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Program Characteristics and Enrollees' Outcomes in the Program of All‐Inclusive Care for the Elderly (PACE)
Author(s) -
MUKAMEL DANA B.,
PETERSON DERICK R.,
TEMKINGREENER HELENA,
DELAVAN RACHEL,
GROSS DIANE,
KUNITZ STEPHEN J.,
WILLIAMS T. FRANKLIN
Publication year - 2007
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/j.1468-0009.2007.00497.x
Subject(s) - pace , medicine , health care , certification , long term care , gerontology , nursing , family medicine , geodesy , political science , geography , law , economics , economic growth
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.