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Fatal underfunding? Explaining COVID-19 mortality in Spanish nursing homes

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dc.contributor.author Costa-Font, Joan
dc.contributor.author Jimenez-Martin, Sergi
dc.contributor.author Viola, Analía
dc.date.accessioned 2023-11-28T07:07:18Z
dc.date.available 2023-11-28T07:07:18Z
dc.date.issued 2021
dc.identifier.citation Costa-Font J, Jiménez S, Viola A. Fatal underfunding? Explaining COVID-19 mortality in Spanish nursing homes. J Aging Health. 2021 Aug-Sep;33(7-8):607-17. DOI: 10.1177/08982643211003794
dc.identifier.issn 0898-2643
dc.identifier.uri http://hdl.handle.net/10230/58388
dc.description.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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartof Journal of Aging and Health. 2021 Aug-Sep;33(7-8):607-17
dc.rights This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
dc.title Fatal underfunding? Explaining COVID-19 mortality in Spanish nursing homes
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1177/08982643211003794
dc.subject.keyword Nursing homes
dc.subject.keyword Care coordination
dc.subject.keyword Long-term care financing
dc.subject.keyword Understaffing
dc.subject.keyword Nursing home size
dc.subject.keyword COVID-19
dc.subject.keyword Underfunding
dc.subject.keyword Spain
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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