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Prison health services: a utilization study.

S B Sheps, M T Schechter, R G Prefontaine

    Journal of Community Health
    |January 1, 1987
    PubMed
    Summary
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    Inmates in Canada

    Area of Science:

    • Public Health
    • Health Services Research
    • Criminology

    Background:

    • Correctional Services of Canada (CSC) health services are crucial for inmate well-being.
    • Understanding health service utilization patterns is key to optimizing care within correctional facilities.

    Purpose of the Study:

    • To analyze health service utilization among inmates in the Pacific Region of CSC.
    • To compare physician visit rates in correctional facilities to the general Canadian male population.

    Main Methods:

    • Prospective study surveying health service encounters over one month (May 29-June 28, 1984).
    • Data collected via health clinic encounter forms at six regional institutions.
    • Analysis included encounter rates, visit reasons, and provider types.

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    Main Results:

    • 7,449 encounters recorded, averaging 5.2 per inmate.
    • Physician visit rate (6.7/year) was 2.4 times higher than non-institutionalized Canadian men.
    • Nurses handled 89% of visits; common complaints included headache and respiratory issues.

    Conclusions:

    • Inmate health service utilization is high, particularly for new illnesses and chronic conditions.
    • A small group of frequent visitors accounted for a significant portion of encounters.
    • Findings highlight the need for efficient and targeted health interventions in correctional settings.