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Incarcerated patients lack access to their health information, unlike the general population. Policy changes are needed to ensure digital health rights and continuity of care for those in jails and prisons.

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Area of Science:

  • Health Informatics
  • Public Health
  • Correctional Healthcare

Background:

  • Millions of incarcerated individuals face barriers to accessing their health information.
  • This exclusion exacerbates health disparities, particularly for those with chronic diseases and mental health conditions.
  • Existing digital tools in correctional facilities do not support healthcare access.

Purpose of the Study:

  • To highlight the exclusion of incarcerated patients from digital health rights.
  • To examine how correctional practices impede access to personal medical records and provider communication.
  • To advocate for policy reforms aligning correctional health with community standards.

Main Methods:

  • Analysis of existing legislation (HIPAA, 21st Century Cures Act) and its application in carceral settings.
  • Review of current digital tools used in prisons and their limitations for healthcare engagement.
  • Examination of carceral practices that restrict patient access to health information.

Main Results:

  • Incarcerated populations are disproportionately affected by chronic diseases and mental illness.
  • Correctional practices and non-interoperable systems prevent incarcerated patients from accessing their health records.
  • Digital tools in prisons primarily serve communication and commerce, not healthcare.

Conclusions:

  • Incarcerated patients are denied digital health rights, worsening disparities and complicating reentry.
  • Policy reforms are essential to enforce the 21st Century Cures Act in correctional systems.
  • Mandating interoperable EHRs and leveraging tablet technology can improve care continuity and patient autonomy.