目标:-加拿大关于联邦惩教机构和监狱生活的文献表明,缺乏足够和可用的医疗保健服务来满足监狱人口的需求,尽管囚犯的健康挑战率较高(例如心理健康,上瘾,艾滋病毒/艾滋病)与普通人群相比。随着资源的减少,对交货产生担忧,数量,以及刑事医疗服务的质量。因此,作者考察了前囚犯的经历,与政府报告相比,等待时间,以及医疗保健服务的请求流程,以及访问问题,与医疗保健专业人员的互动质量以及管理医疗保健供应的法规和政策。本文旨在讨论这些问题。
方法:-作者比较了从56名前联邦囚犯的访谈中收集的数据与加拿大惩教服务局公开提供的医疗保健报告,工作人员-囚犯互动,方案和服务,以及整体身心健康,以确定政府和前囚犯对刑事医疗保健的理解之间的一致性和不一致。
结果:-囚犯报告的医疗保健提供经验和政府报告之间存在差异。囚犯对在更安全的设施中提供医疗保健不满意,或者当他们觉得他们的医疗保健需求没有得到满足,但在不那么安全的机构中或当他们的需求最终得到满足时,他们会感到更加满意。
结论:-行政控制理论框架分析,包括假释经历与加拿大惩教署报告之间的差异。强调了改善医疗保健提供的政策建议。
OBJECTIVE: - Canadian literature on federal correctional institutions and prison living indicate a shortage inadequate and available healthcare services to meet the needs of the prison population, despite prisoners higher rates of health challenges (e.g. mental health, addictions, HIV/AIDS) in comparison to the general population. With fewer resources, concerns arise about the delivery, quantity, and quality of penal healthcare provision. Thus, the authors examines former prisoners\' experiences of, in comparison to government
reports on, wait-times, and request processes for healthcare services, as well as issues of access, quality of interactions with healthcare professionals and the regulations and policies governing healthcare provision. The paper aims to discuss these issues.
METHODS: - The authors compare data gathered from interviews with 56 former-federal prisoners with publicly available Correctional Services Canada
reports on healthcare delivery, staff-prisoner interactions, programmes and services, and overall physical and mental health to identify consistencies and inconsistencies between the government\'s and former prisoners\' understandings of penal healthcare.
RESULTS: - Discrepancies exist between prisoners reported experiences of healthcare provision and government
reports. Prisoners are dissatisfied with healthcare provision in more secure facilities or when they feel their healthcare needs are not met yet become more satisfied in less secure institutions or when their needs are eventually met.
CONCLUSIONS: - Theories of administrative control frame the analyses, including discrepancies between parolee experiences and Correctional Service Canada
reports. Policy recommendations to improve healthcare provision are highlighted.