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Research ArticleINVITED COMMENTARY

No Hugs Allowed: Isolation and Inequity in North Carolina Long-term Services and Supports During COVID-19

Nathan A. Boucher
North Carolina Medical Journal January 2021, 82 (1) 57-61; DOI: https://doi.org/10.18043/ncm.82.1.57
Nathan A. Boucher
assistant research professor, Sanford School of Public Policy, Duke University, Durham, North Carolina; research health scientist, Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina; assistant professor, School of Medicine, Duke University, Durham, North Carolina; core faculty, Margolis Center for Health Policy, Duke University, Durham, North Carolina.
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  • For correspondence: nathan.boucher@duke.edu
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References

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    1. National Association of Social Workers: North Carolina Chapter
    . North Carolina State Aging Plan 2019-2023. Raleigh, NC: NASW NC; 2018. https://cdn.ymaws.com/www.naswnc.org/resource/resmgr/advocacy/NC_State_Aging_Plan.pdf. Accessed September 1, 2020.
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    1. North Carolina Department of Health and Human Services
    . Supporting Our Long-Term Care Facilities During COVID-19. Raleigh, NC: NCDHHS; 2020. https://files.nc.gov/covid/documents/info-for/health-care/Supporting-Our-Long-Term-Care-Facilities.pdf. Accessed September 25, 2020.
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    1. National Institute on Aging
    . Social isolation, loneliness in older people pose health risks. NIA website. https://www.nia.nih.gov/news/social-isolation-loneliness-older-people-pose-health-risks. Published April 23, 2019. Accessed August 29, 2020.
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    1. Paulin E.
    Is Extended Isolation Killing Older Adults in Long-Term Care? AARP.org. http://www.aarp.org/caregiving/health/info-2020/covid-isolation-killing-nursing-home-residents.html. Published September 3, 2020. Accessed September 2, 2020.
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    1. Centers for Disease Control and Prevention
    . Health Equity Considerations and Racial and Ethnic Minority Groups. CDC website. https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html. Published July 24, 2020. Accessed September 1, 2020.
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    1. The New York Times
    . About 40% of U.S. Coronavirus Deaths Are Linked to Nursing Homes. NYTimes.com. https://www.nytimes.com/interactive/2020/us/coronavirus-nursing-homes.html. Updated September 16, 2020. Accessed September 18, 2020.
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    1. Moses S.
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    1. AARP
    . Long-Term Care in North Carolina. Washington, DC: AARP; 2009. https://assets.aarp.org/rgcenter/health/state_ltcb_09_nc.pdf. Published December 2009. Accessed September 3, 2020.
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    1. Coronavirus Commission on Safety and Quality in Nursing Homes
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    1. Wingfield AH.
    The Disproportionate Impact of Covid-19 on Black Health Care Workers in the U.S. HBR.org. https://hbr.org/2020/05/the-disproportionate-impact-of-covid-19-on-black-health-care-workers-in-the-u-s. Published May 14, 2020. Accessed September 24, 2020.
  17. 17.↵
    1. Guengerich T.
    State Caregiver Profiles 2017-2020. AARP.org. https://www.aarp.org/research/topics/care/info-2018/state-caregiver-profiles.html. Updated May 2020. Accessed September 22, 2020.
  18. 18.↵
    1. AARP North Carolina
    . North Carolinians Are Family Caregivers. Raleigh, NC: AARP NC; 2019. https://www.aarp.org/content/dam/aarp/research/surveys_statistics/ltc/2019/north-carolina-family-caregivers-profile-infographic.doi.10.26419-2Fres.00259.061.pdf. Published 2019. Accessed September, 25, 2020.
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    1. Kent EE,
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    The family caregiving crisis meets an actual pandemic. J Pain Symptom Manage. 2020;60(1):e66-e69. doi: 10.1016/j.jpainsymman.2020.04.006
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  20. 20.↵
    1. Frye J.
    On the Frontlines at Work and at Home: The Disproportionate Economic Effects of the Coronavirus Pandemic on Women of Color. AmericanProgress.org. https://www.americanprogress.org/issues/women/reports/2020/04/23/483846/frontlines-workhome/. Published April 23, 2020. Accessed September 22, 2020.
  21. 21.↵
    1. Schoch D.
    Nursing Homes Scramble to Enable Televisits Amid Coronavirus. AARP.org. https://www.aarp.org/caregiving/health/info-2020/nursing-home-televisits-during-coronavirus.html. Published March 30, 2020. Accessed September 1, 2020.
  22. 22.↵
    1. North Carolina Department of Health and Human Services
    . Guidance on Visitation, Communal Dining and Indoor Activities for Larger Residential Settings. Raleigh, NC: NCDHHS; 2020. https://files.nc.gov/covid/documents/guidance/Guidance-on-Outdoor-Visitation-for-Larger-Residential-Settings.pdf. Published September 28, 2020. Accessed October 8, 2020.
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North Carolina Medical Journal: 82 (1)
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No Hugs Allowed: Isolation and Inequity in North Carolina Long-term Services and Supports During COVID-19
Nathan A. Boucher
North Carolina Medical Journal Jan 2021, 82 (1) 57-61; DOI: 10.18043/ncm.82.1.57

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No Hugs Allowed: Isolation and Inequity in North Carolina Long-term Services and Supports During COVID-19
Nathan A. Boucher
North Carolina Medical Journal Jan 2021, 82 (1) 57-61; DOI: 10.18043/ncm.82.1.57
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    • Patient Isolation Worsened by COVID-19
    • Race and Long-term Care in North Carolina
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