Русский
Risks of COVID-19 in private nursing homes in the Eastern Administrative District of Moscow
DOI: https://dx.doi.org/10.18565/epidem.2024.14.2.45-8
Davidova N.G., Ugleva S.V., Akimkin V.G.
1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Branch of the «Center for Hygiene and Epidemiology in Moscow» in the Eastern Administrative District of Moscow, Moscow. Russia
Materials and methods. A retrospective cross-sectional study and a retrospective analytical study of the COVID- 19 incidence among residents of closed long-term care facilities of private and state ownership in the Eastern Administrative District of Moscow during the period of the first rise in the COVID-19 incidence was conducted. 6 acts of sanitary and epidemiological investigation of focus of disease, 288 electronic medical records, issued in the «Department for Registration and Record of Infectious Disease (DRRID)» AIS system, form № 2 of the federal statistical observation «Information on infectious and parasitic diseases» for March–June 2020 were analyzed.
Results. For-profit facility status was associated with higher odds of resident infection (odds ratio 4.791; 95% CI 3.193–7.188; p < 0.05). The reasons included the architectural features of private institutions: the lack of an isolation ward with a gateway and a separate exit, lack of a medical office, the impossibility of dividing floors into «red» and «green» zones, as well as the recruitment of unqualified personnel, a small staff.
Conclusion. Private nursing homes are risk areas, the COVID-19 incidence in such facilities can significantly complicate the epidemic situation.
Literature
1. Михалищев С.Г., Спирина Н.М. Открытие частного пансионата для пожилых людей. Известия Иркутской государственной экономической академии (Байкальский государственный университет экономики и права) 2012; (4): 41–4. Mihalishhev S.G., Spirina N.M. (Opening of a private boarding house for the elderly). Izvestiya of Irkutsk State Economics Academy (Baikal State University of Economics and Law) 2012; (4): 41–4. (In Russ.). 2. Цыганов А.А. Рынок «серых» домов престарелых в России. Калужский экономический вестник 2021; (3): 16–7. Cyganov A.A. (The market of «grеy» nursing homes in Russia). Kaluzhskii ekonomicheskii vestnik 2021; (3): 16–7. (In Russ.) 3. Карева Д., Синявская О., Шарепина Е. Модели адаптации стационарных учреждений социального обслуживания к пандемии коронавируса. Журнал исследования социальной политики 2023; 21(1): 61–78. DOI: 10.17323/727-0634-2023-21-1-61-78 Kareva D., Sinуavskaуa O., Sharepina E. (Models of Adaptation of Long-Term Care Institutions to the COVID-19 Pandemic). The Journal of Social Policy Studies 2023; 21(1): 61–78. (In Russ.). DOI: 10.17323/727-0634-2023-21-1-61-78 4. Stall N.M., Jones A., Brown K.A., Rochon P.A., Costa A.P. For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. CMAJ: Canadian Medical Association Journal 2020; 192(33): E946–55. DOI: 10.1503/cmaj.201197 5. Shallcross L., Burke D., Abbott O., Donaldson A., Hallatt G., Hayward A. et al. Factors associated with SARS-CoV-2 infection and outbreaks in long-term care facilities in England: a national cross-sectional survey. Lancet Healthy Longevity 2021: 2(3): e129–42. DOI: 10.1016/S2666-7568(20)30065-9 6. Evers J., Geraedts М. COVID-19 risks in private equity nursing homes in Hesse, Germany – a retrospective cohort study. BMC geriatrics 2023: 23(1): 648–54. DOI: 10.1186/s12877-023-04361-8 7. Зобернюс Н.В., Полищук Л.И., Шагалов И.Л. Аутсорсинг социальных услуг некоммерческому сектору: экономический анализ. Вопросы экономики 2022; (2): 95–119. DOI: 10.32609/0042-8736-2022-2-95-119 Zobernyus N.V., Polishchuk L.I., Shagalov I.L. (Social services outsourcing to the non-profit sector: economic analysis). Voprosy Ekonomiki 2022; (2): 95–119. (In Russ.). DOI: 10.32609/0042- 8736-2022-2-95-119
About the Autors
Natalia G. Davidova, Post-Graduate Student, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Epidemiologist, Branch of the «Center for Hygiene and Epidemiology in the City of Moscow» in the Eastern Administrative District of Moscow. Moscow, Russia; dawidowa.nat2016@yandex.ru; https://orcid.org/0000-0003-4429-9844
Svetlana V. Ugleva, МD, Associate Professor, Consultant, Organizational and Methodological Department, Administrative and Management Division, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being Moscow, Russia; uglevas@bk.ru; https://orcid.org/0000-0002-1322-0155
Professor Vasily G. Akimkin, Academician of the Russian Academy of Sciences, МD, Director, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; vgakimkin@yandex.ru; https://orcid.org/0000-0003-4228-9044
Similar Articles
