ArticleHealth affairs (Project Hope)2020
Severe Staffing And Personal Protective Equipment Shortages Faced By Nursing Homes During The COVID-19 Pandemic.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
130 citing papers in PubMed, 2 syntheses or guidelines pooled it, 265 citations in OpenAlex.
- Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review.Human resources for health · 2023Pooled it
- A systematic review of long-term care facility characteristics associated with COVID-19 outcomes.Journal of the American Geriatrics Society · 2021Pooled it
- Information technology-supported integrated health service for older adults in long-term care settings.BMC medicine · 2024Trial
- Registered nurse staffing intensity, skill mix, and acute-care use among long-stay nursing home residents: a fixed-effects panel analysis.BMC nursing · 2026Article
- Impact of COVID-19 Lockdown on Depressive and Behavioral Symptoms in US Nursing Home Residents.Journal of the American Medical Directors Association · 2026Article
- Article
- Optimising ICU supply chains: Evidence-based strategies for efficiency, resilience and patient safety-a structured narrative review.BMJ open quality · 2026Review
- Changes in US Skilled Nursing Facility Capacity Following the COVID-19 Pandemic.JAMA internal medicine · 2026Article
- State Nursing Home Minimum Staffing Mandates: Increased Staff Levels, Minimal Impact On Finances And Closures, 2010-23.Health affairs (Project Hope) · 2026Article
- Clinical Performance of the Remote After-Hours Telemedicine Medical Officer of the Day (Tele-MOD) Program: A Cohort Study.Journal of the American Medical Directors Association · 2026Article
- The changing epidemiology of infection-associated mortality in Alzheimer's disease in the United States, 1999-2024.Frontiers in aging neuroscience · 2026Article
- Behavioral symptoms of dementia and psychotropic use during the COVID-19 pandemic.Frontiers in epidemiology · 2026Article
- Penalties in 2024 in Medicare's Skilled Nursing Facility Value-Based Purchasing Program.Journal of the American Geriatrics Society · 2025Article
- Promoting public health with blunt instruments: Evidence from vaccine mandates.Labour economics · 2025Article
- Kinetics of SARS-CoV-2 Shedding in Nursing Home Residents and Staff.Journal of the American Geriatrics Society · 2025Article
- Lifting Federal Visitation Restriction and COVID-19 Infections in Nursing Homes.Journal of the American Medical Directors Association · 2025Article
- Financial performance of rural and urban nursing homes: A comparative analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Age and gender patterns in COVID-19: Insights from a Regional COVID-19 testing center.Journal of family medicine and primary care · 2025Article
- Convergence and diversity: how collective risk perception shapes public compliance behaviour - a case study of China's Covid-19 response.Health research policy and systems · 2025Article
- Measures to Prevent and Control COVID-19 in Skilled Nursing Facilities: A Scoping Review.JAMA health forum · 2025Article
70 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
The coronavirus disease 2019 (COVID-19) pandemic continues to devastate US nursing homes. Adequate personal protective equipment (PPE) and staffing levels are critical to protect nursing home residents and staff. Despite the importance of these basic measures, few national data are available concerning the state of nursing homes with respect to these resources. This article presents results from a new national database containing data from 98 percent of US nursing homes. We find that more than one in five nursing homes reports a severe shortage of PPE and any shortage of staff. Rates of both staff and PPE shortages did not meaningfully improve from May to July 2020. Facilities with COVID-19 cases among residents and staff, as well as those serving more Medicaid recipients and those with lower quality scores, were more likely to report shortages. Policies aimed at providing resources to obtain additional direct care staff and PPE for these vulnerable nursing homes, particularly in areas with rising community COVID-19 case rates, are needed to reduce the national COVID-19 death toll.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.