Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study

Yejin Kang; Samuel V. David; John R. Bowblis; Orna Intrator; Brian Downer; Chih Ying Li; James S. Goodwin; Huiwen Xu

doi:10.1177/00469580231219443

Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study

Yejin Kang, Samuel V. David, John R. Bowblis, Orna Intrator, Brian Downer, Chih Ying Li, James S. Goodwin, Huiwen Xu

Research output: Contribution to journal › Article › peer-review

Abstract

Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes’ financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.

Original language	English (US)
Journal	Inquiry (United States)
Volume	60
DOIs	https://doi.org/10.1177/00469580231219443
State	Published - Jan 1 2023

Keywords

COVID-19 pandemic
PPE shortage
chain affiliation
financial performance
nursing homes

ASJC Scopus subject areas

Health Policy

Access to Document

10.1177/00469580231219443

Cite this

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title = "Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study",

abstract = "Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes{\textquoteright} financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.",

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AU - Kang, Yejin

AU - David, Samuel V.

AU - Bowblis, John R.

AU - Intrator, Orna

AU - Downer, Brian

AU - Li, Chih Ying

AU - Goodwin, James S.

AU - Xu, Huiwen

N1 - Publisher Copyright: © The Author(s) 2023.

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N2 - Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes’ financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.

AB - Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes’ financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.

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Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study

Abstract

Keywords

ASJC Scopus subject areas

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