Assessment of Satisfaction with Health Services among Prisoners-Descriptive Study

The aim of the study was to assess the access of prisoners to healthcare services, as well as the level of satisfaction with the provided services and health assessment among prisoners.

The research was conducted in one of the penitentiary centers in Poland among people jailed between 1 January to 31 January 2020. The response rate of the self-administrated questionnaire was 52.05% (469/901) participants. There were 389 men and 77 women.

Prisoners assessed access to health services including GP doctors, specialist doctors, dentists, and hospitals in 3 categories: "bad" ranged: 27.03-67.60%; "medium" ranged: 22.54-53.57%; "good" ranged: 7.02-33.96% depending on the type of arrest, but no statistical significance was demonstrated. Satisfaction with the health services defined as "bad" ranged: 25.00-61.11%; "medium" ranged: 18.97-55.56%; "good" ranged: 5.56-34.62% depending on the type of arrest but no statistical significance was demonstrated. Of 469 prisoners, 215 prisoners (45.84%) declared no addictions. The frequency of addiction does not differ depending on the place/type of punishment served (p = 0.9). In turn, 317 prisoners (68%) declared no chronic diseases.

Most of the prisoners described access to health services as "bad", except female prisoners from a semi-open facility. In turn, satisfaction with healthcare services was most often assessed as "bad", except for temporarily arrested men and female prisoners from a semi-open facility.