{"title":"Deaths in Nursing Homes during the COVID-19 Pandemic - Lessons from Japan.","authors":"Kazuhiro Abe, Ichiro Kawachi","doi":"10.12927/hcpap.2021.26637","DOIUrl":null,"url":null,"abstract":"<p><p>To date, 35% of coronavirus disease 2019 (COVID-19) deaths in the United States have occurred among nursing home populations (https://jamanetwork.com/journals/jama-health-forum/fullarticle/2763666), compared with 14% in Japan (Werner et al. 2020). How did Japan manage such a low proportion of COVID-19 deaths in nursing homes? The similarity in case-fatality rates among patients with COVID-19 in nursing homes in the two countries (both approximately 16%) suggests that the infection rate in nursing homes in Japan was much lower than in the United States. Therefore, the pandemic unmasked long-standing problems with the quality and financing of US long-term care (LTC) services (Grabowski 2020; Werner et al. 2020). We compare differences between the LTC systems of Japan and the United States, focusing on the measures adopted to protect against COVID-19 in Japan.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"78-81"},"PeriodicalIF":0.0000,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare Papers","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12927/hcpap.2021.26637","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 4
Abstract
To date, 35% of coronavirus disease 2019 (COVID-19) deaths in the United States have occurred among nursing home populations (https://jamanetwork.com/journals/jama-health-forum/fullarticle/2763666), compared with 14% in Japan (Werner et al. 2020). How did Japan manage such a low proportion of COVID-19 deaths in nursing homes? The similarity in case-fatality rates among patients with COVID-19 in nursing homes in the two countries (both approximately 16%) suggests that the infection rate in nursing homes in Japan was much lower than in the United States. Therefore, the pandemic unmasked long-standing problems with the quality and financing of US long-term care (LTC) services (Grabowski 2020; Werner et al. 2020). We compare differences between the LTC systems of Japan and the United States, focusing on the measures adopted to protect against COVID-19 in Japan.
迄今为止，美国35%的2019冠状病毒病(COVID-19)死亡发生在养老院人群中(https://jamanetwork.com/journals/jama-health-forum/fullarticle/2763666)，而日本这一比例为14% (Werner et al. 2020)。日本是如何做到养老院中COVID-19死亡比例如此之低的?两国养老院中COVID-19患者的病死率相似(均约为16%)，这表明日本养老院的感染率远低于美国。因此，大流行暴露了美国长期护理服务的质量和融资方面的长期问题(Grabowski 2020;Werner et al. 2020)。我们比较了日本和美国LTC制度的差异，重点介绍了日本为防范新冠肺炎采取的措施。
期刊介绍：
Integrating community-based health and social care has grabbed international attention as a way of addressing the needs of aging populations while contributing to health systems" sustainability. However, integrating initiatives in different jurisdictions work (or do not work) within very various.
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