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Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE)
Dana B Mukamel1, Derick R Peterson, Helena Temkin-Greener
1University of California at Irvine, Center for Health Policy Research, Irvine, CA 92697, USA. dmukamel@uci.edu
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.
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