Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths
| Autor: | Meera Tandan, Susan Ryan, Christopher J. Wretman, Carol Dumond-Stryker, Sheryl Zimmerman, John S. Preisser, Abigail Howell |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Original Study-Brief Report Coronavirus disease 2019 (COVID-19) Databases Factual nursing homes 03 medical and health sciences 0302 clinical medicine Patient Admission medicine Humans 030212 general & internal medicine health care economics and organizations General Nursing Aged Licensure Health Facility Size business.industry SARS-CoV-2 Mortality rate Incidence (epidemiology) Health Policy COVID-19 General Medicine United States Medicare payment Family medicine Hospital Bed Capacity under 100 Geriatrics and Gerontology Nursing homes business Medicaid 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Journal of the American Medical Directors Association |
| ISSN: | 1525-8610 |
| DOI: | 10.1016/j.jamda.2021.01.069 |
| Popis: | Objectives Green House and other small nursing home (NH) models are considered “nontraditional” due to their size (10–12 beds), universal caregivers, and other home-like features. They have garnered great interest regarding their potential benefit to limit Coronavirus Disease 2019 (COVID-19) infections due to fewer people living, working, visiting, and being admitted to Green House/small NHs, and private rooms and bathrooms, but this assumption has not been tested. If they prove advantageous compared with other NHs, they may constitute an especially promising model as policy makers and providers reinvent NHs post-COVID. Design This cohort study compared rates of COVID-19 infections, COVID-19 admissions/readmissions, and COVID-19 mortality, among Green House/small NHs with rates in other NHs between January 20, 2020 and July 31, 2020. Setting and Participants All Green House homes that held a skilled nursing license and received Medicaid or Medicare payment were invited to participate; other small NHs that replicate Green House physical design and operational practices were eligible if they had the same licensure and payer sources. Of 57 organizations, 43 (75%) provided complete data, which included 219 NHs. Comparison NHs (referred to as “traditional NHs”) were up to 5 most geographically proximate NHs within 100 miles that had |
| Databáze: | OpenAIRE |
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