Katherine E. McLeod and Ruth Elwood Martin are with the School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada. Amanda Butler is with the Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada. Jesse T. Young, Louise Southalan, Rohan Borschmann, and Stuart A. Kinner are with the Justice Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Sunita Sturup-Toft is with Public Health England, London, UK Anja Dirkzwager is with the Netherlands Institute for the Study of Crime and Law Enforcement, Amsterdam, the Netherlands. Kate Dolan is with the National Drug and Alcohol Research Centre, University of New South Wales, Sydney, New South Wales, Australia. Lawrence Kofi Acheampong is with the Ghana Prisons Service, Nsawam, Ghana. Stephanie M. Topp is with the College of Public Health Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
Am J Public Health. 2020 Mar;110(3):303-308. doi: 10.2105/AJPH.2019.305465. Epub 2020 Jan 16.
The large and growing population of people who experience incarceration makes prison health an essential component of public health and a critical setting for reducing health inequities. People who experience incarceration have a high burden of physical and mental health care needs and have poor health outcomes. Addressing these health disparities requires effective governance and accountability for prison health care services, including delivery of quality care in custody and effective integration with community health services.Despite the importance of prison health care governance, little is known about how prison health services are structured and funded or the methods and processes by which they are held accountable. A number of national and subnational jurisdictions have moved prison health care services under their ministry of health, in alignment with recommendations by the World Health Organization and the United Nations Office on Drugs and Crime. However, there is a critical lack of evidence on current governance models and an urgent need for evaluation and research, particularly in low- and middle-income countries.Here we discuss why understanding and implementing effective prison health governance models is a critical component of addressing health inequities at the global level.
经历监禁的人数众多且不断增长，这使得监狱健康成为公共卫生的一个重要组成部分，也是减少健康不平等的关键场所。经历监禁的人有沉重的身心健康保健需求负担，健康状况不佳。要解决这些健康差距，需要对监狱保健服务进行有效的治理和问责，包括在监禁期间提供优质护理，以及与社区保健服务有效整合。尽管监狱保健治理非常重要，但对于监狱卫生服务的结构和资金来源，或对其问责的方法和流程，人们知之甚少。一些国家和次国家管辖区已根据世界卫生组织和联合国毒品和犯罪问题办公室的建议，将监狱保健服务纳入卫生部，然而，目前的治理模式缺乏重要证据，迫切需要评估和研究，特别是在中低收入国家。在这里，我们讨论为什么理解和实施有效的监狱健康治理模式是解决全球层面健康不平等问题的一个关键组成部分。
