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Nederlands taalgebruik --- Nederlandse spelling

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Within consisting healthcare-systems innovations in service organizations are constantly being constructed due, for example, to new medical, governmental or managerial insights, political constrains and/or financial objectives. The socio-demographic changes in Canada, the increasing costs, shortage of personnel and dissatisfaction among elders with the traditional hospital-centred-model forced the Canadians towards innovation. The book issue is relevant for all elders in the world: `How can one's functional autonomy at old age adequately be ensured?'The book represents the struggle of researchers dealing with an innovation started in 1999 called Integrated Service Delivery (ISD) for the frail elders in three communities in Canada. Aspects of the Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) are highlighted in this 17-chapter book.In Chapter 1 a description of the ISD model and the definition of integrated care are given. Chapter 2 deals with the necessary information and information-infrastructure (SIGG: Systeme d'information géronto-gériatrique; CCC: computerised clinical chart). In the Chapters 3 to 7 the authors discuss elements of successful implementation and evaluation. Chapter 8 deals with the validation of an abridged tool, the so-called PRISMA-7 Questionnaire. This tool can be used as a replacement for the SMAF-score (Systeme de mesure de l'autonomie fonctionelle) for the loss of autonomy. In Chapters 9 and 10 ISO-SMAF profiles are discussed. These profiles respond to the needs and demands of the elderly and can automatic monitor changes in status. In Chapter 11 the ISO-SMAF profiles are used to calculate medication costs. The calculation method is new and could prove useful in future research. In Chapter 12 the issue of public funding of home care services for frail elders is addressed. ISO-SMAF can help determine financial compensation. Chapter 13: the use of ISO-SMAF profiles in financial research is an innovatio