为执法拘留中的患者提供公平的外科护理:一项审查
Elinore J Kaufman1, Jesse E Passman2, Rucha Alur2
1Department of Surgery, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia.
JAMA surgery
|May 14, 2025
概括
为日益增长的监禁人口提供手术护理面临重大障碍. 外科医生必须倡导以患者为中心的方法,以确保公平的治疗,并改善执法拘留人员的结果.
科学领域:
- 公共卫生 公共卫生
- 手术护理 手术护理
- 健康差异 在健康上的差异
背景情况:
- 美国监狱人口老龄化,增加了对外科手术服务的需求.
- 在物流,隐私和通信方面的现有挑战可能会导致监禁人员的外科护理不够理想.
- 缺乏具体的指导阻碍了外科医生为这个人群提供公平的护理.
研究的目的:
- 突出监禁人员面临的独特手术需求和障碍.
- 强调以患者为中心的护理和倡导对这一边缘化群体的重要性.
- 呼吁制定在惩戒机构的外科护理指南.
主要方法:
- 对尸检数据的分析表明未满足的外科手术需求.
- 审查在惩戒设施内的术前和术后护理方面的挑战.
- 讨论影响护理服务的后勤,隐私和通信障碍.
主要成果:
- 尸检数据表明,在拘留期间死亡的很大一部分是由于可以通过手术治疗的疾病.
- 持续获得手术前和手术后护理是所有级别监护人员面临的主要挑战.
- 障碍包括缺乏隐私,患者的克制,以及在药物释放后对药物的限制.
结论:
- 监禁人员在手术规划和术后护理方面有特殊需求.
- 临床医生必须充当倡导者,调整实践以应对这些挑战.
- 专业协会和卫生系统应该制定指导方针,以改善监禁患者的外科护理.
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