扩大监禁人员生命末期选择的范围
Jack Bookbinder1, Kwasi Boaitey2, Jonathan Herington2
1School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
The American journal of hospice & palliative care
|November 29, 2025
概括
扩大医疗释放计划 (MRPs) 为老年囚犯提供了比以监狱为基础的计划更为道德的终身护理方法. 尽管现有进入障碍,但MRP更好地保护患者的自主权和尊严.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 刑事司法 刑事司法 刑事司法
背景情况:
- 美国老龄化的监狱人口需要改进终身护理策略.
- 目前的EOL护理模式包括医疗释放计划 (MRPs) 和基于监狱的EOL护理计划 (EOLCPs).
研究的目的:
- 评估MRPs与EOLCP对老年囚犯的伦理和实际考虑.
- 倡导扩展的MRPs作为主要的EOL护理模式,由持续的EOLCPs支持.
主要方法:
- 使用纽约州数据进行案例研究分析.
- 对医疗释放获取障碍的检查.
- 对监狱EOL护理质量与社区标准进行比较分析.
主要成果:
- 显著的障碍阻碍了医疗释放的准入,包括缺乏意识,程序性问题和耻辱.
- 基于监狱的EOLCP经常在家庭参与和疼痛管理等领域未能满足社区标准.
- 医疗释放的个人表现出较低的复发率.
结论:
- 推扩大医疗释放计划 (MRPs) 作为老年囚犯终身护理的最道德途径.
- 对于那些不符合条件或不愿意参加MRP的人来说,维持监狱EOLCP至关重要.
- 政策变化是必要的,以简化医疗释放流程,并确保公平的护理.
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