title: Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE).
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.
authors: University of California at Irvine, Center for Health Policy Research, Irvine, CA 92697, USA. dmukamel@uci.edu
authors: Dana B
authors: DB
authors: Mukamel
authors: Derick R
authors: DR
authors: Peterson
authors: Helena
authors: H
authors: Temkin-Greener
authors: Rachel
authors: R
authors: Delavan
authors: Diane
authors: D
authors: Gross
authors: Stephen J
authors: SJ
authors: Kunitz
authors: T Franklin
authors: TF
authors: Williams
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006305:Health Status Indicators; D006801:Humans; D007407:Interviews as Topic; D008134:Long-Term Care; D008297:Male; D017063:Outcome Assessment, Health Care; D016730:Program Development; D014481:United States / Q000453:epidemiology
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