Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA.
Department of Medicine, Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.
J Correct Health Care. 2021 Dec;27(4):265-271. doi: 10.1089/jchc.20.04.0018. Epub 2021 Nov 1.
Despite high prevalence of infectious diseases and substance use disorders in jails, there are limited guidelines for the nursing intake process in this setting. We performed a content analysis of nursing intake forms used at each of the 14 Massachusetts county jails, focusing on infectious disease and substance use disorder. Only 85% of jails offered HIV testing during nursing intake and 50% of jails offered hepatitis C testing. Preventive interventions such as vaccines or pre-exposure prophylaxis therapy were infrequently offered during nursing intake. Screening for substance use disorder was present on the majority of intake forms, but only 23% of intake forms inquired about ongoing medication-assisted treatment for opioid use disorder. The results reflect heterogeneity in nursing intake forms, highlighting missed opportunities for public health interventions.
尽管监狱中传染病和药物使用障碍的患病率很高，但针对这一环境下的护理入院流程，目前仅有有限的指导准则。我们对马萨诸塞州 14 个县监狱使用的护理入院表格进行了内容分析，重点关注传染病和药物使用障碍。只有 85%的监狱在护理入院时提供 HIV 检测，50%的监狱提供丙型肝炎检测。在护理入院时，很少提供预防性干预措施，如疫苗或暴露前预防治疗。大多数入院表格都有药物使用障碍的筛查，但只有 23%的入院表格询问是否正在接受阿片类药物使用障碍的药物辅助治疗。研究结果反映了护理入院表格的多样性，突出了错失公共卫生干预的机会。
