PACE: A Continuing Evolving Success

In reply

“…I titled my commentary “PACE: A Continuing Evolving Success” 3 to indicate that we are seeing an ongoing sequence of development and evidence‐based evaluation, further development and further evaluation, an approach, I believe, fits well with Dr. Branch's cautions.…”

Geriatric care in the United Kingdom: aligning services to needs Commentary: current system could be made to work

“…Models from the United States could inform the development of such programmes 20 21. Consortiums could be established from a primary care group or trust,22 a community trust, hospital care of the elderly department, social services department, or even an independent provider organisation.…”

Evidence‐based Evaluations of Pace

“…To the Editor: I join the readers of JAGS in a sense of shared professional pride in the preliminary successes of the PACE replications expressed in the recent article by Catherine Eng and her colleagues 1 . The accompanying editorial, 2 however, engendered a feeling of chagrin with our apparent lack of research sophistication. The lead sentence captures the essence of the editorial: “One needed only visit and observe the On Lok Program in Chinatown in San Francisco … to be convinced that here was an approach to fully integrated long‐term care for very frail persons living in their own homes that really worked and that saved money as well.” The essence of my chagrin is that I think we have to move beyond professional judgment — no matter how finely honed, and Dr. Williams' is second to none — and move to evidence‐based evaluations.…”