RT Journal Article T1 COVID-19 in nursing homes: structural factors and experiences that endorse a change of model in Spain A1 Rodriguez Odriguez, Pilar A1 Gonzalo Imenez, Elena K1 COVID-19 K1 Pandemic K1 Nursing homes K1 Long-term care K1 Elderly K1 Primary health care K1 Case management K1 Impact AB The effects of COVID-19 pandemic on older people living in care homes have been devastating. In Spain approximately 3% of the cases and 40% of the deaths have occurred in this group. In addition, due to measures taken to control the crisis, the incidence of geriatric syndromes has increased, and residents' fundamental rights have been violated. In this article we describe structural factors of care homes and their relationship with public health services that have influenced the impact of the pandemic. We suggest different types of group homes, and models of provision/coordination with public health services that have given excellent results protecting nursing homes residents from COVID-19, as alternative models to conventional residences and to the regular provision of health care services. We recommend that these successful experiences are taken into account in the transformation of the social-health model (to one integrated and focused on people) that has begun to be implemented in some Autonomous Communities of Spain. (C) 2021 SESPAS. Published by Elsevier Espana, S.L.U. PB Elsevier SN 0213-9111 YR 2022 FD 2022-05-06 LK https://hdl.handle.net/10668/24627 UL https://hdl.handle.net/10668/24627 LA es DS RISalud RD Apr 4, 2025