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Health care in correctional facilities

K M Thorburn1

  • 1Department of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, USA.

The Western Journal of Medicine
|December 1, 1995
PubMed
Summary
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Over 1.3 million adults are incarcerated in US correctional facilities. Public policy shifts since the 1980s have negatively impacted inmate health services, reversing prior improvements in correctional healthcare.

Area of Science:

  • Public Health
  • Health Policy
  • Criminology

Background:

  • Over 1.3 million adults are currently housed in US correctional facilities.
  • Inmate healthcare is a critical aspect of correctional facility management.
  • Significant advancements in correctional health services occurred in the 1970s.

Purpose of the Study:

  • To examine the impact of public policy changes on correctional health services.
  • To analyze the demographic and health status shifts in incarcerated populations.
  • To highlight the neglect of correctional health in broader health policy discussions.

Main Methods:

  • Analysis of public policy trends from the early 1980s onwards.
  • Review of demographic changes within jail and prison populations.

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  • Assessment of the subsequent effects on inmate health status and care.

    • Main Results:

    • Public policy shifts initiated in the early 1980s adversely affected inmate demographics and health.
    • These policy changes threatened the progress made in correctional healthcare during the 1970s.
    • Correctional health services remain largely overlooked in health policy and reform debates.

    Conclusions:

    • Policy decisions have demonstrably impacted the health and care of incarcerated individuals.
    • There is a critical need to integrate correctional health into mainstream health policy.
    • Further research and policy attention are required to ensure adequate healthcare for inmates.