Haesen Sophie, Rauch Sebastian, Elger Bernice, Rost Michael
Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Institute of Geography and Geology, University of Würzburg, Würzburg, Germany.
Int J Prison Health. 2021 Nov 17;17(4):533-545. doi: 10.1108/IJPH-11-2020-0096. Epub 2021 Jun 30.
According to the principle of equivalence of care, health care in prison has to be of the same standard and quality as in the general population. This study aims to determine the geographic accessibility of dialysis services for older prisoners and the older general population in Switzerland and whether accessibility and availability of dialysis care are equivalent.
DESIGN/METHODOLOGY/APPROACH: Spatial accessibility analysis incorporated four different data types: population data, administrative data, street network data and addresses of prisons and hemodialysis services.
Analysis revealed that the average travel time to the nearest dialysis service was better for prisoners (11.5 min) than for the general population (14.8 min). However, dialysis service for prisoners is hampered by the necessary lead-time in correctional settings, which, ultimately, leads to longer overall access times (36.5 min). Accordingly, the equivalence of dialysis care for older Swiss prisoners is not entirely respected for availability and accessibility.
ORIGINALITY/VALUE: The strength of the study lies in the combination of ethical principles and the highly tangible results of a spatial accessibility analysis. The ethics-driven empirical analysis provides arguments for policy-makers to review the current practices.
根据医疗服务平等原则，监狱中的医疗保健必须与普通人群的医疗保健具有相同的标准和质量。本研究旨在确定瑞士老年囚犯和老年普通人群获得透析服务的地理可达性，以及透析护理的可达性和可及性是否等同。
设计/方法/途径：空间可达性分析纳入了四种不同的数据类型：人口数据、行政数据、街道网络数据以及监狱和血液透析服务机构的地址。
分析表明，囚犯前往最近透析服务机构的平均出行时间（11.5分钟）比普通人群（14.8分钟）更短。然而，惩教机构所需的准备时间阻碍了囚犯获得透析服务，最终导致总体就诊时间更长（36.5分钟）。因此，瑞士老年囚犯透析护理的可及性和可达性在一定程度上并未完全得到保障。
原创性/价值：本研究的优势在于将伦理原则与空间可达性分析的高度具体结果相结合。这种由伦理驱动的实证分析为政策制定者审视当前做法提供了依据。
