Program Characteristics and Enrollees' Outcomes in the Program of All-Inclusive Care for the Elderly (PACE)
Dana B. Mukamel
University of California, Irvine - Center for Health Policy Research
Derick R. Peterson
University of Rochester Medical Center - Department of Biostatistics and Computational Biology
University of Rochester Medical Center - Division of Health Services Research, Community & Preventive Medicine
Commonwealth of Pennsylvania; University of Rochester
affiliation not provided to SSRN
Milbank Quarterly, Vol. 85, Issue 3, pp. 499-531, September 2007
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 analyzes of information combining Data PACE (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.
Number of Pages in PDF File: 33Accepted Paper Series
Date posted: December 11, 2007
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