An oral health baseline of need at a predominantly African American Program of All-Inclusive Care for the Elderly (PACE): Opportunities for dental-nursing collaboration

Oishi, Matthew M.; Gluch, Joan I.; Collins, Robert J.; Bunin, Greta R.; Sidorov, Ingrid; Dimitrova, Boryana; Cacchione, Pamela Z.

doi:10.1016/j.gerinurse.2018.12.014

Cited by 9 publications

(5 citation statements)

References 24 publications

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“…This paper explores the choice preference of Chinese middle-aged and elderly people for various IMSEC models, and finds the relevant influencing factors. Foreign countries have long implemented similar IMSEC models (such as the PACE model in the United States, 31 and the long-term care insurance model in Japan 32 ), which has certain reference significance for China. Although there have been some studies in China on “middle-aged and elderly people’s willingness to participate in IMSEC policies,” there is almost no research on the “choice preference of IMSEC model.” Therefore, the results also lack a basis for comparison among domestic provinces.…”

Section: Discussionmentioning

confidence: 99%

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Qin,

Zhou,

Cheng

et al. 2024

INQUIRY

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Facing the increasingly severe aging situation, China has started to implement the “integrated medical services and elderly care (IMSEC)” policy, which covers a variety of IMSEC models. However, there is currently little research on middle-aged and elderly people’s choice preference for these IMSEC models and their associated factors. Through the face-to-face questionnaire method, the choice preference of middle-aged and elderly people aged 45 years and over in Zhejiang Province, China, to the IMSEC model is explored. Through the multinomial logistic regression model, the influencing factors of choice preference are analyzed. A total of 1034 people are included in 2022. Their choice preference for the 4 major types of IMSEC models are Home IMSEC model (48.07%), Community IMSEC model (23.79%), Institutional IMSEC model (21.76%), and Internet Plus IMSEC model (6.38%). “C1. Home elderly care and contracted with a family doctor” is the most chosen subtype, accounting for 34.53%. The rural elderly are more likely to choose “Home IMSEC model” (OR(95%CI) = 2.977(1.343-6.601)). Elderly people with relatively large life care needs are more likely to choose “Institutional IMSEC model” (OR(95%CI) = 1.114(1.042-1.190)). Moreover, age, education, and self-reported health status are also influencing factors of choice preference. The government should focus on promoting the development of the “Home IMSEC model” and increase the promotion of “Internet Plus IMSEC model.” In addition, the life care service capacity and spiritual comfort capacity of IMSEC institutions, as well as the medical service capacity of the community, need to be enhanced.

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Section: Discussionmentioning

confidence: 99%

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Qin,

Zhou,

Cheng

et al. 2024

INQUIRY

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“…Lastly, dentists can work with PACE programs to implement protocols and assessment tools to ensure referral to the dentist for examinations and treatment. 21,22 All of these opportunities for the dental profession to become more involved in PACE seem warranted, as dentistry was ranked the second-highest specialty focus for programs.…”

Section: Discussionmentioning

confidence: 99%

Setting the PACE for frail older adults in the community

Oishi¹,

Momany²,

Cacchione³

et al. 2020

The Journal of the American Dental Association

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Background. The integration of dentistry into comprehensive and long-term care has occurred infrequently and with limited success. The authors aim to describe how the Program of All-Inclusive Care for the Elderly (PACE) has the potential for such incorporation for the growing population of nursing homeeappropriate older adults preferring to age in place.Methods. The authors used a 56-item online survey to explore aspects of oral health care within PACE, including organizational structure, availability and provision of care, preventive protocols, and provider reimbursement. The survey was distributed to all 124 programs nationally. Data analyses included descriptive statistics for each of the variables of interest.Results. Thirty-five programs completed the survey (28%) in 23 states (74%) where PACE is available. Most programs covered comprehensive dental services and predominantly provided care off-site. Most programs reimbursed dentists at Medicaid fee-for-service rates and some at commercial rates. Dentistry was most frequently ranked the second-highest specialty focus behind mental health.Conclusions. PACE is a comprehensive interdisciplinary model of care and an underused opportunity for furthering medical-dental integration. It uses local dental resources in order to accommodate the oral health care needs of the growing population of older adults preferring to age in place.Practical Implications. PACE is an opportunity for the dental profession to further medical-dental integration and ensure that newer models of long-term care include comprehensive and coordinated oral health care programs. It is also an opportunity to promote an integrated model of care with policy makers to support integrated oral health care for the nursing homeeeligible population.

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“…To make our review feasible, we relied heavily on gray literature, because presentations by BH leaders within PACE and NPA documents provided the richest information on BH components surrounding POs. Further adding to this issue of limited information, national surveys of POs generally have a low response rate of around 20%–30% 4,5,11,20 . Results and analyses from the national surveys distributed by NPA largely informed our research, so our results run the risk of not accurately capturing the reality of BHI within POs.…”

Section: Limitationsmentioning

confidence: 95%

“…Further adding to this issue of limited information, national surveys of POs generally have a low response rate of around 20%-30%. 4,5,11,20 Results and analyses from the national surveys distributed by NPA largely informed our research, so our results run the risk of not accurately capturing the reality of BHI within POs.…”

Section: Limitationsmentioning

confidence: 95%

Behavioral health integration in the Program of All‐Inclusive Care for the Elderly (PACE): A scoping review

Fleet,

Shalev,

Spaeth‐Rublee

et al. 2023

J American Geriatrics Society

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BackgroundThe Program of All‐inclusive Care for the Elderly (PACE) is a community‐based care model that delivers collaborative care via an interdisciplinary team to meet the medical and social needs of older adults eligible for nursing home placement. Fifty‐nine percent of PACE participants are reported to have at least one psychiatric disorder. PACE organizations (POs) function through an interdisciplinary model of care, but a behavioral health (BH) provider is not a mandated role on the interdisciplinary team. Published literature regarding how POs integrate and provide BH services is limited; however, the National PACE Association (NPA) and select POs have made significant contributions to behavioral health integration (BHI) efforts in PACE.MethodsPubMED, EMBASE, and PsycINFO were searched for articles published between January 2000 and June 2022; hand‐searching was also conducted. Research articles and items involving BH components or programming in POs were included. Evidence of BH programming and initiatives at the organization and national level was summarized.ResultsThis review reported on nine primary items addressing BH in POs from 2004 to 2022. It found evidence of successful BH initiatives in PACE and identified a gap of published information given an evident need for BH services in the PACE participant population. Findings also indicate the NPA works to advance BH integration in POs with a dedicated workgroup that has produced the NPA BH Toolkit, BH training webinar series, and a site coaching program.ConclusionsIn the absence of PACE‐specific BH delivery guidelines and guidance from the federal or state level for PACE programs, BH service inclusion has been developed unevenly across POs. Assessing the landscape of BH inclusion across POs is a step toward evidence‐based and standardized inclusion of BH within the all‐inclusive care model.

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An oral health baseline of need at a predominantly African American Program of All-Inclusive Care for the Elderly (PACE): Opportunities for dental-nursing collaboration

Cited by 9 publications

References 24 publications

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Setting the PACE for frail older adults in the community

Behavioral health integration in the Program of All‐Inclusive Care for the Elderly (PACE): A scoping review

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