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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| Vydané v: | Health affairs (Millwood, Va.) Ročník 39; číslo 10; s. 1812 - 1821I |
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| Hlavní autori: | , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
The People to People Health Foundation, Inc., Project HOPE
01.10.2020
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| ISSN: | 0278-2715, 2694-233X, 1544-5208, 2694-233X |
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| Abstract | 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. |
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| AbstractList | The COVID-19 pandemic continues to devastate U.S. nursing homes. Adequate personal protective equipment (PPE) and staffing are critical to protect nursing home residents and staff during future COVID-19 outbreaks. Despite the importance of these basic measures, little national data is available about the state of nursing homes with respect to these resources. This paper presents results from a new national database containing 94% of U.S. nursing homes. We find that more than 1 in 5 nursing homes report 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 of 2020. Facilities with COVID-19 cases among residents and staff, as well as those serving more Medicaid recipients and with lower quality scores, were more likely to report shortages. Policies aimed at providing resources to obtain additional direct care staff and PPE to these vulnerable nursing homes, particularly in areas with rising community COVID-19 case rates, are needed to reduce the national COVID-19 death toll. 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.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. 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. 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. |
| Author | Grabowski, David C Barnett, Michael L McGarry, Brian E |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32816600$$D View this record in MEDLINE/PubMed |
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| DOI | 10.1377/hlthaff.2020.01269 |
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| Snippet | The coronavirus disease 2019 (COVID-19) pandemic continues to devastate US nursing homes. Adequate personal protective equipment (PPE) and staffing levels are... The COVID-19 pandemic continues to devastate U.S. nursing homes. Adequate personal protective equipment (PPE) and staffing are critical to protect nursing home... |
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| SubjectTerms | 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 |
| Title | Severe Staffing And Personal Protective Equipment Shortages Faced By Nursing Homes During The COVID-19 Pandemic |
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