美国的大规模监禁带来了重大的医疗保健挑战,和耳鼻咽喉科相关的需求在ceral设置被低估。公共卫生危机,例如,COVID-19大流行导致3,000多名被监禁者死亡,可以加剧差距。两种急性耳鼻咽喉科疾病,比如颅颌面外伤,即将发生的气道损害,和危及生命的感染,以及更多的慢性病,如癌症,鼻窦炎,或者耳部感染会导致生活质量受损,残疾,或可预防的死亡率。被监禁的人经历了巨大的医疗保健差距,这是由内在的个人和监狱设施因素驱动的,如资源稀缺,结构性障碍,自我宣传有限,和健康的社会决定因素,以及与社会误解有关的外在因素,医疗保健提供者对careral保健的教育不足,和不发达的护理系统。为了解决这些问题,需要一个全面的方法,结合体验式学习,偏置减少,建立信任。早期临床暴露,加强公共卫生教育,和社区外展工作有利于培养结构能力和相关技能。因此,教会健康计划可以提高认识并增强被监禁者的医疗保健。医疗保健专业人员可以扩大他们的角色,倡导公平的护理,康复优先于惩罚,并支持个人重返社会。医疗保健专业人员在耳鼻咽喉科,在满足被监禁者的需求方面发挥着关键作用,和护士在一起,医师,和联合卫生利益相关者一起工作。教育,倡导,和富有同情心的护理为维护所有个人的尊严和福祉的更公平和人道的会堂医疗保健系统提供了基础。
Mass incarceration in the United States presents major healthcare challenges, and otorhinolaryngology-related needs within carceral settings are underrecognized. Public health crises, as exemplified by the COVID-19 pandemic which led to over 3,000 deaths among incarcerated individuals, can intensify disparities. Both acute otorhinolaryngology conditions, such as craniomaxillofacial trauma, impending airway compromise, and life-threatening infection, as well as more chronic conditions such as cancer, sinusitis, or ear infections can lead to impaired quality of life, disability, or preventable mortality. Incarcerated individuals experience substantial healthcare disparities, which are driven by intrinsic individual and carceral facility factors such as resource scarcity, structural barriers, limited self-advocacy, and social determinants of health, as well as extrinsic factors related to societal misconceptions, inadequate education of healthcare providers on carceral healthcare, and underdeveloped care systems. To address these issues, a comprehensive approach is needed, incorporating experiential learning, bias reduction, and trust building. Early clinical exposure, enhanced public health education, and community outreach efforts are conducive to cultivating structural competence and relevant skills. Carceral health initiatives can thus raise awareness and enhance the healthcare of incarcerated individuals. Healthcare professionals can expand their roles to advocate for equitable care, prioritize rehabilitation over punishment, and support individuals upon reentry into society. Healthcare professionals in otorhinolaryngology, play a pivotal role in addressing the needs of incarcerated individuals, with nurses, physicians, and allied health stakeholders working together. Education, advocacy, and compassionate care provide the basis for a more equitable and humane carceral healthcare system that upholds the dignity and well-being of all individuals.