Your browser doesn't support javascript.
COVID-19 Cases and Deaths in Skilled Nursing Facilities in Cook County, Illinois.
Kim, Sage J; Hollender, Meredith; DeMott, Andrew; Oh, Haewon; Bhatia, Ishan; Eisenberg, Yochai; Gelder, Michael; Hughes, Susan.
  • Kim SJ; Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
  • Hollender M; Health & Medicine Policy Research Group, Chicago, IL, USA.
  • DeMott A; Institute for Health Research and Policy, Center for Research on Health and Aging, University of Illinois at Chicago, Chicago, IL, USA.
  • Oh H; Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
  • Bhatia I; School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
  • Eisenberg Y; Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA.
  • Gelder M; Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA.
  • Hughes S; Institute for Health Research and Policy, Center for Research on Health and Aging, University of Illinois at Chicago, Chicago, IL, USA.
Public Health Rep ; 137(3): 564-572, 2022.
Article in English | MEDLINE | ID: covidwho-1704879
ABSTRACT

OBJECTIVE:

The COVID-19 pandemic has had a devastating impact on older adults residing in skilled nursing facilities. This study examined the pathways through which community and facility factors may have affected COVID-19 cases and deaths in skilled nursing facilities.

METHODS:

We used structural equation modeling to examine the number of COVID-19 cases and deaths in skilled nursing facilities in Cook County, Illinois, from January 1 through September 30, 2020. We used data from the Centers for Medicare & Medicaid Services, the Illinois Department of Public Health, and the Cook County Medical Examiner's Office to determine the number of resident COVID-19 cases and deaths, number of staff cases, facility-level characteristics, and community-level factors.

RESULTS:

Poorer facility quality ratings and higher numbers of staff COVID-19 cases were associated with increased numbers of resident COVID-19 cases and deaths. For-profit ownership was associated with larger facilities and higher resident-to-staff ratios, which increased the number of staff COVID-19 cases. Furthermore, skilled nursing facilities with a greater percentage of White residents were in areas with lower levels of social vulnerability and were less likely to be for-profit and, thus, were associated with higher quality.

CONCLUSIONS:

For-profit ownership was associated with lower facility quality ratings and increases in the number of staff COVID-19 cases, leading to increased resident COVID-19 cases and deaths. Establishing enforceable regulations to ensure quality standards in for-profit skilled nursing facilities is critical to prevent future outbreaks and reduce health disparities in facilities serving racial and ethnic minority populations.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Skilled Nursing Facilities / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Aged / Humans Country/Region as subject: North America Language: English Journal: Public Health Rep Year: 2022 Document Type: Article Affiliation country: 00333549221074381

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Skilled Nursing Facilities / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Aged / Humans Country/Region as subject: North America Language: English Journal: Public Health Rep Year: 2022 Document Type: Article Affiliation country: 00333549221074381