NDLI: The Growing Pains of Integrated Health Care for the Elderly: Lessons from the Expansion of PACE

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The Growing Pains of Integrated Health Care for the Elderly: Lessons from the Expansion of PACE

Content Provider	Scilit
Author	Gross, Diane L. Temkin-Greener, Helena Kunitz, Stephen Mukamel, Dana B.
Copyright Year	2004
Description	Journal: The Milbank Quarterly The early success of the demonstration Program of All-Inclusive Care for the Elderly (PACE) led to its designation as a permanent Medicare program in 1997. But the growth in the number of programs and enrollment has lagged and does not meet expectations. This article offers insights into the mechanisms influencing the expansion of PACE, from information obtained in interviews and surveys of administrators, medical directors, and financial officers in 27 PACE programs. Sixteen barriers to expansion were found, including competition, PACE model characteristics, poor understanding of the program among referral sources, and a lack of financing for expansion. This experience offers important lessons for providing integrated health care to the frail elderly.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690172/pdf
Ending Page	282
Page Count	26
Starting Page	257
e-ISSN	14680009
DOI	10.1111/j.0887-378x.2004.00310.x
Journal	The Milbank Quarterly
Issue Number	2
Volume Number	82
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2004-06-01
Access Restriction	Open
Subject Keyword	Journal: The Milbank Quarterly Public Health and Health Services
Content Type	Text
Resource Type	Article

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