监禁孕妇的护理过渡:需要评估
Katherine M Davis1, Sue Tolleson-Rinehart1,2, Andrea K Knittel1
1University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
概括
监禁孕妇的护理过渡受到运营和结构障碍的阻碍. 解决这些问题需要跨学科的合作,以改善医疗保健的获取.
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
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 被监禁的孕妇在惩戒设施内获得医疗保健遇到重大障碍.
- 对于从州监狱到外部医院的这一群体的医疗保健过渡的复杂性,人们的理解有限.
研究的目的:
- 分析现有的政策和程序,管理监禁人员的护理过渡.
- 通过对利益相关者的采访,确定影响这些转型的障碍和促进者.
- 提出政策建议,以改善被监禁孕妇获得医疗保健的机会和连续性.
主要方法:
- 定性研究,包括与利益相关者进行深入采访.
- 参与者包括州监狱,学术医院和私人医院的代表.
- 通过专题分析,确定了护理过渡中的关键问题.
主要成果:
- 确定了操作障碍:医疗记录,沟通和患者教育方面的挑战.
- 确定了结构性障碍:在关怀边缘化群体方面隐含的偏见和系统性问题.
- 研究结果表明,它可以广泛应用于全国各地类似的惩戒和医疗保健机构.
结论:
- 监禁孕妇的护理过渡是复杂的,受到运营和结构因素的影响.
- 应对这些挑战需要一个全面的,跨学科的战略.
- 政策干预对于减轻障碍和确保公平获得医疗保健至关重要.
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