Evidence‐based Evaluations of Pace

International experiments in integrated care for the elderly: a synthesis of the evidence

“…Initial findings have been quite favourable on several measures. There is evidence that PACE serves a significantly impaired population (Eng et al, 1997), and that it succeeds in reducing inappropriate hospitalisations (Eng et al, 1997;Branch, 1998;Bodenheimer, 1999). Published information on the programme's impact on rates of institutionalisation is not yet available.…”

“…Enrolment growth has been much slower than hoped, and some of the On Lok features, such as intensive use of day health centres, are impractical and cumbersome when geographical catchment areas are much larger. The original On Lok site was only 2.5 square miles, and the expanded On Lok sites is 10 miles; however, the Columbia PACE site covers 1,400 square miles, which imposes a substantial burden of change on some of the On Lok features (Branch et al, 1998). We will return to the issue of generalisability of this model in the second portion of the paper.…”