| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w27608 |
| 来源ID | Working Paper 27608 |
| Nursing Home Staff Networks and COVID-19 | |
| M. Keith Chen; Judith A. Chevalier; Elisa F. Long | |
| 发表日期 | 2020-08-03 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | Nursing homes and other long-term care facilities account for a disproportionate share of COVID-19 cases and fatalities worldwide. Outbreaks in U.S. nursing homes have persisted despite nationwide visitor restrictions beginning in mid-March. An early report issued by the Centers for Disease Control and Prevention identified staff members working in multiple nursing homes as a likely source of spread from the Life Care Center in Kirkland, Washington to other skilled nursing facilities. The full extent of staff connections between nursing homes—and the role these connections serve in spreading a highly contagious respiratory infection—is currently unknown given the lack of centralized data on cross-facility employment. We perform the first large-scale analysis of nursing home connections via shared staff and contractors using device-level geolocation data from 50 million smartphones, and find that 5.1 percent of smartphone users who visit a nursing home for at least one hour also visit another facility during our 11-week study period—even after visitor restrictions were imposed. We construct network measures of connectedness and estimate that nursing homes, on average, share connections with 7 other facilities. Controlling for demographic and other factors, a home’s staff-network connections and its centrality within the greater network strongly predict COVID-19 cases. Traditional federal regulatory metrics of nursing home quality are unimportant in predicting outbreaks, consistent with recent research. Multivariate regressions comparing demographically and geographically similar nursing homes suggest that 49 percent of COVID cases among nursing home residents are attributable to staff movement between facilities. |
| 主题 | Health, Education, and Welfare ; Health ; COVID-19 |
| URL | https://www.nber.org/papers/w27608 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/585280 |
| 推荐引用方式 GB/T 7714 | M. Keith Chen,Judith A. Chevalier,Elisa F. Long. Nursing Home Staff Networks and COVID-19. 2020. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w27608.pdf（492KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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