High-Minority Nursing Homes Disproportionately Affected by COVID-19 Deaths

Robert Weech-Maldonado; Justin Lord; Ganisher Davlyatov; Akbar Ghiasi; Gregory Orewa

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High-Minority Nursing Homes Disproportionately Affected by COVID-19 Deaths

机译：高少数群体护理家庭受到Covid-19死亡的影响

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Racial/ethnic disparities in healthcare have been highlighted by the recent COVID-19 pandemic. Using the Centers for Medicare and Medicaid Services' Nursing Home COVID-19 Public File, this study examined the relationship between nursing home racial/ethnic mix and COVID-19 resident mortality. As of October 25, 2020, high minority nursing homes reported 6.5 COVID-19 deaths as compared to 2.6 deaths for nursing homes that had no racial/ethnic minorities. After controlling for interstate differences, facility-level resident characteristics, resource availability, and organizational characteristics, high-minority nursing homes had 61% more COVID-19 deaths [Incidence Rate Ratio (IRR) = 1.61; p 0.001] as compared to nursing facilities with no minorities. From a policy perspective, nursing homes, that serve primarily minority populations, may need additional resources, such as, funding for staffing and personal protective equipment in the face of the pandemic. The COVID-19 pandemic has sharpened the focus on healthcare disparities and societal inequalities in the delivery of long-term care.

机译：最近的Covid-19流行病突出了医疗保健的种族/民族差异。本研究研究了医疗保险和医疗保士报道的护理家庭Covid-19公共文件，研究了养老院种族/民族混合与Covid-19居民死亡之间的关系。截至2020年10月25日，高少数群体护理家庭报告6.5 Covid-19死亡，而没有任何种族/少数民族的护理家庭死亡。在控制州际差异后，设施级居民特征，资源可用性和组织特征，高少数育儿养老院有61％的Covid-19死亡[发生率比（IRR）= 1.61; P＆与没有少数群体的护理设施相比，0.001]相比。从政策角度来看，养老院，主要是少数民族人口，可能需要额外的资源，例如在大流行面前为人员配备和个人防护装备提供资金。 Covid-19 Pandemase造成了对医疗差距和社会不平等的关注，在交付长期护理时。

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《Frontiers in Public Health》 |2021年第a期|共8页
作者
Robert Weech-Maldonado; Justin Lord; Ganisher Davlyatov; Akbar Ghiasi; Gregory Orewa;
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中图分类个人卫生;
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COVID-19mortalitynursing homesdisparitiesrace/ethnicity;

机译：Covid-19mortaletynursing HomesdispariliesRactionsrace /民族;

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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. Facility Characteristics and Quality Deficiencies of Florida Nursing Homes With COVID-19 Cases and Deaths [J] . Xiaochuan Wang, Courtney Wilson Innovation in aging. . 2020,第Supplementa1期

机译：Covid-19案例和死亡的佛罗里达养老院的设施特征和质量缺陷
3. Place of care and place of death – the frequency of hospital use prior to death and the increased importance of nursing homes in end of life care in Norway [J] . Jorid Kalseth, Kjartan Antun International Journal of Integrated Care . 2016,第6期

机译：护理地点和死亡地点–挪威去世前的医院使用频率以及挪威养老院在临终护理中的重要性日益提高
4. 3D Printed Face Shield as a Help for Nursing Homes During COVID-19 Pandemic [C] . Mikuláš Klimo, Nika Kvaššayová, Miroslav Kvaššay, International Conference on Information and Digital Technologies . 2021

机译：3D印刷的脸部盾作为Covid-19流行期间护理家园的帮助
5. Preparing for the Next Pandemic: A Framework for Delivering Care to Older Adults with COVID-19 in Nursing Homes [D] . Grewal, Jyotsna. 2021

机译：为下一个大流行做准备：一个框架，用于在护理家庭中使用Covid-19带来老年人的护理
6. High-Minority Nursing Homes Disproportionately Affected by COVID-19 Deaths [O] . Robert Weech-Maldonado, Justin Lord, Ganisher Davlyatov, 2021

机译：高少数级护理家庭受到Covid-19死亡影响的不成比例
7. Factors associated with COVID-19 hospitalizations and deaths in French nursing homes [O] . Anne-Laure Couderc, Florian Correard PharmaD, Zeinab Hamidou, 2021

机译：与Covid-19住院和法国护理家庭死亡有关的因素

High-Minority Nursing Homes Disproportionately Affected by COVID-19 Deaths

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