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Deaths in Nursing Homes during the COVID-19 Pandemic - Lessons from Japan
Kazuhiro Abe1, Ichiro Kawachi2
1Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, Department of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Abstract:
To date, 35% of coronavirus disease 2019 (COVID-19) deaths in the United States have occurred among nursing home populations (https://jamanetwork.com/journals/jama-health-forum/fullarticle/2763666), compared with 14% in Japan (Werner et al. 2020). How did Japan manage such a low proportion of COVID-19 deaths in nursing homes? The similarity in case-fatality rates among patients with COVID-19 in nursing homes in the two countries (both approximately 16%) suggests that the infection rate in nursing homes in Japan was much lower than in the United States. Therefore, the pandemic unmasked long-standing problems with the quality and financing of US long-term care (LTC) services (Grabowski 2020; Werner et al. 2020). We compare differences between the LTC systems of Japan and the United States, focusing on the measures adopted to protect against COVID-19 in Japan.
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