Evidence map›Paper›PMID 32859298›Full record

ArticleJournal of the American Medical Directors Association2020

Long-Term Care, Residential Facilities, and COVID-19: An Overview of Federal and State Policy Responses.

Angela T Chen, Kira L Ryskina, Hye-Young Jung

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Pooled it
  2. Pooled it
  3. Governance of Assisted Living in Long-Term Care: A Systematic Literature Review.International journal of environmental research and public health · 2021
    Pooled it
  4. Article
  5. Observational
  6. Article
  7. Lifting Federal Visitation Restriction and COVID-19 Infections in Nursing Homes.Journal of the American Medical Directors Association · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. "We Did More Damage": How COVID-19 Collapsed the Care Convoys of Residents Living With Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  14. Article
  15. Article
  16. Article
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Angela T ChenPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Kira L RyskinaLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Hye-Young JungDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell University, New York, NY. Electronic address: arj2005@med.cornell.edu.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007170 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BRASS, LAWRENCE F · 1985 to 2022
$54.0M
UNDERSTANDING THE ROLE OF PHYSICIAN INTEGRATION WITHIN NURSING HOMES IN POST-ACUTE CARE OUTCOMESK08AG052572 · NIA · UNIVERSITY OF PENNSYLVANIA · PI RYSKINA, KIRA L · 2016 to 2020
$821k
Do physicians who specialize in nursing home care provide higher quality care for nursing home residents with Alzheimer?s Disease and related dementias?K01AG057824 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI JUNG, HYE-YOUNG · 2018 to 2022
$557k
NIA NIH HHS K01 AG057824NIA NIH HHS K08 AG052572NIGMS NIH HHS T32 GM007170
6 · The paper itself

Abstract

The COVID-19 pandemic has disproportionately affected residents and staff at long-term care (LTC) and other residential facilities in the United States. The high morbidity and mortality at these facilities has been attributed to a combination of a particularly vulnerable population and a lack of resources to mitigate the risk. During the first wave of the pandemic, the federal and state governments received urgent calls for help from LTC and residential care facilities; between March and early June of 2020, policymakers responded with dozens of regulatory and policy changes. In this article, we provide an overview of these responses by first summarizing federal regulatory changes and then reviewing state-level executive orders. The policy and regulatory changes implemented at the federal and state levels can be categorized into the following 4 classes: (1) preventing virus transmission, which includes policies relating to visitation restrictions, personal protective equipment guidance, and testing requirements; (2) expanding facilities' capacities, which includes both the expansion of physical space for isolation purposes and the expansion of workforce to combat COVID-19; (3) relaxing administrative requirements, which includes measures enacted to shift the attention of caretakers and administrators from administrative requirements to residents' care; and (4) reporting COVID-19 data, which includes the reporting of cases and deaths to residents, families, and administrative bodies (such as state health departments). These policies represent a snapshot of the initial efforts to mitigate damage inflicted by the pandemic. Looking ahead, empirical evaluation of the consequences of these policies-including potential unintended effects-is urgently needed. The recent availability of publicly reported COVID-19 LTC data can be used to inform the development of evidence-based regulations, though there are concerns of reporting inaccuracies. Importantly, these data should also be used to systematically identify hot spots and help direct resources to struggling facilities.

Indexed as

Assisted Living FacilitiesBetacoronavirusCoronavirus InfectionsCOVID-19Federal GovernmentGovernment ProgramsHumansLong-Term CareNursing HomesPandemicsPneumonia, ViralQuality of Health CareResidential FacilitiesSARS-CoV-2United StatesCMS policiesCOVID-19executive orderslong-term carenursing homes

Identifiers

PMID32859298
PMCPMC7334928

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.