The ratio you really need is covid deaths in hospital / covid hospitalizations. Many covid deaths in 2020 occurred in nursing homes/LTCFs. The burnout of that dry tinder could have affected the ratio you measured, but I doubt it could explain all of the excess deaths you've noted.
Covid deaths in 2020 occurring in nursing homes/LTCFs and burnout of that dry tinder could explain a higher ratio in 2020. As such, the ratio in 2021 should be lower and not higher (assuming less dry tinder)
The 2021 Q1 data suggest more were dying outside hospital (assuming hospital mortality outcomes were unchanged)
The ratio you really need is covid deaths in hospital / covid hospitalizations. Many covid deaths in 2020 occurred in nursing homes/LTCFs. The burnout of that dry tinder could have affected the ratio you measured, but I doubt it could explain all of the excess deaths you've noted.
I had to use what was available
Covid deaths in 2020 occurring in nursing homes/LTCFs and burnout of that dry tinder could explain a higher ratio in 2020. As such, the ratio in 2021 should be lower and not higher (assuming less dry tinder)
The 2021 Q1 data suggest more were dying outside hospital (assuming hospital mortality outcomes were unchanged)