; 2001 «consulté 2003 le 20 juin»;disponible: URL: http://www.statcan.ca/francais/freepub/89-577-xif/charts/chart1_f.htm.Google Scholar
16.Lafortune, P, Camirand, J. Évolution et impact de l'incapacité chez les personnes âgées selon l'enquěte québécoise sur les limitations d'activités. Santé, société et solidarité 2002;2:44.Google Scholar
17.The Canadian Study of Health and Aging Working Group. Disability and frailty among elderly Canadians: a comparison of six surveys. Int Psychogeriatr 2001;13 Supp 1:159167.CrossRefGoogle Scholar
18.Wolff, JL, Starfeild, B, Anderson, G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 2002;162(20):22692276.CrossRefGoogle ScholarPubMed
19.Fried, LP, Walston, J. Frailty and failure to thrive. In: Hazzard, WR, Blass, JP, Halter, JB, Ouslander, JG, Tinetti, ME, editors. Principles of geriatric medicine and gerontology. New York: McGraw-Hill; 2003. p. 14871502.Google Scholar
20.Freedman, VA, Martin, LG, Schoeni, RF. Recent trends in disability and functioning among older adults in the United States: a systematic review. JAMA 2002;288:31373146.CrossRefGoogle ScholarPubMed
21.Murtaugh, CM, Litke, A. Transitions through postacute and long-term settings: patterns of use and outcomes for a national cohort of elders. Med Care 2002;40:227236.CrossRefGoogle ScholarPubMed
22.Callahan, EH, Thomas, DC, Goldhirsch, SL, Leipzig, RM. Geriatric hospital medicine. Med Clin North Am 2002;86(4):707729.CrossRefGoogle ScholarPubMed
23.Black, DBowman, C. Community institutional care for frail elderly people. Br Med J 1997;315:441442.CrossRefGoogle ScholarPubMed
24.Bergman, H, Béland, F, Lebel, P, Contandriopoulos, AP, Tousigant, P, Brunelle, Y et al. . Care for Canada's frail elderly population: fragmentation or integration? Can Med Assoc J 1997;157:11161121.Google ScholarPubMed
25.Coleman, EA. Challenges of systems of care for frail older persons: the United States of America experience. Aging Clin Exp Res 2002;14:233238.CrossRefGoogle ScholarPubMed
26.Tourigny, A, Durand, P, Bonin, L, Hébert, R, Rochette, L. Quasi-experimenta l study of the effectiveness of an integrated service delivery network for the frail elderly. Can J Aging 2004;23:231246.CrossRefGoogle Scholar
27.Hébert, RVeil, A. Monitoring the degree of implementation of an integrated delivery system. International Journal of Integrated Care «en ligne» «consulté 2006 le 18 janvier»; 2004;4(July-September); disponible: URL: http://www.ijic.org.Google Scholar
28.Pinnell Beaulne Associates. Choice, evaluation project, final report. Edmonton, AB: Pinnell Beaulne Associates; 1998.Google Scholar
29.Bodenheimer, T. Long-term care for frail elderly people - the On Lok model. N Engl J Med 1999;34:13241328.CrossRefGoogle Scholar
30.Gross, DL, Temkin-Greener, H, Kunitz, S, Mukamel, DB. The growing pains of integrated health care for the elderly: lessons from the expansion of PACE, Millbank Quarterly 2004;82:257282.CrossRefGoogle ScholarPubMed
31.Mui, AC. The program of all-inclusive care for the elderly (PACE): an innovative long-term care model in the United States. J Aging Soc Policy 2001;13:153167.Google ScholarPubMed
32.Eng, C, Pelluda, J, Eleazer, GP, McCann, R, Fox, N. Program for all-inclusive care for the elderly (PACE): an innovative model of integrated geriatric care and financing. J Am Geriatr Soc 1997;45:223–32.CrossRefGoogle ScholarPubMed
33.Leutz, W. Recognizing the achievements of the Social Health Maintenance Organization (SHMO) demonstration sites. J Aging Soc Policy 1992;4:124134.Google ScholarPubMed
34.Leutz, W, Greenlick, M, Ervin, S, Feldman, E, Malone, J. Adding long-term care to Medicare: the Social HMO experience. J Aging Soc Policy 1991;3:6987.CrossRefGoogle ScholarPubMed
35.Fischer, LR, Leutz, W, Miller, A, von Sternberg, TL, Ripley, JM. The closing of the social HMO: a case study. J Aging Soc Policy 1998;10:5775.CrossRefGoogle ScholarPubMed
36.Johri, M, Béland, F, Bergman, H. International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry 2003;18:222235.CrossRefGoogle Scholar
37.Boult, C, Pascala, JT. Integrating healthcare for older populations. American Journal of Managed Care 1999;5(1):4552.Google ScholarPubMed
38.Kane, RL. Managed care as a vehicle for delivering more effective chronic care for older persons. J Am Geriatr Soc 1998;46:1034–939.Google ScholarPubMed
39.Bergman, H, Béland, F, Lebel, P, Contandriopoulos, AP, Brunelle, Y, Kaufman, T, et al. Système de services intégrés pour personnes âgées en perte d'autonomie (SIPA). Rapport présenté à la Direction générale de la planification et de l'évaluation du Ministère de la Santé et des Services sociaux du Québec; 1997.Google Scholar
40.Béland, F, Bergman, H, Lebel, P, Lespérance, K, Denis, J-L, Tousignant, P et al. Évaluation d'un système de services intégrés pour personnes âgées en perte d'autonomie (SIPA). Dans: Henrad, J-C, Firbank O, Clément S, Frossard M, Lavoie J-P, Vézina A directeurs. Personnes âgées dépendantes en France et au Québec. Qualité de vie, pratiques et politiques. Paris: INSERM; 2001. p. 237–258.Google Scholar
41.Commission sur les services de Santé et les services sociaux. Les solutions émergeantes. Québec: Ministère de la Santé et des Services sociaux; 2000.Google Scholar
42.Commission sur l'avenir des soins de Santé au Canada. Guidé par nos valeurs. Ottawa: Santé Canada; 2002.Google Scholar
43.Premier's Advisory Council on Health for Alberta. A Framework for Reform. Calgary: Government of Alberta; 2001.Google Scholar
44.Le comité sénatorial permanent des Affaires sociales, de la science et de la technologie. La Santé des Canadiens—Le rôle du gouvernement fédéral, Volume 5: Principes et recommandations en vue d'une réforme—Partie I, Ottawa; april 2002.Google Scholar
45.Le comité sénatorial permanent des Affaires sociales, de la science et de la technologie. La Santé des Canadiens—Le rôle du gouvernement fédéral, Volume 6: Principes et recommandations en vue d'une réforme – Partie I. Ottawa: Gouvernement du Canada; octobre 2002.Google Scholar
46.Hébert, R, Carrier, R, Bilodeau, A. The functional autonomy measurement system (SMAF): description and validation of an instrument for the measurement of handicaps. Age Ageing 1988;17:293302.CrossRefGoogle ScholarPubMed
47.Béland, F, Haldemann, V, Martin, JC, Bourque, P, Ouelette, P. Vieillir dans la communauté: Santé et autonomie. Montréal; 30 mai 1998. (Rapport de recherche PNRDS #6605-4570-602)Google Scholar
48.Drummond, MF, O'Brien, B, Stoddart, GL, Torrance, GW. Methods for the economic evaluation of health care programmes. London: Oxford University Press; 1997.Google Scholar
49.Achen, CH. The statistical analysis of quasi-experiments. Berkeley: University of California Press; 1986.Google Scholar
50.Goldstein, H. Multilevel statistical models. 2nd ed.New York: Halstead Press; 1995.Google Scholar
51.Béland, F, Bergman, H, Lebel, P. SIPA, un système de soins intégrés pour personnes âgées en perte d'autonomie. Évaluation de la phase 1, juin 1999 à mai 2000. Montréal: Groupe de recherche Université de Montréal/McGill sur les services intégrés pour personnes âgées; mai 2001.Google Scholar
52.Groupe de recherche Solidage. SIPA: Les protocoles interdisciplinaires «en ligne» «consulté 2004 le 15 novembre»; disponible: http://www.solidage.ca/f/SIPA_f.htm.Google Scholar
53.Mécanisme de coordination des services géronto-gériatriques des Bois-Francs. Application coordination des services géronto-gériatriques. Trois-Rivières: Régie régionale de la Santé et des Services sociaux Mauricie-Centre du Québec; 1998.Google Scholar
54.Trahan, L, Caris, P 2002. The system of care and services for frail older person in Canada and Quebec. Aging Clin Exp Res 4:226232.CrossRefGoogle Scholar
55.Ministère de la Santé et de Services sociaux. Les services à domicile de première. Cadre de référence. Québec: Gouvernement du Québec; 1995.Google Scholar
56.Moher, D, Schulz, KF, Altman, DG. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. Lancet 2001;357:11911194.CrossRefGoogle Scholar
57.Weissert, WG, Hedrick, SC. Lessons learned from research on effects of community-based long-term care. J Am Geriatr Soc 1994;42:348353.CrossRefGoogle ScholarPubMed
58.Canadian Health Services Research Foundation. The path for restructuring primary healthcare services in Canada. Ottawa: CHSRF; 2003.Google Scholar
59.Régie régionale de la Santé et des Services sociaux de Montréal-Centre. Le plan montréalais d'amélioration de la Santé et du bien-ětre 2003–2006, «la Santé en actions». «en ligne». Québec: Bibliothèque nationale du Québec; 2003: 134–135 «consulté 2006 le 19 janvier»; disponible: URL: http://www.Santemontreal.qc.ca/fr/planstrategique/s_ss.htm.Google Scholar
60.Friedman, R, Kalant, N 1998. Comparison of long-term care in an acute care institution and in a long-term care institution. Can Med Assoc J 159:11071113.Google Scholar
61.Kane, RL, Kane, RA, Finch, M, Harrington, C, Newcomer, R, Miller, N et al. . S/HMOs, the second generation: building on the experience of the first social health maintenance organization demonstrations. J Am Geriatr Soc 1997;45:101107.CrossRefGoogle ScholarPubMed
62.Chatterji, P, Burstein, NR, Kidder, D, White, A. Evaluation of the program of all-inclusive care for the elderly (PACE) demonstration: the impact of PACE on participant outcomes. Cambridge, MA: Abt Associates; 1998.Google Scholar
63.White, AJ, Abel, Y, Kidder, D. Evaluation of the program of all-inclusive care for the elderly demonstration. A comparison of the PACE capitation rates to projected costs in the first year of enrolment. Final report. Cambridge, MA: Abt Associates; 2000.Google Scholar
64.Wieland, D, Lamb, VL, Sutton, SR, Boland, R, Clark, M, Friedman, S et al. Hospitalization in the program of all-inclusive care for the elderly (PACE): rates, concomitants, and predictors. J Am Geriatr Soc; 48:13731380.CrossRefGoogle Scholar
65.Bernabei, R, Landi, F, Gambassi, G, Sgadari, A, Zuccala, G, Mor, V et al. . Randomized trial of impact of model of integrated care and case management for older people living in the community. Br Med J 1998;316:13481351.CrossRefGoogle ScholarPubMed
66.Landi, F, Gambassi, G, Pola, R, Tabaccanti, S, Cavinato, T, Carbonin, P et al. . Impact of integrated home care services on hospital use. J Am Geriatr Soc 1999;47:14301434.CrossRefGoogle ScholarPubMed
67.Béland, F, Bergman, H, Lebel, P, Clarfield, AM, Tousignant, P, Contandriopoulos, AP et al. A system of integrated care for older persons with disabilities in Canada: results from a randomized controlled trial. Sous presse.Google Scholar

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