最近从超级监狱释放的男性的健康状况和医疗保健利用率:一项匹配的前性队列研究
Flora I Matheson1, Arthur McLuhan2, Ruth Croxford3
1MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada; ICES, Toronto, Canada and Dalla Lana School of Public Health and Centre for Criminology and Socio-Legal Studies, University of Toronto, Toronto, Canada.
International journal of prisoner health
|September 1, 2023
概括
最近从监狱释放的男性患病率更高,急诊室访问量明显增加,突出了改善医疗保健准入和政策的必要性. 药物使用增加了这一群体的医疗保健利用率.
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:
- 护理的连续性和初级保健的获取对于健康结果至关重要,并减少涉及司法人员的重复犯罪.
- 虽然被监禁人口的健康问题是众所周知的,但他们释放后的医疗保健利用模式不太了解.
- 有效的政策和实践改进受到最近从监狱释放的人对医疗服务使用知识有限的阻碍.
研究的目的:
- 为了检查最近从超级监狱释放的男性的健康状况.
- 为了调查这一群体中医疗保健利用模式.
- 识别影响他们使用医疗服务的风险因素和促进因素.
主要方法:
- 最近从超级监狱释放的成年男性 (n=106) 与加拿大安大略省的一组普通人口 (n=530) 相比较.
- 医疗记录被链接到评估基线健康状况和医疗保健利用三个月后释放.
- 分析了急诊室,初级保健,住院和专家访问的健康状况和风险的差异.
主要成果:
- 超级的参与者表现出更高的呼吸系统疾病,精神疾病,物质使用和受伤的患病率.
- 药物使用是所有类型的医疗保健访问的重要风险因素.
- 与普通人口相比,超级监狱参与者的急诊室访问量是超级监狱参与者的三倍多.
结论:
- 紧急服务部门越来越多地成为司法人员的实际诊所.
- 战略性卫生服务方法是必要的,以解决复杂的健康需求和男性离开监护所面临的机会差异.
- 改善护理连续性和获得初级保健对这一脆弱人群至关重要.
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