A Primer on Carceral Health for Clinicians: Care Delivery, Regulatory Oversight, Legal and Ethical Considerations, and Clinician Responsibilities.

IF 6.9 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Mayo Clinic proceedings Pub Date : 2025-01-11 DOI:10.1016/j.mayocp.2024.09.009

Nicholas V Nguyen, Kirsten A Riggan, Gabriel B Eber, Brie A Williams, Erin S DeMartino

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引用次数: 0

Abstract

The United States has one of the highest incarceration rates in the world, with approximately 1.7 million individuals detained in jails or federal or state prisons. Chronic medical conditions are more prevalent among adults in custody than among their nonincarcerated counterparts, resulting in needs that often surpass the on-site medical treatment capabilities of carceral facilities. For this reason, many community-based health care professionals will encounter incarcerated patients in an ambulatory or inpatient setting. Yet, although carceral status engenders pragmatic and ethical complexities in patient care, health care professionals in academic and community settings receive little or no education about correctional health. This special article seeks to address this knowledge gap by providing demographic and patient characteristics of this population, describing health care delivery in the criminal legal system, summarizing incarcerated patients' health care rights, conveying the current state of oversight and regulation for correctional health care, and presenting the role of health care professionals in advocating for the ethical care of incarcerated patients. By equipping themselves with this knowledge, clinicians may provide holistic and ethical care for persons involved in the criminal legal system.

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临床医生的初级保健：护理服务，监管监督，法律和伦理考虑，和临床医生的责任。

美国是世界上监禁率最高的国家之一，大约有170万人被关押在监狱或联邦或州监狱。慢性疾病在被拘留的成年人中比在未被监禁的成年人中更为普遍，造成的需求往往超出了拘留设施的现场医疗能力。因此，许多以社区为基础的卫生保健专业人员会在门诊或住院环境中遇到被监禁的病人。然而，尽管拘留所的地位在病人护理方面造成了实际和道德上的复杂性，但学术和社区环境中的卫生保健专业人员很少或根本没有接受过有关拘留所健康的教育。这篇特别的文章试图通过提供这一人群的人口统计和患者特征，描述刑事法律体系中的医疗保健服务，总结监禁患者的医疗保健权利，传达目前对惩教医疗保健的监督和监管状况，并介绍医疗保健专业人员在倡导监禁患者的道德护理方面的作用，来解决这一知识差距。通过掌握这些知识，临床医生可以为参与刑事法律制度的人提供全面和合乎道德的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mayo Clinic proceedings 医学-医学：内科

CiteScore

16.80

自引率

1.10%

发文量

383

审稿时长

37 days

期刊介绍： Mayo Clinic Proceedings is a premier peer-reviewed clinical journal in general medicine. Sponsored by Mayo Clinic, it is one of the most widely read and highly cited scientific publications for physicians. Since 1926, Mayo Clinic Proceedings has continuously published articles that focus on clinical medicine and support the professional and educational needs of its readers. The journal welcomes submissions from authors worldwide and includes Nobel-prize-winning research in its content. With an Impact Factor of 8.9, Mayo Clinic Proceedings is ranked #20 out of 167 journals in the Medicine, General and Internal category, placing it in the top 12% of these journals. It invites manuscripts on clinical and laboratory medicine, health care policy and economics, medical education and ethics, and related topics.