Lincoln Thomas, Kennedy Sofia, Tuthill Robert, Roberts Cheryl, Conklin Thomas J, Hammett Theodore M
Baystate Medical Center, Springfield, MA 01199, USA.
J Ambul Care Manage. 2006 Jan-Mar;29(1):2-16. doi: 10.1097/00004479-200601000-00002.
A cooperative, community-oriented "public health model of correctional healthcare" was developed to address the needs of persons temporarily displaced into jail from the community, and to improve the health and safety of the community. It emphasizes 5 key elements: early detection, effective treatment, education, prevention, and continuity of care. In the program, physicians and case managers are "dually based"-they work both at the jail and at community healthcare centers. This, together with discharge planning, promotes continuity of care for inmates with serious and chronic medical conditions. This report characterizes the health status and healthcare in this group, and identifies facilitators and barriers to engagement in primary medical and mental health care after release from jail.
一种合作性的、以社区为导向的“惩教医疗公共卫生模式”得以发展，以满足那些从社区临时被转移至监狱的人员的需求，并改善社区的健康与安全状况。该模式强调五个关键要素：早期检测、有效治疗、教育、预防以及连续护理。在该项目中，医生和病例管理员“双基地工作”——他们既在监狱工作，也在社区医疗中心工作。这一点与出院计划相结合，促进了对患有严重和慢性疾病的囚犯的连续护理。本报告描述了该群体的健康状况和医疗保健情况，并确定了他们出狱后参与初级医疗和心理健康护理的促进因素和障碍。
