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Program of All-Inclusive Care for the Elderly
Program of All-inclusive Care for the Elderly (PACE) are programs, within the United States, that provides comprehensive health services for individuals age 55 and over who are sufficiently frail to be categorized as "nursing home eligible" by their state's Medicaid program. Services include primary and specialty medical care, nursing, social services, therapies (occupational, physical, speech, recreation, etc.), pharmaceuticals, day health center services, home care, health-related transportation, minor modification to the home to accommodate disabilities, and anything else the program determines is medically necessary to maximize a member's health.
== How PACE works ==
PACE programs are health care providers which directly employ a comprehensive range of health care professionals (physicians, nurses, physical therapists, social workers, etc.) to provide care to frail older adults—they are reimbursed on a fixed per member per month rate (or capitation payment) and, in return for this fixed payment, they are responsible for providing all health services, even extending to transportation.
Because PACE programs enroll only the very frail and incapacitated, they are exactly the patient population for whom prevention and health promotion makes a difference. Most PACE patients have multiple diagnosis, with an average of over 7 diagnoses per member. Among the most common are cardiac problems, diabetes, hypertension, and vascular disease. PACE programs have strong incentives to help keep their members as healthy as possible—their patients, if left without care, are likely to require extensive acute and nursing home care, which are very expensive. So PACE programs tend to provide high levels of preventive services, such as very frequent check ups, exercise programs, dietary monitoring, programs to increase strength and balance, etc.
PACE programs organize their services in a "PACE Center". These Centers tend to have a Day Health Center, physician' offices, nursing, social services and rehabilitation services, along with administrative staff, all in one site. Members attend centers from rarely to 7 days a week, depending on their care plans. Care planning is done with the member, his or her care team, and appropriate family members; most members attend about 2 days per week.
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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