1. Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE).
- Author
-
Mukamel DB, Peterson DR, Temkin-Greener H, Delavan R, Gross D, Kunitz SJ, and Williams TF
- Subjects
- Activities of Daily Living, Aged, Female, Health Status Indicators, Humans, Interviews as Topic, Long-Term Care, Male, United States epidemiology, Health Services for the Aged organization & administration, Outcome Assessment, Health Care, Program Development
- Abstract
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.
- Published
- 2007
- Full Text
- View/download PDF