State Actions and Shortages of Personal Protective Equipment and Staff in US Nursing Homes
State Actions and Shortages of Personal Protective Equipment and Staff in US Nursing Homes
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DOI：
10.1111/jgs.16883
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发表时间：
2020-10-20
影响因子：
6.3
通讯作者：
Greene, Jessica
中科院分区：
文献类型：
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作者：
Gibson, Diane M.;Greene, Jessica
养老院必须配备足够的个人防护设备（PPE）和工作人员，以保护居民和工作人员免受COVID-19的影响。一些州已采取行动，以缓解养老院的个人防护设备和工作人员短缺，包括建立专门的长期护理（LTC）团队和支持工作人员的能力。目的研究国家行为和养老院的特点是否与PPE和人员短缺有关。2020年7月31日发布的设施级数据来自养老院COVID-19公共文件，并与其他来源的数据相结合。我们的样本是13，445个设施，其中包括截至2020年6月21日的一周和截至2020年7月19日的一周之间的5周中的每一周的PPE和人员短缺信息。使用描述性统计和logistic回归模型研究了设施特征和短缺之间的关联。结果变量是设施是否缺少1周的PPE供应（“PPE短缺”）以及设施是否在5周研究期间的1周或更多周内存在人员短缺。在5周的研究期间，27.6%的机构报告PPE短缺1周或以上，30.2%的机构报告至少1周的人员短缺，46.5%的机构缺乏PPE和/或人员。位于东北PPE联盟或LTC团队的州的设施不太可能出现PPE短缺，而位于实施流程以将求职者与LTC设施相匹配的州的设施则不太可能出现人员短缺。鉴于近一半的美国养老院最近面临PPE和/或工作人员短缺，州预算赤字可能会限制进一步的国家行动，持续的联邦援助与PPE和养老院的人员配备是必要的。
BACKGROUND It is crucial that nursing homes have adequate personal protective equipment (PPE) and staff to protect residents and staff from COVID-19. Some states have taken actions to mitigate shortages of PPE and staffing in nursing homes, including creating dedicated long-term care (LTC) teams and supporting staffing capacity. OBJECTIVE To examine whether state actions and nursing home characteristics are associated with shortages of PPE and staffing. DESIGN AND SETTING Facility-level data, released July 31, 2020, from the Nursing Home COVID-19 Public File, were combined with data from other sources. Our sample was the 13,445 facilities with information about PPE and staffing shortages for each of the 5 weeks between the week ending June 21, 2020, and the week ending July 19, 2020. Associations between facility characteristics and shortages were examined using descriptive statistics and logistic regression models. MEASUREMENTS Outcome variables were whether or not a facility lacked a 1-week supply of PPE ("PPE shortage") and whether or not a facility had a staffing shortage during 1 or more weeks over the 5-week study period. RESULTS Over the 5-week study period, 27.6% of facilities reported 1 or more weeks of PPE shortage, 30.2% of facilities reported at least 1 week of staffing shortage, and 46.5% of facilities lacked PPE and/or staff. Facilities located in states in the Northeast PPE Consortium or with LTC teams were modestly less likely to have had a PPE shortage, and facilities located in states that implemented processes to match job seekers with LTC facilities were marginally significantly less likely to have had a staffing shortage. CONCLUSION Given that nearly half of U.S. nursing homes recently faced a shortage of PPE and/or staff, and that state budget deficits may limit further state actions, ongoing federal assistance with PPE and staffing of nursing homes is needed.