Is There a Link between Nursing Home Reported Quality and COVID-19 Cases? Evidence from California Skilled Nursing Facilities
Is There a Link between Nursing Home Reported Quality and COVID-19 Cases? Evidence from California Skilled Nursing Facilities
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DOI：
10.1016/j.jamda.2020.06.016
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发表时间：
2020-07-01
影响因子：
7.6
通讯作者：
Fang, Fang
中科院分区：
文献类型：
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作者：
He, Mengying;Li, Yumeng;Fang, Fang
目的：在美国2019冠状病毒病（COVID-19）爆发期间，养老院成为COVID-19传播的温床。各州制定了不同的政策来减轻养老院的COVID-19风险，包括限制探访养老院和强制对工作人员进行筛查。本研究的目的是研究COVID-19病例和死亡是否与养老院报告的质量有关。设计：我们结合加州公共卫生部报告的COVID-19数据、养老院比较提供的质量评级以及长期护理焦点的患者种族信息，研究养老院报告的质量与COVID-19病例和死亡之间的关系。环境和参与者：使用来自1223家加利福尼亚熟练护理机构的横断面数据和COVID-19病例的纵向数据。方法：因变量为新冠肺炎居民病例数和死亡人数。主要的自变量是养老院报告的质量。养老院的所有权、规模、经营年限和病人的种族构成也包括在内。结果：养老院星级评分和不同种族和族裔群体居民比例的增加与COVID-19居民病例或死亡的可能性增加显著相关（P < 0.01）。结论和意义：在调整疗养院规模和患者种族比例后，五星评级的养老院发生COVID-19病例和死亡的可能性较低。(C) 2020作者。由爱思唯尔公司代表AMDA（急性和长期护理医学协会）出版。这是一篇基于CC BY-NC-ND许可（http://creativecommons.org/licenses/by-nc-nd/4.0/）的开放获取文章。
Objectives: During the Coronavirus disease 2019 (COVID-19) outbreak in the United States, nursing homes became the hotbed for the spread of COVID-19. States developed different policies to mitigate the COVID-19 risks at nursing homes, including limiting nursing home visitation and mandating staff screening. The purpose of this study is to examine whether COVID-19 cases and deaths are related to the nursing home reported quality.Design: We combined the COVID-19 data reported by the California Department of Public Health, quality ratings provided by Nursing Home Compare, and patient racial information from Long-Term Care Focus to examine the association between nursing home reported quality and COVID-19 cases and deaths.Settings and Participants: Cross-sectional data from 1223 California skilled nursing facilities with reported quality and longitudinal data of COVID-19 cases were used.Methods: The dependent variable is COVID-19 residents' cases and deaths. The main independent variable is nursing home reported quality. Nursing home ownership, size, years of operation, and patient race composition are also included.Results: Nursing home star ratings and greater percentage of residents from different racial and ethnicity groups were significantly (P < .01) related to increased probability of having a COVID-19 residents' case or death.Conclusions and Implications: Nursing homes with 5-star ratings were less likely to have COVID-19 cases and deaths after adjusting for nursing home size and patient race proportion. (C) 2020 The Author(s). Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).