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对创伤性脑损伤和刑事司法系统的临床实践指南中的公平考虑:系统性审查

Zoe Colclough¹, Maria Jennifer Estrella², Julie Michele Joyce²

¹Department of Forensic Science, University of Toronto, Mississauga, Canada.

|August 12, 2024

概括

对创伤性脑损伤 (TBI) 和刑事司法系统 (CJS) 的临床实践指南 (CPG) 往往不考虑彼此和公平. 本次审查强调需要将TBI和CJS考虑纳入CPG,以改善对弱势群体的护理.

科学领域:

公共卫生公共卫生
神经科学是一个神经科学.
犯罪学犯罪学

背景情况:

创伤性脑损伤 (TBI) 在与刑事司法系统 (CJS) 相关的人群中非常普遍.
在CJS内的不充分的TBI护理可能会加剧损伤,导致延长刑期和复发等负面结果.
现有的临床实践指南 (CPG) 往往忽视了公平,未能满足弱势群体的需求,包括在CJS中患有TBI的人.

研究的目的:

评估创伤性脑损伤 (TBI) 临床实践指南 (CPG) 考虑刑事司法系统 (CJS) 参与程度.
评估TBI如何在CJS的CPG中得到解决.
确定CJS的股权融入到CGP的程度.

主要方法:

系统地搜索电子数据库和网站,查找与TBI和CJS相关的CPG.
定性内容分析,以评估TBI和CJS证据在CPG中的整合.
利用股权评估工具来评估CPG开发中对股权的考虑.

主要成果:

在57个TBI CPG中,只有14个提到了CJS,只有一个提供了针对法医职业评估的具体建议.
在6个CJS CPG中,有2个承认TBI患病率,一个建议在健康评估期间进行TBI查.
CPG主要集中在CJS的孤立方面 (警务,纠正),缺乏公平最佳实践和弱势群体的投入.

结论:

调查结果支持将CJS考虑因素纳入TBI CPG和在CJS CPG中提前股权.
需要进一步的研究来选所有CJS方面的TBI.
在指导方针制定过程中实施公平性评估工具对于改善这一弱势群体的医疗保健至关重要.

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