Joan Costa-Font, Sergi Jiménez-Martín, Analía Viola, 11 April 2021

The COVID-19 pandemic has had a disproportionate impact on older Europeans living in nursing homes. This column finds evidence consistent with a 'fatal underfunding hypothesis', suggesting that the regional variation in nursing home fatalities during the first wave of the pandemic in Spain is associated with indicators of underfunding such as understaffing, larger nursing homes, and occupancy rates. Coordination failures both between healthcare and long-term care and between central and regional governments also contributed.

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