School of Health and Social Sciences, Middlesex University, London, UK.
Palliat Med. 2012 Dec;26(8):969-78. doi: 10.1177/0269216311424219. Epub 2011 Oct 12.
models of care based on the hospice model have delivered effective support to dying people since their inception. Over the last 20 years this form of care has also been introduced into the prison system (mainly in the United States) to afford terminally ill inmates the right to die with dignity.
the aim of this review is to examine the evidence from the United States and the United Kingdom on the promotion of palliative care in the prison sector, summarizing examples of good practice and identifying barriers for the provision of end-of-life care within the prison environment both in the USA and UK.
an integrative review design was adopted using the Green et al. model incorporating theoretical and scientific lines of enquiry.
literature was sourced from six electronic databases between the years 2000 and 2011; the search rendered both qualitative and quantitative papers, discussion papers, 'grey literature' and other review articles.
the results highlight a number of issues surrounding the implementation of palliative care services within the prison setting and emphasize the disparity between the USA model of care (which emphasizes the in-prison hospice) and the UK model of care (which emphasizes palliative care in-reach) for dying prisoners.
the provision of palliative care for the increasing prison population remains under-researched globally, with a notable lack of evidence from the United Kingdom.
自 Hospice 模式诞生以来，以 Hospice 模式为基础的护理模式为临终患者提供了有效的支持。在过去的 20 年中，这种护理形式也被引入监狱系统（主要在美国），以使绝症囚犯有权有尊严地死去。
本综述的目的是考察美国和英国在监狱部门推广姑息治疗的证据，总结姑息治疗的良好实践范例，并确定在美国和英国的监狱环境中提供临终关怀的障碍。
采用 Green 等人的综合审查设计，纳入理论和科学研究线索。
文献来源于 2000 年至 2011 年的六个电子数据库；搜索结果包括定性和定量论文、讨论文件、“灰色文献”和其他综述文章。
结果突出了在监狱环境中实施姑息治疗服务所面临的一些问题，并强调了美国护理模式（强调监狱内的临终关怀）与英国护理模式（强调临终关怀的内展）之间的差异。
为不断增加的囚犯人口提供姑息治疗在全球范围内仍未得到充分研究，英国的证据明显不足。
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