Fatal Underfunding? Explaining COVID-19 Mortality in Spanish Nursing Homes-Reference-Cited by-同舟云学术

Fatal Underfunding? Explaining COVID-19 Mortality in Spanish Nursing Homes

Published:2021-04-05 Issue:7-8 Volume:33 Page:607-617
ISSN:0898-2643
Container-title:Journal of Aging and Health
language:en
Short-container-title:J Aging Health

Author:

Costa-Font Joan¹²³^ORCID,Jiménez Martin Sergi¹²³,Viola Analía¹²³

Affiliation:

1. London School of Economics IZA & CESIfo London, UK

2. Universitat Pompeu Fabra, Barcelona GSE & FEDEA, Barcelona (Spain)

3. Universidad Nacional de Educacin a Distancia (UNED) & FEDEA, Spain

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.

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Community and Home Care,Gerontology

Link

http://journals.sagepub.com/doi/pdf/10.1177/08982643211003794

Reference12 articles.

1. The Transition From Home to Nursing Home Mortality Among People With Dementia

2. “Institutionalization aversion” and the willingness to pay for home health care

3. `Ageing in Place'? Exploring Elderly People's Housing Preferences in Spain

4. Careful in the Crisis? Determinants of Older People's Informal Care Receipt in Crisis-Struck European Countries

Cited by 20 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Variation in Excess Mortality Across Nursing Homes in the Netherlands During the COVID-19 Pandemic;Journal of the American Medical Directors Association;2024-09

2. Hospital referrals, exclusions from hospital care, and deaths among long-term care residents in the Community of Madrid during the March–April 2020 COVID-19 epidemic period: a multivariate time series analysis;BMC Geriatrics;2024-08-14

3. Differences in healthcare use and mortality in older adults during the COVID-19 pandemic: Exploring long-term care users' vulnerability;Heliyon;2024-07

4. trabajo político de las emociones;Civitas: revista de Ciências Sociais;2024-06-19

5. Hospital referrals, exclusions from hospital care, and deaths among long-term care residents in the Community of Madrid during the March-April 2020 COVID-19 epidemic period: A multivariate time series analysis;2024-01-03