"Just clearly the right thing to do": perspectives of correctional services leaders on moving governance of health-care in custody
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View abstract on PubMed
Summary
This summary is machine-generated.Transferring correctional health-care governance to the Ministry of Health improved care quality and integration. Key lessons learned involve navigating shared responsibilities and bureaucracy for better health outcomes in correctional facilities.
Area Of Science
- Health Services Research
- Correctional Health Care
- Health Systems Governance
Background
- Governance models are critical in health-care systems.
- Limited research exists on health-care governance within correctional facilities.
- Understanding these models is crucial for improving patient care and system efficiency.
Purpose Of The Study
- To explore correctional services leaders' perspectives on transferring health-care governance in British Columbia's provincial correctional facilities to the Ministry of Health.
- To identify motivations behind this governance transfer.
- To document key lessons learned from this transition.
Main Methods
- Qualitative study involving one-on-one interviews with eight correctional services leaders (September 2019 - February 2020).
- Inductive thematic analysis was used to identify key themes.
- Complaints data from Prisoners' Legal Services were analyzed to triangulate early effects of the transfer.
Main Results
- Four primary themes emerged regarding the transfer rationale: quality/equivalence of care, integration/throughcare, values/expertise, and funding/resources.
- Facilitators included environmental changes, appropriate personnel, aligned goals, and a shifting correctional culture.
- Challenges involved human resourcing, defining shared responsibilities, and bureaucratic adaptation. Post-transfer, a lower proportion of complaints were health-care related.
Conclusions
- Correctional leaders' insights offer valuable perspectives on transferring health-care governance to community systems.
- This transfer demonstrates potential for improving health-care delivery within correctional settings.
- The study highlights the importance of understanding governance shifts for enhanced correctional health services.
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