Sirdifield Coral, Brooker Charlie
Based at the School of Health and Social Care, University of Lincoln, Lincoln, UK.
Int J Prison Health. 2012;8(2):60-7. doi: 10.1108/17449201211277183.
The purpose of this paper is to assess the health needs of detainees in police custody in Northumbria, England, and to identify any gaps in, or possible improvements to, the current model of healthcare provision.
DESIGN/METHODOLOGY/APPROACH: The current model of service provision was investigated using a combination of existing literature, and interviews with key members of staff. In addition, researchers examined the custody records of a stratified random sample of 1,917 records from 2010 and 2011. Data were collected from the risk assessments completed by Custody Sergeants, and any associated records of medical assessments by Forensic Medical Examiners (FME).
Detainees experience a wide range of health problems. Delivery of healthcare in custody could be improved through increasing the skill-mix in this setting, computerising FME records and improving communication between agencies. Research limitations/implications - The police did not always record the reason why a forensic medical examiner was called out, thus this aspect of data collection was limited.
ORIGINALITY/VALUE: This health needs assessment will help to determine the way in which resources for health care in custody, currently held by the police, are reallocated once the funding transfers to the NHS in the near future.
本文旨在评估英格兰诺森比亚被警方拘留人员的健康需求，并找出当前医疗服务模式中存在的差距或可能的改进之处。
设计/方法/途径：采用现有文献与对关键工作人员进行访谈相结合的方式，对当前的服务提供模式进行调查。此外，研究人员审查了2010年和2011年1917份记录的分层随机样本的拘留记录。数据收集自拘留警长完成的风险评估以及法医（FME）的任何相关医学评估记录。
被拘留者面临各种各样的健康问题。通过增加该环境中的技能组合、将法医记录计算机化以及改善各机构之间的沟通，可以改进拘留期间的医疗服务。研究局限性/影响——警方并不总是记录呼叫法医的原因，因此这方面的数据收集有限。
原创性/价值：这项健康需求评估将有助于确定一旦资金在不久的将来转移到国民保健制度（NHS），目前由警方掌握的拘留期间医疗保健资源的重新分配方式。
