米国で投獄された患者のケアに関する医療協会のガイドライン
Nicholas V Nguyen1, Tyler A Nguyen2, Kathleen M Akgün3,4
1Biomedical Ethics Research Program, Mayo Clinic, Rochester, Minnesota, United States of America.
PloS one
|September 3, 2025
まとめ
収容者の医療に関するガイドラインを 提供する医療協会はほとんどありません この分析は 患者の尊厳と この脆弱な集団のケア品質に影響を与える 臨床的リソースの大きなギャップを明らかにしています
科学分野:
- 公衆衛生
- 医学教育
- 健康政策
背景:
- アメリカは 高い収監率に直面しており 医学的に脆弱な人口に影響を及ぼしています
- 刑務所での生活は 医療の提供を困難にしますが 医者は専門的な訓練を受けていません
- 患者の尊厳,自立,プライバシーを 確保することは 臨床的出会いにおいて 挑戦的です
研究 の 目的:
- 収容者の医療に関する医師団の公式文書の現状を分析する.
- この集団を治療する医師が利用できるリソースの範囲と性質を特定する.
主な方法:
- アメリカ医学会 議員会とその文書の 体系的なインターネット検索
- 16の団体から44の文書を 特定し テーマ別にコード化しました
主要な成果:
- 収監に関する資料を公表したのは116の団体のうち16社だけでした.
- 文書は主に教育,臨床指導,物流支援,政策提唱に役立っていました.
- 実用的な臨床指針の不足が顕著であった.
結論:
- 収容者の医療に対する 医療協会のリソースには大きなギャップがあります
- 実践的なガイドラインが不足すると 患者さんのケアが一貫せず 最適でない状態になる可能性があります
- 医療協会は,臨床医を支援し,患者の尊厳と自律性を高めるための包括的なガイドラインを策定すべきである.
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