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

33 Pages Posted: 11 Dec 2007  

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

Helena Temkin-Greener

University of Rochester Medical Center - Division of Health Services Research, Community & Preventive Medicine

Rachel Delavan

Commonwealth of Pennsylvania; University of Rochester

Diane Gross

affiliation not provided to SSRN

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 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.

Suggested Citation

Mukamel, Dana B. and Peterson, Derick R. and Temkin-Greener, Helena and Delavan, Rachel and Gross, Diane, Program Characteristics and Enrollees' Outcomes in the Program of All-Inclusive Care for the Elderly (PACE). Milbank Quarterly, Vol. 85, Issue 3, pp. 499-531, September 2007. Available at SSRN: https://ssrn.com/abstract=1067179 or http://dx.doi.org/10.1111/j.1468-0009.2007.00497.x

Dana B. Mukamel (Contact Author)

University of California, Irvine - Center for Health Policy Research ( email )

Campus Drive
Irvine, CA 62697-3125
United States

Derick R. Peterson

University of Rochester Medical Center - Department of Biostatistics and Computational Biology ( email )

Rochester, NY 14627
United States
(585) 275-6686 (Phone)
(585) 273-1031 (Fax)

Helena Temkin-Greener

University of Rochester Medical Center - Division of Health Services Research, Community & Preventive Medicine ( email )

Rochester, NY 14627
United States
(585) 275-8713 (Phone)

Rachel Delavan

Commonwealth of Pennsylvania ( email )

United States

University of Rochester

300 Crittenden Blvd.
Rochester, NY 14627
United States

Diane Gross

affiliation not provided to SSRN

No Address Available

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