This paper proposes an adaptive permission probability control method for the CDMA/PRMA access protocol. The proposed method is effective to the uplink channels of the integrated voice and data wireless system. The proposed method uses the R-ALOHA protocol with end-of-use flags in order to avoid the reservation cancellations caused by excessive multiple-access interference. Also, a higher priority at packet transmission is given to voice compared with data so that the real-time transmission of voice packets can be guaranteed. Priority is controlled by suitably varying permission probabilities. Permission probabilities are adaptively calculated according to both the channel load and the channel capacities. The usefulness of this proposed method is ensured through computer simulation in an isolated cell environment. Moreover, various applications to cellular environments are investigated. The calculated results indicate that transmission efficiency has been improved compared with the conventional CDMA/PRMA protocol.