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Mc-COVID19 – Coordination mechanisms in Coronavirus management between different levels of government and public policy sectors in 15 European countries

Project statusOngoing
Contact Francisco Javier Moreno Fuentes
Institution web pagehttps://www.mc-covid.csic.es/english-version
Host institution Institute of Public Goods and Policies, Spanish National Research Council (CSIC)
Team members Project Coordinators o Eloísa del Pino o Francisco Javier Moreno Fuentes Research Team (alphabetical order) o Gibrán Cruz-Martínez o Jorge Hernández-Moreno o Luis Moreno o Manuel Pereira-Puga o Roberta Perna International team o Austria - Monika Riedel, Institute for Advanced Studies o Belgium - Jozef Pacolet, Research Institute for Work and Society, KU Leuven o Denmark - Tine Rostgaard, Roskilde University o Finland - Tyyne Ylinen, Vera Ylinen, Laura Kalliomaa-Puha, and Satu Ylinen. Tampere University & Social Insurance Institution of Finland - Kela o France - Arnaud Campéon, Blance Le Bihan, Michel Legros, and Claude Martin. EHESP French School of Public Health and CNRS. o Germany - Caspar Lückenbach, Eduard Klukas, Phillip Florian Schmidt and Thomas Gerlinger. Bielefeld University o Greece - Costis Prouskas, and Michael Goudoumas. Aktios SA o Ireland - Sara Burke, and Eimir Hurley. Centre for Health Policy and Management, Trinity College Dublin o Italy - Costanzo Ranci, and Marco Arlotti. Politecnico di Milano o Luxembourg - Robert Urbé. o Netherlands - María Bruquetas-Callejo, and Anita Böcker. Radboud University Nijmegen o Portugal - Luis Capucha, Nuno Nunes, and Alexandre Daniel Calado. Center for Research and Studies in Sociology (CIES-IUL) o Sweden - Lennarth Johansson (1) and Pär Schön (2). (1) Jönköping University, and Stockholm Gerontology Research Center. (2) Aging Research Center, Stockholm University, Karolinska Institutet o United Kingdom - England - Caroline Glendinning. University of York (emeritus).
Funding information (if funded) The Mc-COVID19 project has received funding from the Spanish National Research Council (CSIC) within the framework of the CSIC-COVID-19 program.
Project Summary

The Mc-COVID 19 project is set to analyse the socio-sanitary co-ordination procedures in the context of institutionalized older-age care (age group that appears particularly vulnerable in this epidemic context), in Spain as well as in the rest of the EU-15. This study focuses on the articulation of resources between health and social policies, and aim to contribute to improve the effectiveness of the decision-making process and crucial aspects in the fight against the pandemic. To better understand what happened in these centres and facilitate policy learning, this study identifies the difficulties faced by institutional actors and nursing homes’ managers between January and August 2020. To this end, the research team conducted 25 in-depth interviews with managers in such centres (directors, administrators, and medical supervisors) in various Spanish regions (Comunidades Autónomas). In addition, the research group interviewed high-ranking officials responsible for both social services and public healthcare at the central and regional levels, and representatives of the trade unions and the employers’ associations of the nursing homes. Furthermore, the team examined documents issued by governmental and independent sources, together with the results of a survey elaborated by the Institute for the Older-age and Social Services (IMSERSO) of the Ministry of Health. Findings aim to be useful to inform other public policy sectors involved in crisis-related situations.

Outputs / Expected Outputs
  • 6 October 2020 – First report on Spain (Spanish)
    • Eloísa del Pino, Francisco Javier Moreno-Fuentes, Gibrán Cruz-Martínez, Jorge Hernánez-Moreno, Luis Moreno, Manuel Pereira-Puga, Roberta Perna (2020)Informe Gestión Institucional y Organizativa de las Residencias de Personas Mayores y COVID-19: dificultades y aprendizajes. Instituto de Políticas y Bienes Públicos (IPP-CSIC)Madrid. http://dx.doi.org/10.20350/digitalCSIC/12636
  • 6 October 2020 – Executive Summary of the first report (English version) https://drive.google.com/file/d/1clo_SLmygv4BJPo8ptvN02NXJHc217oo/view
  • A summary of the first report is also available here: https://ltccovid.org/2020/11/19/what-went-wrong-and-what-could-be-learned-from-the-institutional-and-organizational-management-of-care-homes-during-the-covid-19-pandemic-in-spain/
  • 10 case studies have been published already: https://www.mc-covid.csic.es/english-version/publications and 5 more are expected to be published on the first trimester of 2021
  • A comparative report highlighting the experiences, difficulties and lessons learned in 15 EU countries – expected to be published on the first trimester 2021.
Project website https://www.mc-covid.csic.es/english-version

KEYWORDS / CATEGORIES

CountriesAustria | Belgium | Denmark | Finland | France | Germany | Greece | Ireland | Italy | Luxembourg | Netherlands | Portugal | Spain | Sweden | United Kingdom
Care settingCare homes/LTC facilities
Funding typePublic
Impact/outcomesCare coordination/access | Cost and other financial impacts | COVID-19 Infection rates | Deaths | Implementation outcomes | Mental health | Quality of care | Staff retention | Staff skills | Treatment outcomes | Wellbeing and quality of life
Intervention typesAdaptation of existing interventions | Cohorting and isolation approaches | Contact tracing | Digital records/data linkage | End of life care and advance care planning | Financial/social protection | Infection control protocols | Interventions to improve quality of care | Measures to compensate for isolation policies | Measures to improve access to COVID-19 treatment and other healthcare | Measures to improve care coordination/governance | Measures to reduce risk of infections from staff | Measures to support care provider organisations | Measures to support staff and unpaid carers | Medicalization of care homes | Modelling and data analysis to inform strategies | Preventing/controlling COVID-19 infections | Psychological interventions | Testing approaches | Training interventions | Use of technology | Visiting policies
MethodsDocument analysis | Literature reviews and synthesis | Policy analysis | Qualitative studies | Secondary data analysis
Groups/organisationsCare provider/care organisations | Staff working in long-term care

Mc-COVID19 – Coordination mechanisms in Coronavirus management between different levels of government and public policy sectors in 15 European countries

  • January 7, 2021February 10, 2021
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