Evaluating Differences in Disaster-Related Staffing for Nursing Homes by Ownership Status.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI:10.1177/07334648261420498

Natalia Festa, Kelsey Alexovitz, Kendra Davis-Plourde, David Dosa, Andrew B Cohen, Thomas M Gill

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引用次数: 0

Abstract

For-profit ownership has been linked to lower levels and skill composition of nursing home staffing, yet it is unclear whether disasters exacerbate these differences. We identified 914 nursing homes in Hurricane Ian's path (September 2022), of which 665 (72.8%) were for-profit. We applied a comparative interrupted time series design to compare staffing hours per resident per day (HPRPD) before and after landfall. Before the storm, for-profit facilities staffed 9% fewer total HPRPD than not-for-profits (95% confidence interval (CI) 0.87-0.95), with similar deficits in the employed (permanent staff) (0.88, 95% CI 0.83-0.93) and licensed (0.90, 95% CI 0.86-0.94) categories. Both for-profit (1.04; 95% CI 1.03-1.05) and not-for-profit facilities (1.03; 95% CI 1.02-1.04) increased total staffing in the post-disaster period, driven by employed personnel; the difference in the magnitude of their responses (1%) was not statistically significant. Baseline staffing differences may affect nursing homes' capacity to meet disaster-related needs.

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不同所有制疗养院灾害相关人员配置差异评估。

营利性所有权与养老院人员的低水平和技能构成有关，但尚不清楚灾害是否加剧了这些差异。我们确定了飓风伊恩经过的914家养老院（2022年9月），其中665家（72.8%）是营利性的。我们采用比较中断时间序列设计来比较登陆前后每位居民每天的工作时间（HPRPD）。在风暴之前，营利性机构的HPRPD总人数比非营利机构少9%(95%置信区间（CI） 0.87-0.95)，在雇佣（固定员工）（0.88,95% CI 0.83-0.93）和许可（0.90,95% CI 0.86-0.94）类别中也存在类似的赤字。营利性机构（1.04;95% CI 1.03-1.05）和非营利机构（1.03;95% CI 1.02-1.04）在就业人员的推动下，灾后增加了总人员配备；他们的反应幅度（1%）的差异没有统计学意义。基线人员配置差异可能会影响养老院满足灾害相关需求的能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.