This K23 mentored patient oriented research career development award is designed to prepared Dr. Friedman for becoming an independent investigator in patient-oriented health services research. This will be accomplished through a coordinated of research and educational experiences, focusing on the PACE model of care. PACE (the Program of All-inclusive Care for the Elderly) is a national long-term care replication program with a central goal of promoting health and function in a frail, nursing home-eligible population. Many questions remain as to the benefits of the program, and the outcomes of enrollees in PACE. The efficacy of the PACE model is particularly important to investigate, because of the public finances being invested in existing programs, and because studies of other innovative long-term care program have had disappointing results, both in terms of minimizing cost as well as improving functional outcomes. This 2-part project will examine some of these outcomes, including function, quality of life, and nursing home utilization, using two different approaches. First, we will use secondary data on 7,819 participants in the PACE replication programs to evaluate risk and predictors of nursing home admission in PACE. The results from this analysis will help to generate hypotheses that can then be tested in the second part of the project. In this study, which will involve the majority of the time for this K23 proposal, we will conduct a prospective analysis of function, quality of life, and nursing home utilization in enrollees and non-enrollees in PACE, using primary data collected at one PACE site-Hopkins ElderPlus (HEP). These studies will be performed concurrently with a comprehensive educational plan, with an ultimate goal of preparing Dr. Friedman to become an independent investigator in clinically-based health services research.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23AG019545-02
Application #
6372555
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Stahl, Sidney M
Project Start
2000-09-30
Project End
2005-08-31
Budget Start
2001-09-01
Budget End
2002-08-31
Support Year
2
Fiscal Year
2001
Total Cost
$121,598
Indirect Cost
Name
University of Rochester
Department
Internal Medicine/Medicine
Type
Schools of Dentistry
DUNS #
208469486
City
Rochester
State
NY
Country
United States
Zip Code
14627
Friedman, Susan M; Mendelson, Daniel A; Bingham, Karilee W et al. (2008) Hazards of hospitalization: residence prior to admission predicts outcomes. Gerontologist 48:537-41
Friedman, Susan M; Mendelson, Daniel A; Kates, Stephen L et al. (2008) Geriatric co-management of proximal femur fractures: total quality management and protocol-driven care result in better outcomes for a frail patient population. J Am Geriatr Soc 56:1349-56
Gillespie, Suzanne M; Friedman, Susan M (2007) Fear of falling in new long-term care enrollees. J Am Med Dir Assoc 8:307-13
Friedman, Susan M; Steinwachs, Donald M; Temkin-Greener, Helena et al. (2006) Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderly. Gerontologist 46:456-63
Friedman, Susan M; Steinwachs, Donald M; Rathouz, Paul J et al. (2005) Characteristics predicting nursing home admission in the program of all-inclusive care for elderly people. Gerontologist 45:157-66