曾在监狱被拘留的人依赖社区急救部门:回顾性跨部门研究
Michele M Easter1, Nicole L Schramm-Sapyta2, Maria A Tackett2
1Duke University School of Medicine and Wilson Center for Science and Justice at Duke University School of Law, Durham, North Carolina, USA.
概括
最近从监狱释放的个人经常使用急诊室 (ED),特别是慢性疾病. 这种模式与重复入狱和同时出现的心理健康和物质使用障碍有关,突出了综合护理的需要.
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:
- 每年,数以百万计的美国监狱囚犯面临着未得到满足的健康和社会需求.
- 释放后,许多人与急救部门 (ED) 互动.
研究的目的:
- 分析最近从监狱释放的个人中紧急部门 (ED) 使用模式.
- 在这个人群中确定与频繁使用ED相关的因素.
主要方法:
- 关联了监狱拘留记录与卫生系统的ED记录,用于在南方城市监狱中5年内被拘留的个人.
- 分析了ED访问频率以及相关的人口和临床因素.
主要成果:
- 超过50%的囚犯至少使用过一次ED;83%在医疗系统接受护理的人访问过ED.
- 参与监狱的个人占所有ED用户的4.1%,但占慢性频繁ED用户的21.3%.
- 频繁使用ED与更频繁的监禁和同时发生的严重精神疾病和物质使用障碍相关.
结论:
- 涉及监狱的人口对紧急服务部门构成重大负担,特别是在慢性疾病方面.
- 同时出现的严重精神疾病和物质使用障碍是这个群体中经常使用ED的关键因素.
- 卫生系统和监狱应该合作,以满足司法涉及个人的需求,优先考虑患有并发疾病的人.
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