在COVID-19大流行期间,对于养老院的州基本护理人员计划的变化
Yue Li1,2, Daniel Maeng1,2, H Benjamin Lee2
1Department of Public Health Sciences, Division of Health Policy and Outcomes Research, University of Rochester Medical Center, Rochester, NY, USA.
概括
养老院的基本护理人员计划并没有显著改变COVID-19的发病率或人员短缺. 这些计划提供了比联邦指导方针更少的限制性访问政策,但在设计上有很大差异.
科学领域:
- 公共卫生政策 公共卫生政策
- 老年医疗护理 医疗护理
- 传染病流行病学 传染病流行病学
背景情况:
- 在COVID-19大流行期间 (2020-21),在养老院实施了基本护理人员 (EC) 计划,以促进居民的亲自支持.
- 这些州级计划旨在在关键的公共卫生危机期间平衡居民福祉与感染控制措施.
研究的目的:
- 对国家建立的养老院居民基本护理人员计划的设计进行比较分析.
- 评估有或没有EC计划的州之间的COVID-19结果,人员配置和社交距离政策的差异.
主要方法:
- 在线搜索联邦和州养老院访问和重新开放指南 (2020-2022).
- 比较COVID-19感染/死亡率,养老院工作人员短缺,以及EC计划和无EC计划的州之间的社会距离限制.
- 总结了国家EC计划的关键特征.
主要成果:
- 20个州实施了EC计划;这些州的COVID-19感染率略高,但与没有计划的州相比,死亡率略低.
- 员工短缺率相似,拥有欧盟计划的州的社会距离政策不那么严格.
- 国家EC计划比CMS指导方针更不严格,允许在各种条件下访问 (例如,高阳性率,未接种疫苗的居民,疫情),但仍然可以在居民特定的预防措施期间限制访问.
结论:
- 养老院EC计划没有显著影响COVID-19感染/死亡率或人员短缺,尽管它们缓解了社交距离限制.
- 在国家EC计划的设计和实施方面存在显著的差异.
- 需要进行进一步的比较评估,以确定不同欧盟计划设计的有效性.
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