Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE)

Milbank Q

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.

Mukamel DB, Peterson DR, Temkin-Greener H, et al. Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE). Milbank Q. 2007;85(3):499-531. PMID: 17718666. DOI: 10.1111/j.1468-0009.2007.00497.x.

Publication Year: 
2007
Resource Type: 
Journal Article
Study Design: 
Observational
Qualitative
Social Determinant of Health: 
Not Specified
Population: 
Elderly
Outcomes: 
Health & Health Behaviors
Process Outcomes
Screening Research: 
No