为司法涉及的个人提供手术和医疗保健的机会
Fletcher D1, Morgan K1, Miller-Hammond K1
1Morehouse School of Medicine, Atlanta, GA, USA.
The American surgeon
|April 21, 2025
概括
参与司法工作的个人面临着严重的医疗保健障碍,导致未满足的需求和公共卫生风险. 改善对护理的准入和将这些人群纳入医疗保健系统对于健康公平至关重要.
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
- 卫生政策 卫生政策
背景情况:
- 参与司法工作的个人有大量未满足的医疗保健需求,包括慢性和传染病.
- 诸如机构制约,资源有限和Medicaid暂停等障碍阻碍了医疗保健的获取.
- 低于最佳的健康结果和公共健康风险会因不充分和不一致的护理而加剧.
研究的目的:
- 突出司法涉及的人口面临的关键医疗保健差异.
- 确定与惩戒系统互动的个人获得医疗保健的系统性障碍.
- 为这个弱势群体提出改善医疗保健提供和整合的战略.
主要方法:
- 文献综述和对涉及司法人员医疗保健获取障碍的分析.
- 审查现有的立法努力及其对医疗保健服务的影响.
- 综合了改善护理模式和合作的建议.
主要成果:
- 显著的障碍包括有限的药物可用性 (例如,阿片类药物使用障碍治疗),有限的预防性护理,以及启动医疗保健的挑战.
- 监禁期间的医疗补助暂停和释放后高的无保险率加剧了健康不平等.
- 尽管采取了立法干预措施,但目前的医疗保健服务仍然不足.
结论:
- 利用惩戒设施和促进合作是提高医疗保健服务的关键.
- 培训医疗保健专业人员在惩戒医学和量身定制护理计划是必不可少的.
- 将参与司法工作的个人纳入更广泛的医疗保健框架,可以减少差距,改善公共卫生.
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