Bengoa A, Mateo-Abad M, Zulaika D, Vergara I, Arroyo-Cobo J M
Centro de Salud de Martutene C.P. Osakidetza. Donostia/San Sebastián. Guipúzcoa (España).
Unidad de Investigación AP-OSIs Gipuzkoa. Osakidetza. Instituto de Investigación Sanitaria Biodonostia. Donostia/San Sebastián. Guipúzcoa (España).
Rev Esp Sanid Penit. 2018;20(1):21-29.
In most European countries, correctional healthcare provision is under strain or in the process of change regarding its management model and the implications that such modifications may entail for the improvement of inmates' health. This paper compares the functioning and the results of health management in a facility whose healthcare service is integrated within an autonomic health system and others which depend on the department of corrections.
Cross-sectional study where the study unit is the facility itself. From the data collected from the record of Monthly Health Statistics of Penitentiary Institutions we have constructed a series of indicators according to the recommendations of the National Health System.
The physician to nurse ratio per inmate is higher in the transferred facility. Only the transferred establishment has telemedicine resources. Attendance to primary health services is higher that in all non-transferred establishments, while the mean attendance to specialized consultation in the transferred facility doubles that of the remaining centers.
We have observed greater access to specialized care in the correctional facility managed by the community health system when compared to that of the facilities managed by Penitentiary Institutions. This statement is based on a series of effectivity indicators and results that have provided significantly improved outcome in the transferred facility.
在大多数欧洲国家，惩教医疗服务在管理模式及其对改善囚犯健康可能产生的影响方面面临压力或正在发生变化。本文比较了一家医疗服务整合于自主健康系统的机构与其他依赖惩教部门的机构的健康管理运作情况及结果。
以机构本身为研究单位的横断面研究。根据国家卫生系统的建议，我们从监狱机构月度健康统计记录收集的数据中构建了一系列指标。
被转移机构中每名囚犯的医生与护士比例更高。只有被转移机构拥有远程医疗资源。初级卫生服务的就诊率高于所有未被转移的机构，而被转移机构专科会诊的平均就诊率是其他中心的两倍。
与监狱机构管理的设施相比，我们观察到社区卫生系统管理的惩教设施能提供更多的专科护理。这一说法基于一系列有效性指标和结果，这些指标和结果在被转移机构中带来了显著改善的成果。
