TY - JOUR
T1 - Minority Older Adults’ Access to and Use of Programs of All-Inclusive Care for the Elderly
AU - Travers, Jasmine L.
AU - D’Arpino, Sara
AU - Bradway, Christine
AU - Kim, Sarah J.
AU - Naylor, Mary D.
N1 - Funding Information:
This study was funded by a grant awarded by the University of Pennsylvania Office of Nursing Research, the New Courtland Center for Transitions and Health, and the Frank Morgan Jones Fund. During the time this study was conducted, JLT was supported by the University of Pennsylvania School of Nursing [5 T32 NR009356 07 to M.D.N]. JLT is currently supported bya Harold Amos career development award funded by the Robert Wood Johnson Foundation [RWJF; 77872 to JLT]. J.L.T is additionally supported by an award from the National Institute on Aging [K76 AG074922-01 to J.L.T]. The content is solely the responsibility of the authors and does not necessarily represent the official views of Frank Morgan Jones, National Institutes of Health or Robert Wood Johnson Foundation.
Publisher Copyright:
© 2022 Taylor & Francis.
PY - 2022
Y1 - 2022
N2 - Programs of All-Inclusive Care for the Elderly (PACE) are an effective approach to improve care quality and delay institutional admissions especially for Black and Hispanic older adults who have seen a disproportionate rise in nursing home use. Guided by Andersen’s Behavioral Model of Health Services Use and employing focus groups and one-on-one interviews, we qualitatively examined factors influencing access to and use of PACE by Black and Hispanic older adults. The study sample consisted of thirty-two PACE enrollees, six marketing-team members, and four family-caregivers from three PACE sites in a northeast urban city. Informed knowledge, cultural beliefs, and attitudes toward PACE were found to affect access. Community resources, available services, and care quality facilitated enrollment/participation. Barriers identified included poor dissemination of information and inadequate emphasis on staff’s sensitivity to enrollees’ cultural and disability differences. Findings will help healthcare leaders capitalize on facilitators and address barriers to enhance access and use of PACE by racial and ethnic minority older adults.
AB - Programs of All-Inclusive Care for the Elderly (PACE) are an effective approach to improve care quality and delay institutional admissions especially for Black and Hispanic older adults who have seen a disproportionate rise in nursing home use. Guided by Andersen’s Behavioral Model of Health Services Use and employing focus groups and one-on-one interviews, we qualitatively examined factors influencing access to and use of PACE by Black and Hispanic older adults. The study sample consisted of thirty-two PACE enrollees, six marketing-team members, and four family-caregivers from three PACE sites in a northeast urban city. Informed knowledge, cultural beliefs, and attitudes toward PACE were found to affect access. Community resources, available services, and care quality facilitated enrollment/participation. Barriers identified included poor dissemination of information and inadequate emphasis on staff’s sensitivity to enrollees’ cultural and disability differences. Findings will help healthcare leaders capitalize on facilitators and address barriers to enhance access and use of PACE by racial and ethnic minority older adults.
KW - Long-term services and supports
KW - home and community-based service
KW - pace
KW - qualitative methods
KW - racial/ethnic minority older adult
KW - vulnerable populations
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U2 - 10.1080/08959420.2021.2024411
DO - 10.1080/08959420.2021.2024411
M3 - Article
C2 - 35125064
AN - SCOPUS:85124752076
VL - 34
SP - 976
EP - 1002
JO - Journal of Aging and Social Policy
JF - Journal of Aging and Social Policy
SN - 0895-9420
IS - 6
ER -