Severe Staffing And Personal Protective Equipment Shortages Faced By Nursing Homes During The COVID-19 Pandemic.
Severe Staffing And Personal Protective Equipment Shortages Faced By Nursing Homes During The COVID-19 Pandemic.
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DOI：
10.1377/hlthaff.2020.01269
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发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
Barnett ML
中科院分区：
文献类型：
--
作者：
McGarry BE;Grabowski DC;Barnett ML
COVID-19 大流行继续摧毁美国疗养院。充足的个人防护装备 (PPE) 和人员配置对于在未来 COVID-19 爆发期间保护疗养院居民和工作人员至关重要。尽管这些基本措施很重要，但有关疗养院这些资源状况的国家数据却很少。本文介绍了包含 94% 的美国疗养院的新国家数据库的结果。我们发现超过五分之一的疗养院报告严重缺乏个人防护装备和工作人员。从 2020 年 5 月到 7 月，工作人员和个人防护装备的短缺率并没有显着改善。居民和工作人员中出现 COVID-19 病例的设施，以及为更多医疗补助受益者和质量得分较低的设施提供服务的设施更有可能报告短缺。需要制定政策，旨在为这些脆弱的疗养院提供资源，为这些脆弱的疗养院提供额外的直接护理人员和个人防护装备，特别是在社区 COVID-19 病例率上升的地区，以减少全国 COVID-19 死亡人数。
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.
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影响因子：
9.7
作者：
Geng, Fangli;Stevenson, David G.;Grabowski, David C.
通讯作者：
Grabowski, David C.
影响因子：
3.5
作者：
Grabowski, David C.;Feng, Zhanlian;Mor, Vincent
通讯作者：
Mor, Vincent
影响因子：
15.8
作者：
Ronald, Lisa A.;McGregor, Margaret J.;Lexchin, Joel
通讯作者：
Lexchin, Joel
DOI：
10.1136/bmj.b2732
发表时间：
2009-08-04
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Comondore VR;Devereaux PJ;Zhou Q;Stone SB;Busse JW;Ravindran NC;Burns KE;Haines T;Stringer B;Cook DJ;Walter SD;Sullivan T;Berwanger O;Bhandari M;Banglawala S;Lavis JN;Petrisor B;Schünemann H;Walsh K;Bhatnagar N;Guyatt GH
通讯作者：
Guyatt GH