一个医学学生的反思道德和倡导,而旋转通过一个城市监狱
1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
概括
这次反思强调了监禁如何显著影响健康,在监狱内的慢性疾病和创伤管理方面提出了挑战. 医生倡导和人文护理对于促进健康平等至关重要,尽管存在癌症限制.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 监禁日益被认为是健康的重要决定因素.
- 惩戒设施在医疗保健提供方面存在独特的挑战,包括管理慢性疾病,创伤和物质使用障碍.
研究的目的:
- 探索临床医学和癌症约束的交叉点.
- 为了说明监禁如何作为健康的主要决定因素.
- 检查医生倡导和在惩戒医疗保健中的伦理考虑的作用.
主要方法:
- 基于一名医学四年级学生在费城监狱部门的临床轮换的叙事反思.
- 在高度安全的环境中,记录管理各种患者健康状况的挑战.
主要成果:
- 监禁对有效的医疗保健提供构成重大障碍.
- 医生倡导对于导航机构限制至关重要.
- 当治疗有犯罪记录的患者时,就会出现道德复杂性.
结论:
- 尽管有癌症设置的局限性,但仍有机会建立纵向患者关系.
- 人道主义护理可以减轻患者的不信任,促进健康公平.
- 协调监护和医疗目标的策略对于改善惩戒机构的健康结果至关重要.
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