Underfunding is linked to high COVID-19 mortality in Spanish nursing homes

The Covid-19 pandemic has had a disproportionate impact on those living in nursing homes. Joan Costa-Font, Sergi Jimenez-Martin and Analia Viola find evidence that regional variation in nursing home fatalities during the first wave of the outbreak in Spain was associated with proxies of underfunding. Other explanations include coordination failures between health and long-term care, and between central and regional governments.