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Characteristics predicting nursing home admission in the Program of All-inclusive Care for Elderly people
Author(s)Susan M Friedman, Donald M Steinwachs, Paul J Rathouz
Journal titleThe Gerontologist, vol 45, no 2, April 2005
Pagespp 157-166
Sourcehttp://www.geron.org
KeywordsHealth services ; Management [care] ; Living in the community ; Admission [nursing homes] ; Correlation ; Longitudinal surveys ; United States of America.
AnnotationThe Program of All-inclusive Care for the Elderly (PACE) was developed in the US as a community-based, long-term care alternative. This study used PACE records for 4,646 participants aged 55+ who were enrolled in 12 Medicare and Medicaid funded PACE programmes from June 1990 to June 1998. Cox proportional hazards models were estimated to predict an outcome of nursing home admission for 30 days or longer, for which the cumulative risk within 3 years was 14.9%. Individuals enrolled from a nursing home to PACE were at very high risk for future admission, with a relative risk of 5.2 compared to those living alone. Among those enrolled to PACE from the community. age, instrumental activity of daily living (IADL) dependence, and bowel incontinence were predictive of subsequent nursing home admission. Asians and Blacks had a lower risk of institutionalisation than White. Although 100% of these PACE participants were nursing home certifiable, the risk of being admitted to a nursing home long term following enrolment from the community was low. (RH).
Accession NumberCPA-051117204 A
ClassmarkL: QA: K4: LHB:QKH: 49: 3J: 7T

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