权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

A Qualitative Description of Enrollment in PACE

PACE 注册的定性描述

基本信息

批准号：
6846102
负责人：
Anna Song Beeber
金额：
$ 3.01万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-01 至 2005-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6846102
关键词：
caregivers clinical research comprehensive medical planning extended care family structure /dynamics health care cost /financing health care model health services research tag human old age (65+)human subject interview

项目摘要

DESCRIPTION (provided by the applicant): As the elder population continues to increase in the US, the need intensifies for community based alternatives to nursing homes. Particularly urgent is research concerning novel ways to provide long-term care services, especially for high need and high cost populations. The drive to reduce costs, and to avoid costly stays in institutional long-term care, has brought the development of comprehensive community based long-term care (CBLTC) programs to the forefront of the health services research agenda. One comprehensive CBLTC program, the Program of All-Inclusive Care for the Elderly (PACE), provides cost effective comprehensive care for elders with the goal of promoting independence and minimizing institutionalization. PACE, like many other CBLTC programs, faces challenges in recruiting participants into the program. Although the underlying rationale for CBLTC programs is to reduce costs and minimize institutionalization, little supporting evidence on long-term care options comes from elders, family members, informal caregivers, and providers. Thus, much is unknown about PACE as a choice of care for elders including the many facets associated with enrollment in PACE. Therefore, the purpose of this qualitative study is to describe enrollment in a PACE from the perspective of elders, families, informal caregivers, and providers. Using qualitative descriptive methods, this study will focus on the following questions: What is enrollment in a PACE? When, how, and why do elders enroll in PACE? What events contribute or lead to enrollment in PACE from the perspectives of elders, families, informal caregivers, and providers of health and social services? This study will provide the foundation for a program of health services research focused on PACE and other CBLTC programs for elders, with special emphasis on the impact of enrollment processes on current and future models of care.

描述（由申请人提供）：随着美国老年人口的持续增加，对社区养老院替代方案的需求加剧。尤其紧迫的是研究提供长期护理服务的新方法，特别是针对高需求和高成本人群。为了降低成本，避免昂贵的停留在机构的长期护理，带来了全面的社区为基础的长期护理（CBLTC）计划的发展，卫生服务研究议程的最前沿。一个全面的CBLTC方案，即老年人全纳护理方案，为老年人提供具有成本效益的全面护理，其目标是促进独立和尽量减少机构化。与许多其他CBLTC项目一样，PACE在招募参与者方面面临挑战。虽然CBLTC计划的基本原理是降低成本和尽量减少机构化，但来自老年人，家庭成员，非正式护理人员和提供者的长期护理选择的支持证据很少。因此，很多是未知的PACE作为一种选择的照顾老年人，包括许多方面与登记PACE。因此，这项定性研究的目的是从老年人、家庭、非正式照顾者和提供者的角度描述PACE的注册情况。使用定性描述方法，本研究将集中在以下问题：什么是登记在一个PACE？老年人何时、如何以及为什么要参加PACE？从老年人、家庭、非正式护理人员以及卫生和社会服务提供者的角度来看，哪些事件有助于或导致PACE注册？这项研究将为重点关注PACE和其他CBLTC老年人计划的卫生服务研究计划提供基础，特别强调注册过程对当前和未来护理模式的影响。