Rich Josiah D, Chandler Redonna, Williams Brie A, Dumont Dora, Wang Emily A, Taxman Faye S, Allen Scott A, Clarke Jennifer G, Greifinger Robert B, Wildeman Christopher, Osher Fred C, Rosenberg Steven, Haney Craig, Mauer Marc, Western Bruce
Health Aff (Millwood). 2014 Mar;33(3):462-7. doi: 10.1377/hlthaff.2013.1133.
Provisions of the Affordable Care Act offer new opportunities to apply a public health and medical perspective to the complex relationship between involvement in the criminal justice system and the existence of fundamental health disparities. Incarceration can cause harm to individual and community health, but prisons and jails also hold enormous potential to play an active and beneficial role in the health care system and, ultimately, to improving health. Traditionally, incarcerated populations have been incorrectly viewed as isolated and self-contained communities with only peripheral importance to the public health at large. This misconception has resulted in missed opportunities to positively affect the health of both the individuals and the imprisoned community as a whole and potentially to mitigate risk behaviors that may contribute to incarceration. Both community and correctional health care professionals can capitalize on these opportunities by working together to advocate for the health of the criminal justice-involved population and their communities. We present a set of recommendations for the improvement of both correctional health care, such as improving systems of external oversight and quality management, and access to community-based care, including establishing strategies for postrelease care and medical record transfers.
《平价医疗法案》的条款为从公共卫生和医学角度审视参与刑事司法系统与存在基本健康差距之间的复杂关系提供了新机会。监禁会对个人和社区健康造成损害，但监狱在医疗保健系统中也具有发挥积极有益作用并最终改善健康状况的巨大潜力。传统上，被监禁人群一直被错误地视为孤立且自成一体的社区，对整体公共卫生仅有边缘性重要性。这种误解导致错失了积极影响个人和整个被监禁社区健康以及潜在减轻可能导致监禁的风险行为的机会。社区和惩教医疗保健专业人员可以通过共同努力倡导涉及刑事司法人群及其社区的健康来利用这些机会。我们提出了一系列建议，以改善惩教医疗保健，如改进外部监督和质量管理体系，以及改善获得社区护理的机会，包括制定出狱后护理和病历转移策略。
