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September 2007 (Volume 85)
Quarterly Article
Dana B. Mukamel
Derick R. Peterson
Helena Temkin-Greener
Rachel Delavan
Diane Gross
Stephen J. Kunitz
T. Franklin Williams
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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.
Author(s): Dana B. Mukamel; Derick R. Peterson; Helena Temkin-Greener; Rachel Delavan; Diane Gross; Stephen J. Kunitz; T. Franklin Williams
Keywords: PACE; long-term care; quality; risk-adjusted health outcomes
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Volume 85, Issue 3 (pages 499–531) DOI: 10.1111/j.1468-0009.2007.00497.x Published in 2007