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Licensed physicians who work in prisons: a profile.

R L Lichtenstein, A Rykwalder

    Public Health Reports (Washington, D.C. : 1974)
    |November 1, 1983
    PubMed
    Summary
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    Part-time prison physicians in the U.S. are more similar to typical doctors, while full-time physicians show significant differences. Relying more on part-time doctors may improve inmate medical care quality.

    Area of Science:

    • Medical Professionalism
    • Public Health
    • Corrections Healthcare

    Background:

    • Physician demographics and practice patterns in U.S. correctional facilities are not well-defined.
    • Understanding these characteristics is crucial for assessing and improving healthcare delivery within prisons.

    Purpose of the Study:

    • To profile the personal and professional characteristics of physicians working in U.S. prisons.
    • To compare full-time and part-time prison physicians to the general U.S. physician population.
    • To evaluate the implications of these characteristics on the quality of inmate medical care.

    Main Methods:

    • Analysis of data from a study of licensed U.S. physicians working in prisons (minimum 12 hours/month in Fall 1979).
    • Exclusion of psychiatrists and physicians working in jails.

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  • Categorization of 382 prison physicians into full-time and part-time groups.

    • Main Results:

    • Part-time prison physicians (58%) closely resembled typical U.S. physicians (U.S.-trained, specialized, board-certified).
    • Full-time prison physicians (73% of prison work hours) were older, less specialized, less board-certified, and more likely foreign-trained.
    • Significant professional differences were observed between full-time and part-time prison physicians.

    Conclusions:

    • Professional attributes of full-time prison physicians raise concerns about the quality of care provided.
    • Part-time physicians appear better equipped professionally to deliver higher quality medical care to inmates.
    • Recommends correctional health systems prioritize part-time practitioners to enhance inmate healthcare quality.