Following are summaries of peer-reviewed research on implementing PACE, community paramedicine, and community-based palliative care for older adults in rural settings. These resources highlight how these models can reduce hospitalization, lower emergency department visits, and improve patient satisfaction.
PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
CHCS spoke with Carrie Henning-Smith to get her insights on PACE’s presence in rural communities and understand opportunities for rural PACE organizations.
The Closure of Wyoming’s Program of All-Inclusive Care for the Elderly (PACE): Qualitative Analysis of the Impact on Social Isolation and Loneliness
Closure of a long-term services and supports program in Wyoming increased social isolation, loneliness, and depression among previously enrolled older adults.
Community Paramedicine in Central Oregon: A Promising Model to Reduce Non-Urgent Emergency Department Utilization Among Medically Complex Medicaid Beneficiaries
Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.
Comparing Outcomes for Dual Eligible Beneficiaries in Integrated Care: Final Report
Integrated Medicare-Medicaid models are associated with less institutionalization, greater home- and community-based service use, and reduced mortality.
Development and Implementation of a Community Paramedicine Program in Rural United States
A rural community paramedicine program reduced emergency department and primary care visits.
Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization
A community-based palliative care program reduced medical costs, acute care admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.
The Impact of a Community-Based Serious Illness Care Program on Healthcare Utilization and Patient Care Experience
A care model that integrates home-based primary care and palliative care reduced health care utilization and improved care experience among patients with serious illness.
Community Paramedicine Applied in a Rural Community
A rural community paramedicine program resulted in better health outcomes and reduced health care utilization for people with chronic conditions and who frequently visit the emergency department.
Nurse-Led Navigation to Provide Early Palliative Care in Rural Areas: A Pilot Study
A pilot home-based palliative care program in rural Canada showed promising outcomes for older adults with chronic illness.
Transitioning From Community-Based to Institutional Long-term Care: Comparing 1915(c) Waiver and PACE Enrollees
Enrollment in PACE is associated with lower risk of long-term nursing home admissions compared to receiving home- and community-based services through a 1915(c) waiver.
