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SIPA model elaboration
SIPA is an integrated system of social, medical and short- and
long-term hospital services offered in both the community and
institutions to vulnerable elderly persons. The SIPA model includes
a clinical aspect, a management structure and a funding-by-capitation
system. It was developed by François
Béland, Howard Bergman
et al. of the McGill University/Université de Montréal
Research Group
and funded by the Ministère québécois
de la santé et des services sociaux from 1995-1998.
The model encompasses the following characteristics:
- an integrated system of community-based care, offering front-
and second-line health and social services, including short-
and long-term care provided in both the community and institutions
-
responsibility for providing care to a specific population
-
a clinical model that includes all services
-
a method of prepayment by capitation, coupled with financial
responsibility for all services delivered
- public management that respects the fundamental principles
of the Canadian system
According to the SIPA model, care is provided both within the
community and in institutional settings. Elderly persons eligible
for SIPA have functional disabilities or cognitive problems that
limit their ability to perform the usual tasks related to activities
of daily living and upkeep of their immediate environment.
The SIPA model falls within the range of orientations promoted
by the Quebec Ministry of Health and Social Services, and involves
significant changes in the way health services are organized,
delivered and funded.
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