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Centre for Policy on Ageing | |
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Program of All-inclusive Care for the Elderly (PACE) innovative model of integrated geriatric care and financing | Author(s) | Catherine Eng, James Pedulla, G Paul Eleazer |
Journal title | Journal of the American Geriatrics Society, vol 45, no 2, February 1997 |
Pages | pp 223-232 |
Keywords | Day services ; Services ; Health services ; Coordination ; Interaction [welfare services] ; Finance [care] ; United States of America. |
Annotation | The Program of All-inclusive Care for the Elderly (PACE) is a long-term care delivery and financing innovation, which aims to prevent unnecessary use of hospital and nursing home care. PACE began as On Lok in San Francisco, and its model of serving older people eligible for nursing home care in day centres, clinics, their homes, hospitals and nursing homes has been replicated in other parts of the US. Medicare and Medicaid waivers allow delivery of services beyond the usual Medicare and Medicaid benefits. A feature of PACE is the use of an interdisciplinary team for care management, integrating primary and specialty medical care. Outcomes of PACE programmes have been positive, with steady growth in its use, user satisfaction, a reduction in use of institutional care and medical services, and cost savings to public and private payers of care. However, starting up a PACE programme requires substantial time and capital, and the model has not yet attracted large numbers of older middle income adults. The growing number of older people in the US challenges healthcare providers and policy makers to provide high quality care with fewer resources. The integrated nature of the PACE model should appeal in meeting such needs. (RH). |
Accession Number | CPA-981005005 A |
Classmark | NM: I: L: QAJ: QK6: QC: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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