Research Unit, Justice Health and Forensic Mental Health Network, Matraville, Australia and School of Public Health, The University of Sydney, Sydney, Australia.
Research Unit, Justice Health and Forensic Mental Health Network, Matraville, Australia.
Int J Prison Health. 2020 May 25;16(3):249-262. doi: 10.1108/IJPH-11-2019-0062.
Patient-centred care is a key approach used in Australia for the delivery of quality health care, and understanding experiences and perceptions is a key part to this. This paper aims to explore prisoners' experiences and perceptions of health-care service provision in New South Wales, Australia.
DESIGN/METHODOLOGY/APPROACH: In February and March 2017, 24 focus groups, consisting of 128 participants, were undertaken using semi-structured interviews that explored experiences of health care in prison.
A conceptualisation of the prisoners' health-care experience around the core category of access to health care emerged from the data. Enablers or barriers to this access were driven by three categories: a prison construct - how the prisoners "see" the prison system influencing access to health care; a health-care system construct - how the prisoners "see" the prison health-care system and the pathways to navigate it; and personal factors. Communication was the category with the greatest number of relational connections.
RESEARCH LIMITATIONS/IMPLICATIONS: This study takes a pragmatic approach to the analysis of data, the findings forming the basis for a future quantitative study. The findings identify communication as a key issue for access to health care.
ORIGINALITY/VALUE: This study provides first-hand accounts of enablers and barriers to accessing health-care services in the prison environment. To the best of the authors' knowledge, this study is the first of its kind to identify access to health care as a core category and is of value to health workers and researchers that work with the prison population.
以患者为中心的护理是澳大利亚提供高质量医疗保健的关键方法，了解患者的体验和看法是其中的关键部分。本文旨在探讨澳大利亚新南威尔士州囚犯对医疗服务提供的体验和看法。
设计/方法/途径：2017 年 2 月至 3 月，进行了 24 次焦点小组讨论，共 128 名参与者参加，采用半结构化访谈，探讨了监狱中的医疗保健体验。
从数据中得出了囚犯医疗保健体验的核心类别，即获得医疗保健的机会。这些机会的促进因素或障碍由三个类别驱动：监狱结构-囚犯如何“看待”监狱系统影响获得医疗保健的机会；医疗保健系统结构-囚犯如何“看待”监狱医疗保健系统和导航途径；以及个人因素。沟通是具有最多关系连接的类别。
研究局限性/影响：本研究对数据进行了实用主义分析，研究结果为未来的定量研究奠定了基础。研究结果确定沟通是获得医疗保健的关键问题。
原创性/价值：本研究提供了在监狱环境中获得医疗保健服务的促进因素和障碍的第一手资料。据作者所知，这是首例确定获得医疗保健为核心类别的研究，对与监狱人口合作的卫生工作者和研究人员具有价值。
