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监狱中的 COVID-19:州医疗保健合同与狱中疫情。

COVID-19 in Prisons: State Health Care Contracting and the Pandemic Behind Bars.

机构信息

School of Criminal Justice and Criminology, University of Arkansas at Little Rock, Little Rock, Arkansas, USA.

Department of Criminology and Justice Studies, California State University - Northridge, Northridge, California, USA.

出版信息

J Correct Health Care. 2022 Jun;28(3):164-171. doi: 10.1089/jchc.20.11.0101. Epub 2022 Apr 18.

DOI:10.1089/jchc.20.11.0101
PMID:35442803
Abstract

The COVID-19 pandemic has had far-reaching consequences, resulting in millions of infections and deaths worldwide. Given the vast impact of the virus and how it has highlighted health care access/treatment concerns within the general public, this study examined how these issues specifically impacted COVID-19 cases and deaths among incarcerated individuals. In particular, we examined how the method of medical care delivery (i.e., provided by correctional versus contracted practitioners) impacted the reported rates of COVID-19 cases/deaths within correctional institutions. Findings indicated that COVID-19 diagnosis and mortality rates were significantly lower in states where at least some health care for incarcerated individuals was directly provided by correctional employees. We offer various explanations for these findings while also highlighting potential key reporting differences between these two forms of correctional health care delivery.

摘要

新冠疫情大流行造成了深远的影响,导致了全世界数百万人感染和死亡。鉴于该病毒的巨大影响,以及它如何突出了公众对医疗保健获取/治疗的关注,本研究探讨了这些问题是如何具体影响被监禁者的新冠病例和死亡。具体而言,我们研究了医疗保健提供方式(即由惩教人员提供还是由签约医生提供)如何影响监狱中新冠病例/死亡的报告率。研究结果表明,至少有一些囚犯医疗保健是由惩教员工直接提供的州,新冠诊断和死亡率明显更低。我们对这些发现提出了各种解释,同时还强调了这两种形式的惩教医疗保健提供之间可能存在的关键报告差异。

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