Program of All-Inclusive Care for the Elderly (PACE) versus Other Programs: A Scoping Review of Health Outcomes
- PMID: 35314603
- PMCID: PMC8938794
- DOI: 10.3390/geriatrics7020031
Program of All-Inclusive Care for the Elderly (PACE) versus Other Programs: A Scoping Review of Health Outcomes
Abstract
The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive health and social services to community-dwelling older United States (US) adults. However, little is known about how PACE outcomes compare to similar caregiving programs. This scoping review searched nine databases to identify studies that compared economic, clinical, or humanistic outcomes of PACE to other caregiving programs in the US. Two reviewers independently screened and extracted data from relevant articles and resolved discrepancies through consensus. From the 724 articles identified, six studies were included. Example study outcomes included: limitations and needs, survival and mortality, healthcare utilization, and economic outcomes. In conclusion, there are few published comparisons of PACE outcomes versus other caregiving programs for older US adults, and identified studies indicate mixed results. Further studies are needed to compare PACE outcomes to other programs so that policymakers are well informed to manage and optimize health outcomes for the growing US older adult population.
Keywords: PACE; community-based care; geriatrics; models of care; outcomes.
Conflict of interest statement
Daniel Arku, Terri Warholak, and David Axon received funding from Tabula Rasa HealthCare Group. Mariana Felix, Terri Warholak, and David Axon received funding from Merck and Co. and Pharmacy Quality Alliance for work outside of this study. David Axon also received funding from the American Association of Colleges of Pharmacy and the Arizona Department of Health Services for work outside of this study.
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References
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- Older People Projected to Outnumber Children for First Time in U.S. History. [(accessed on 19 January 2022)]; Available online: https://www.census.gov/newsroom/press-releases/2018/cb18-41-population-p....
-
- Let’s Work Together to Improve Care for Older Adults with Complex Needs. [(accessed on 19 January 2022)]. Available online: https://www.healthaffairs.org/do/10.1377/hblog20170214.058749/full/ - DOI
-
- How High-Need Patients Experience Health Care in the United States. [(accessed on 19 January 2022)]. Available online: https://www.commonwealthfund.org/sites/default/files/documents/___media_....
-
- A Summary of the 2021 Annual Reports. [(accessed on 19 January 2022)]; Available online: www.ssa.gov/oact/TRSUM/
-
- Medicaid.gov Program of All-Inclusive Care for the Elderly. [(accessed on 19 January 2022)]; Available online: https://www.medicaid.gov/medicaid/long-term-services-supports/program-al....
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