了解和提高监狱人员的初级护理质量:一项混合方法研究
Sue Bellass1,2, Krysia Canvin1,3, Tracey Farragher4
1University of Leeds, Leeds, UK.
Health and social care delivery research
|November 8, 2024
概括
监狱初级保健的质量差异很大,许多指标都低于社区标准. 当地组织和条件对护理提供有影响,但常规数据可以推动监狱医疗保健的改善.
科学领域:
- 医疗保健 医疗保健 提供 研究 研究
- 公共卫生 公共卫生
- 囚犯健康问题 囚犯健康问题
背景情况:
- 与一般社会相比,监狱人口的健康状况较差,慢性疾病的发病率较高.
- 现有的监狱医疗保健研究主要涉及物质使用,不太关注糖尿病和高血压等初级保健疾病.
- 了解和改善英国监狱内的初级保健服务对于减少健康不平等至关重要.
研究的目的:
- 评估英国监狱内初级保健服务的质量.
- 确定监狱医疗保健服务中的现有差距和差异.
- 为提高被监禁人员的医疗保健质量提供建议.
主要方法:
- 采用混合方法的方法,包括2019年8月至2022年6月期间进行的六个相互关联的工作包.
- 包括国际范围审查,有关质量指标的利益相关者共识,与囚犯和工作人员的定性访谈以及监狱医疗记录的定量分析.
- 专注于识别和应用30个质量指标在各种医疗保健领域,特别强调心理健康.
主要成果:
- 范围审查强调了在美国监狱医疗保健中的绩效测量方面的挑战.
- 在30个质量指标中确定了显著的改进空间和广泛的差异,其成就通常低于社区的一般实践.
- 定性调查结果表明,人员不足等组织因素严重影响护理质量,导致服务提供反应性.
结论:
- 监狱初级保健质量的实质性差异与当地组织因素和护理提供条件有关.
- 定期收集的数据为监控和推动监狱医疗保健质量改善举措提供了一个可行的机制.
- 解决组织因素是提高监狱人员护理质量的关键.
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