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在电子获取方面落后:监禁期间控制个人健康信息
Lawrence A Haber1,2, Hans P Erickson3, Justin Berk4
1Division of Hospital Medicine, Denver Health and Hospital Authority, Denver, CO, USA. lawrence.haber@dhha.org.
监禁患者无法获得他们的健康信息,与普通人群不同. 政策变化是必要的,以确保数字健康权利和监狱和监狱中的护理连续性.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 惩戒医疗保健 惩戒医疗保健
背景情况:
- 数以百万计的囚犯面临着无法获取其健康信息的障碍.
- 这种排斥加剧了健康差异,特别是那些患有慢性疾病和精神疾病的人.
- 监狱中现有的数字工具不支持获得医疗保健.
研究的目的:
- 突出监禁患者被排除在数字健康权利之外的情况.
- 检查惩教实践如何阻碍个人医疗记录和提供者沟通的访问.
- 倡导政策改革,使惩戒卫生与社区标准保持一致.
主要方法:
- 对现有立法 (HIPAA,21世纪治疗法) 的分析及其在监狱环境中的应用.
- 审查目前在监狱中使用的数字工具及其在医疗保健参与方面的局限性.
- 检查限制患者获得健康信息的癌症实践.
主要成果:
- 监禁人口不成比例地受到慢性疾病和精神疾病的影响.
- 校正实践和不可互操作的系统阻止了被监禁的患者访问他们的健康记录.
- 监狱中的数字工具主要用于通信和商业,而不是医疗保健.
结论:
- 被监禁的患者被剥夺了数字健康权利,加剧了差距,并使重新入境复杂化.
- 政策改革对于在惩戒系统中执行"21世纪治疗法"至关重要.
- 强制性互操作的电子健康记录和利用平板电脑技术可以改善护理连续性和患者自主权.
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