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Assessing the influence of nursing home size and care models on COVID-19 case and mortality rates.
Young, Yuchi; Liu, Yichun; Shayya, Ashley; Chiu, Wan-Yu; Hsu, Wanhsiang; O'Grady, Thomas.
Afiliación
  • Young Y; Associate Professor, Dept. of Health Policy, Management & Behavior, School of Public Health, New York State University at Albany, USA. Electronic address: yyoung@albany.edu.
  • Liu Y; Bureau of Environmental and Occupational Epidemiology, Department of Health, NY, USA.
  • Shayya A; Dept. of Health Policy, Management & Behavior, School of Public Health, New York State University at Albany, USA.
  • Chiu WY; Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taiwan.
  • Hsu W; Research Assistant Professor, Department of Health Policy, Management & Behavior, School of Public Health, New York State University at Albany, USA.
  • O'Grady T; Research Assistant Professor, Department of Epidemiology and Biostatistics, School of Public Health, New York State University at Albany, USA.
Geriatr Nurs ; 60: 21-27, 2024 Aug 30.
Article en En | MEDLINE | ID: mdl-39216213
ABSTRACT

INTRODUCTION:

This study examines the impact of COVID-19 on older adults in traditional nursing homes, Green Houses (GHs), and Continuing Care Retirement Communities-Nursing Homes (CCRCNHs).

METHODS:

COVID-19 cases and deaths from CMS and LTCFocus data across 11 states from 6/2020 to 9/2022 were used, and Poisson regressions to compare care settings while adjusting for covariates.

RESULTS:

CCRCNH and GH residents were older (84.4 and 83.1 years) than those in traditional NHs (77.5 and 77.6 years, p < 0.0001), with more female and White individuals. COVID-19 risk was higher in CCRCNHs (RR 1.51, 95 % CI 1.10-2.07), large NHs (RR 1.57, 95 % CI 1.14-2.15), and highest in small NHs (RR 1.80, 95 % CI 1.32-2.47). Mortality rates across NH types showed no significant difference.

CONCLUSION:

The study shows that smaller, person-centered GHs are more effective in controlling COVID-19 infection, suggesting a need to rethink care models to incorporating GH features for better outcomes. GEORGE2 07-AUG-2024 1131.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Geriatr Nurs Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Geriatr Nurs Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos