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监狱中的健康:意大利的监狱医学是否依然存在?

Health in Prison: Does Penitentiary Medicine in Italy Still Exist?

作者信息

Bolcato Matteo, Fiore Vito, Casella Filomena, Babudieri Sergio, Lucania Luciano, Di Mizio Giulio

机构信息

Legal Medicine, University of Padua, Via G. Falloppio 50, 35121 Padua, Italy.

Department of Medical, Surgical and Experimental Sciences, Infectious and Tropical Diseases Clinic, University of Sassari, 07100 Sassari, Italy.

出版信息

Healthcare (Basel). 2021 Nov 5;9(11):1511. doi: 10.3390/healthcare9111511.

Abstract

Despite the detailed legislative developments that have occurred within the context of prison medicine in Italy, problems of a management nature continue to affect prisoner health and management, which in turn impact the prison system's ability to offer prisoners a real opportunity for rehabilitation. Certain behavioral aspects reported in prisons may alter and negatively impact the normal doctor-patient relationship, including elements that hinder the therapeutic alliance and impede proper clinical risk prevention and management. However, practical steps may be taken in connection with the analysis of flows and healthcare services that may enable prison administrations to bring about a true, modern restructure of the prison system.

摘要

尽管意大利监狱医疗领域已出现了详尽的立法进展,但管理性质的问题仍持续影响着囚犯的健康与管理,进而影响监狱系统为囚犯提供真正改造机会的能力。监狱中报告的某些行为方面可能会改变并对正常的医患关系产生负面影响,包括阻碍治疗联盟以及妨碍适当的临床风险预防与管理的因素。然而,可结合对流程和医疗服务的分析采取切实措施,这或许能使监狱管理部门对监狱系统进行真正的现代化重组。

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