Minority Older Adults’ Access to and Use of Programs of All-Inclusive Care for the Elderly

Jasmine L. Travers, Sara D’Arpino, Christine Bradway, Sarah J. Kim, Mary D. Naylor

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)976-1002
Number of pages27
JournalJournal of Aging and Social Policy
Issue number6
StatePublished - 2022


  • Long-term services and supports
  • home and community-based service
  • pace
  • qualitative methods
  • racial/ethnic minority older adult
  • vulnerable populations

ASJC Scopus subject areas

  • Demography
  • Gerontology
  • Life-span and Life-course Studies


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