Pandemic influenza plans in residential care facilities
- Autores: Hillary D. Lum, Lona Mody, Cari R. Levy, Adit A. Ginde
- Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 62, Nº. 7, 2014, págs. 1310-1316
- Idioma: inglés
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Resumen
Objectives: To identify characteristics of residential care facilities (RCFs) associated with having a pandemic influenza plan.
Design: Nationally representative, cross-sectional survey.
Setting: RCFs in the United States.
Participants: Participating facilities in the 2010 National Survey of RCFs (N = 2,294), representing 31,030 assisted living facilities and personal care homes.
Measurements: Facility-level characteristics associated with a pandemic influenza plan, including general organization descriptors, staffing, resident services, and immunization practices.
Results: Forty-five percent (95% confidence interval (CI) = 43–47%) had a pandemic plan, 14% (95% CI = 13–16%) had a plan in preparation, and 41% (95% CI = 38–43%) had no plan. In the multivariable model, organization characteristics, staffing, and immunization practices were independently associated with the presence of a pandemic preparedness plan. Organization characteristics were larger size (extra large, OR = 3.27, 95% CI = 1.96–5.46; large, OR = 2.60, 95% CI = 1.81–3.75; medium, OR = 1.66, 95% CI = 1.21–2.27 vs small), not-for-profit status (OR = 1.65, 95% CI = 1.31–2.09 vs for profit), and chain affiliation (OR = 1.65, 95% CI = 1.31–2.09 vs nonaffiliated). Staffing characteristics included number of registered nurse hours (<15 minutes, OR = 1.36, 95% CI = 1.07–1.74 vs no hours), any licensed practical nurse hours (OR = 1.47, 95% CI = 1.08–1.99 vs no hours), and at least 75 hours of required training for aides (OR = 1.34, 95% CI = 1.05–1.71 vs <75 hours). RCFs with high staff influenza vaccination rates (81–100%, OR = 2.12, 95% CI = 1.27–3.53 vs 0% vaccinated) were also more likely to have a pandemic plan.
Conclusion: A majority of RCFs lacked a pandemic influenza plan. These facilities were smaller, for-profit, non-chain-affiliated RCFs and had lower staff vaccination rates. These characteristics may help target facilities that need to develop plans to handle a pandemic, or other disasters.
