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探索 COVID-19 期间美国养老院的 N95 和外科口罩供应情况。

Exploring the N95 and Surgical Mask Supply in U.S. Nursing Homes During COVID-19.

机构信息

Biogen, Inc., Cambridge, MA, USA.

California State University, Los Angeles, USA.

出版信息

J Appl Gerontol. 2021 Mar;40(3):257-262. doi: 10.1177/0733464820969015. Epub 2020 Oct 26.

Abstract

U.S. health care facilities have been encountering a recurrence of medical supply shortage since COVID-19 exploded in March 2020. There is an urgent need for important Personal Protective Equipment (PPE) such as N95 and surgical masks. This project examined the factors that were associated with nursing homes' N95 and surgical mask supply. We analyzed data from the Nursing Home COVID-19 Public File and conducted a multivariate logistic regression estimating the association between nursing home characteristics and county-level demographic parameters with mask supply. We found that a high number of resident COVID-19 cases contributed to the supply of N95, but not surgical masks, whereas a high number of staff cases did not lead to an adequate supply of either N95 or surgical masks. Compared with not-for-profit (NFP) facilities, for-profit (FP) nursing homes were less likely to get enough masks. A better supply distribution plan is needed to prepare for future possible PPE shortage.

摘要

自 2020 年 3 月 COVID-19 爆发以来,美国的医疗保健机构一直面临着医疗用品短缺的问题再次出现。目前急需重要的个人防护设备(PPE),如 N95 和外科口罩。本项目研究了与养老院 N95 和外科口罩供应相关的因素。我们分析了养老院 COVID-19 公共档案的数据,并进行了多变量逻辑回归分析,以评估养老院特征和县级人口统计参数与口罩供应之间的关联。我们发现,大量居民 COVID-19 病例有助于供应 N95,但不能供应外科口罩,而大量工作人员病例并不会导致 N95 或外科口罩的供应充足。与非营利性(NFP)设施相比,营利性(FP)养老院获得足够口罩的可能性较小。需要制定更好的供应分配计划,为未来可能出现的 PPE 短缺做好准备。

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