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Phillip M Hughes1, Jessica Carda-Auten2, Elena A DiRosa2
1Divison of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC, USA; Division of Research, UNC Health Sciences at MAHEC, Asheville, NC, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
美国监狱中的药物获取情况有很大差异,处方,获取和给囚犯药物的政策不一致. 需要更多地采用像评估,计划,识别和协调 (APIC) 模型这样的标准.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 犯罪学 犯罪学
背景情况:
- 监狱必须每年为超过1000万人提供医疗保健,包括药物.
- 监狱中药物管理的过程仍然不太了解.
- 监禁人口的很大一部分需要持续的药物治疗.
研究的目的:
- 描述美国监狱内的药物获取,政策和程序.
- 为了识别从摄入到释放的药物管理中的变化.
主要方法:
- 与34名监狱管理人员和5个东南州的卫生工作者进行了半结构面试.
- 面试回复的专题编码,重点关注与药物相关的过程.
- 研究的重点是联系 (125) 并且同意参与 (34) 的监狱.
主要成果:
- 监狱中的药物使用遵循四个时间顺序:入口/查,药房/药物协议,发放/管理和释放.
- 合同供应商和药房是药物决策和采购的主要来源.
- 关于家庭带来的药物,麻醉品,共同支付,隐私和转移预防的政策各不相同.
结论:
- 在监狱药物接入,协议和程序方面存在很大差异.
- 对于监狱药物管理,有必要采用现有的标准和指导方针.
- 建议采用社区重新进入的评估,计划,识别和协调 (APIC) 模型.
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