The relationship between person-centered care in nursing homes and COVID-19 infection, hospitalization, and mortality rates.

Meera Tandan Migette L Kaup Laci J Cornelison Sheryl Zimmerman

Geriatr Nurs

Cecil G Sheps Center for Health Service Research, University of North Carolina, Chapel Hill, NC, USA; School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Published: June 2023

- The study compared COVID-19 infection rates, hospital admissions/readmissions, and mortality between person-centered (PEAK) and non-person-centered nursing homes (NHs) in a statewide cohort.
- Results showed that non-PEAK NHs had higher rates of COVID-19 cases and mortality, with significant increases in rates for NHs above the 90th percentile, where non-PEAK NHs' case rates were 3.9 times and admission/readmission rates were 2.5 times higher than PEAK NHs.
- The findings suggest that PEAK NHs had better outcomes related to COVID-19, indicating that person-centered care might enhance infection control and improve overall health outcomes for residents.

Objectives: This cohort study compared rates of COVID-19 infections, admissions/readmissions, and mortality among a statewide person-centered model known as PEAK and non-PEAK NHs.

Methods: Rates per 1000 resident days were derived for COVID-19 cases and admissions/readmissions, and per 100 positive cases for mortality. A log-rank test compared rates between PEAK (n = 109) and non-PEAK NHs (n = 112).

Results: Rates of COVID-19 cases, admission, and mortality were higher in non-PEAK compared to PEAK NHs. The median rates for all indicators had a zero value for all NHs, but in NHs above 90th percentiles, the non-PEAK case rate was 3.9 times more and the admission/readmission rate was 2.5 times more.

Conclusions And Implications: COVID-19 case, and mortality rates were lower in PEAK than non-PEAK NHs. Although PEAK and non-PEAK NHs may differ in other ways as well, person-centered care may be advantageous to promote infection control and improve outcomes.

Download full-text PDF	Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075075	PMC
http://dx.doi.org/10.1016/j.gerinurse.2023.03.012	DOI Listing

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