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

Milbank Q. 2007 Sep;85(3):499-531. doi: 10.1111/j.1468-0009.2007.00497.x.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Activities of Daily Living
  • Aged
  • Female
  • Health Services for the Aged / organization & administration*
  • Health Status Indicators
  • Humans
  • Interviews as Topic
  • Long-Term Care
  • Male
  • Outcome Assessment, Health Care*
  • Program Development*
  • United States / epidemiology