■老龄化的监狱人口具有复杂的健康需求,加上惩罚性的量刑做法,这意味着对被监禁者的姑息治疗越来越重要。然而,关于高收入国家护理模式的证据有限,以及它们相关的挑战和好处。
■为了开发一种针对被监禁者的姑息治疗提供模式的类型学,综合其结果的证据,并描述在监狱中提供姑息治疗和临终关怀的不同模式的促进者和挑战。
■Arksey和O\'Malley之后的范围审查,叙事综合。该方案进行了前瞻性注册(reviewregistry1260)。
■MEDLINE,EMBASE,CINAHL,PsycINFO,2023年3月15日检索了社会科学引文索引和灰色文献。采用混合方法评价工具(MMAT)进行质量评价。
■共筛选了16,865条记录;22篇同行评审文章和18篇灰色文献来源符合纳入标准。确定了三个模型:嵌入式临终关怀,外包护理和社区合作。嵌入式临终关怀模型显示了对患者和监狱的潜在好处。外包护理可能会错过全面护理的机会。协作护理依赖于积极的监狱与社区关系,这种关系可以正式化以改善。在监狱中死亡的人及其照料者的心理社会和丧亲需求缺乏足够的文件。
■需要进一步的研究来评估监狱临终关怀的成本,并检查监狱临终关怀如何影响富有同情心的释放使用。超越美国,政策可能会使护理途径正式化,并认识到最佳做法。需要进一步调查,以解决监狱中患有限制生命的疾病和死后丧亲支持的人的社会心理需求。
UNASSIGNED: An ageing prison population with complex health needs combined with punitive sentencing practices means palliative care for incarcerated individuals is increasingly important. However, there is limited evidence regarding the models of care delivery in high-income countries, and their associated challenges and benefits.
UNASSIGNED: To develop a typology of models of palliative care provision for incarcerated individuals, synthesise evidence of their outcomes and describe facilitators of and challenges in delivering different models of palliative and end-of-life care in prisons.
UNASSIGNED: Scoping
review following Arksey and O\'Malley, with narrative synthesis. The protocol was registered prospectively (reviewregistry1260).
UNASSIGNED: MEDLINE, EMBASE, CINAHL, PsycINFO, the Social Sciences Citation Index and grey literature were searched on 15th March 2023. The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal.
UNASSIGNED: A total of 16,865 records were screened; 22 peer-reviewed articles and 18 grey literature sources met the inclusion criteria. Three models were identified: Embedded
Hospice, Outsourcing Care and Community Collaboration. The Embedded
Hospice model shows potential benefits for patients and prisons. Outsourcing Care may miss opportunities for comprehensive care. Collaborative Care relies on proactive prison-community relationships that could be formalised for improvement. Psychosocial and bereavement needs of those dying in prison and their caregivers lack sufficient documentation.
UNASSIGNED: Further research is needed to evaluate prison
hospice costs and examine how prison hospices impact compassionate release usage. Beyond the USA, policies might formalise care pathways and recognise best practices. Further investigation to address psychosocial needs of people in prison with life-limiting illnesses and post-death bereavement support is required.