Severe Staffing And Personal Protective Equipment Shortages Faced By Nursing Homes During The COVID-19 Pandemic

The coronavirus disease 2019 (COVID-19) pandemic continues to devastate US nursing homes. Adequate personal protective equipment (PPE) and staffing levels are critical to protect nursing home residents and staff. Despite the importance of these basic measures, few national data are available concern...

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Vydáno v:Health affairs (Millwood, Va.) Ročník 39; číslo 10; s. 1812 - 1821I
Hlavní autoři: McGarry, Brian E, Grabowski, David C, Barnett, Michael L
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States The People to People Health Foundation, Inc., Project HOPE 01.10.2020
Témata:
Aged
Aged, 80 and over
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
Coronaviruses
COVID-19
Databases, Factual
Disease control
Disease Transmission, Infectious - prevention & control
Fatalities
Female
Health Personnel - statistics & numerical data
Home health care
Humans
Infection Control - organization & administration
Male
Masks
Medicaid
Medical personnel
Mortality rates
Needs Assessment
Nursing homes
Nursing Homes - organization & administration
Nursing Homes - supply & distribution
Pandemics
Pandemics - prevention & control
Pandemics - statistics & numerical data
Personal protective equipment
Personal Protective Equipment - supply & distribution
Pneumonia, Viral - epidemiology
Pneumonia, Viral - prevention & control
Protective equipment
Residents
Retrospective Studies
Safety equipment
Safety Management - methods
Scarcity
Shortages
Staffing
United States
Viral diseases
Vulnerable Populations - statistics & numerical data
United States
United States > US
ISSN:0278-2715, 2694-233X, 1544-5208, 2694-233X
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Shrnutí:The coronavirus disease 2019 (COVID-19) pandemic continues to devastate US nursing homes. Adequate personal protective equipment (PPE) and staffing levels are critical to protect nursing home residents and staff. Despite the importance of these basic measures, few national data are available concerning the state of nursing homes with respect to these resources. This article presents results from a new national database containing data from 98 percent of US nursing homes. We find that more than one in five nursing homes reports a severe shortage of PPE and any shortage of staff. Rates of both staff and PPE shortages did not meaningfully improve from May to July 2020. Facilities with COVID-19 cases among residents and staff, as well as those serving more Medicaid recipients and those with lower quality scores, were more likely to report shortages. Policies aimed at providing resources to obtain additional direct care staff and PPE for these vulnerable nursing homes, particularly in areas with rising community COVID-19 case rates, are needed to reduce the national COVID-19 death toll.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0278-2715
2694-233X
1544-5208
2694-233X
DOI:10.1377/hlthaff.2020.01269