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Covid-19 hits care homes

A cross-national study of mortality rates

Bibliographic Data

ID12255959
AuthorsMargarita Estévez-Abe (0000-0001-7353-0289, Syracuse University), Costanzo Ranci (0000-0002-1068-4683, Polytechnic of Milan, Italy, corresponding author)
Year2024
Volume34
Issue5
Pages511-525
Publication date2024-08-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of European Social Policy (JOURNAL)
Journal identifiersISSN: 0958-9287 • E-ISSN: 1461-7269
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/09589287241268490
OpenAlexW4402067059
LanguageEN
References cited28

The COVID-19 outbreak, which most severely impacted older citizens, served as a stress test for residential eldercare facilities. The mortality rates of care home residents varied widely across countries in 2020 before vaccinations became available. Why have some countries been better (or less) able to protect their older citizens in care homes? This article examines the role of specific characteristics of national systems of residential care in enhancing or weakening the capacity of these systems to protect their residents from the pandemic and seeks to draw some lessons for the future. Because the mortality rate in care homes strongly correlates with the overall infection rate within the community, this article adopts an innovative approach to conceptualize and measure the protection capacity of national residential care systems more specifically – that is net of mortality rates within the community. The study makes important contributions to the care policy field. The traditional care regime typology fails to explain cross-national variations in the protective capacity of care homes. Governmental spending on long-term care systems certainly matters for protective capacity but we find that a factor previously neglected by care regime scholars also matters. More specifically, we show that the pattern of staff organization affects protective capacity. Our findings call for a rethinking of care systems in the face of future pandemics

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19 · Demographic economics · Economics · Outbreak · Political science · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Frailty in Older Adults · Geriatric Care and Nursing Homes · Global Health Care Issues · Medicine · Internal Medicine · Virology

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Citation velocityhistorical
Highly citedNo

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