Intended for healthcare professionals

Letters Care homes after covid-19

Covid-19 in care homes: the many determinants of this perfect storm

BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m2096 (Published 27 May 2020) Cite this as: BMJ 2020;369:m2096
  1. Desmond O’Neill, professor of geriatric medicine
  1. Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin D24 NR0A, Republic of Ireland
  1. doneill{at}tcd.ie

The concerns evoked by Oliver over care homes and covid-191 are echoed in the privatised, fragmented, and disconnected care or nursing home sectors in most Western countries. Media coverage has focused on the travails of care staff and residents rather than on the determinants of the crisis.

This perfect storm has been brewing for some time. Departments and ministries of health, charged with developing policy based on need, averted their gaze from this …

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