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

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• dc.contributor.author Costa-Font, Joan
• dc.contributor.author Jiménez-Martín, 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.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.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.doi http://dx.doi.org/10.1177/08982643211003794
• dc.identifier.issn 0898-2643
• dc.identifier.uri http://hdl.handle.net/10230/58388
• 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.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
• 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.title Fatal underfunding? Explaining COVID-19 mortality in Spanish nursing homes
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion