Fatal Underfunding? Explaining COVID-19 Mortality in Spanish Nursing Homes.
J Aging Health
; 33(7-8): 607-617, 2021.
Article
in English
| MEDLINE | ID: covidwho-1166845
ABSTRACT
The COVID-19 pandemic has exerted a disproportionate effect on older European populations living in nursing homes. This article discusses the 'fatal underfunding hypothesis', and reports an exploratory empirical analysis of the regional variation in nursing home fatalities during the first wave of the COVID-19 pandemic in Spain, one of the European countries with the highest number of nursing home fatalities. We draw on descriptive and multivariate regression analysis to examine the association between fatalities and measures of nursing home organisation, capacity and coordination plans alongside other characteristics. We document a correlation between regional nursing home fatalities (as a share of excess deaths) and a number of proxies for underfunding including nursing home size, occupancy rate and lower staff to a resident ratio (proxying understaffing). Our preliminary estimates reveal a 0.44 percentual point reduction in the share of nursing home fatalities for each additional staff per place in a nursing home consistent with a fatal underfunding hypothesis.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Capital Financing
/
Capacity Building
/
COVID-19
/
Nursing Homes
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
English
Journal:
J Aging Health
Journal subject:
Geriatrics
Year:
2021
Document Type:
Article
Affiliation country:
08982643211003794
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