Program Characteristics and Enrollees' Outcomes in the Program of All-Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) is a unique program providing a full spectrum of health care services, from primary to acute to long-term care for frail elderly individuals certified to require nursing home care. The objective of this article is to identify program character...

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Bibliographic Details
Published in:The Milbank quarterly 2007-09, Vol.85 (3), p.499-531
Main Authors: MUKAMEL, DANA B., PETERSON, DERICK R., TEMKIN-GREENER, HELENA, DELAVAN, RACHEL, GROSS, DIANE, KUNITZ, STEPHEN J., WILLIAMS, T. FRANKLIN
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult Care Services
Aged
Dementia
Disabilities
Elder care
Elderly
Elderly people
Female
Frail
Handicapped
Health care
Health care delivery
Health Care Services
Health outcomes
Health policy
Health Problems
Health Professions
Health services
Health Services for the Aged - organization & administration
Health status
Health Status Indicators
Humans
Interviews as Topic
Long-Term Care
Male
Management
Medicaid
Medical service
Medicare
Mortality
Mortality Rates
Nursing
Nursing Homes
Old age
Older adults
Original
Outcome Assessment (Health Care)
PACE
Patient care
Predisposing factors
Program Development
quality
Quality of care
risk-adjusted health outcomes
Selfassessment
Social policy
Sociology
Sociology of health and medicine
Statistical analysis
Strategies
Surveys
Tempo
United States - epidemiology
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Summary:The Program of All-Inclusive Care for the Elderly (PACE) is a unique program providing a full spectrum of health care services, from primary to acute to long-term care for frail elderly individuals certified to require nursing home care. The objective of this article is to identify program characteristics associated with better risk-adjusted health outcomes: mortality, functional status, and self-assessed health. The article examines statistical analyses of information combining DataPACE (individual-level clinical data), a survey of direct care staff about team performance, and interviews with management in twenty-three PACE programs. Several program characteristics were associated with better functional outcomes. Fewer were associated with long-term self-assessed health, and only one with mortality. These findings offer strategies that may lead to better care.
ISSN:0887-378X
1468-0009
DOI:10.1111/j.1468-0009.2007.00497.x