Freeman R W, Gollub R E, Wolski M, Gschwend J A, Al-Ibrahim M S, Hawthorne P R, Fox L J, Golden A S, Kamka G, Kelly G B
Med Care. 1981 Apr;19(4):410-8. doi: 10.1097/00005650-198104000-00003.
A nonviolent protest by prisoners began a 2-year planning process leading to the implementation of contractual medical services at Baltimore City Jail. This study was conducted in order to assess the impact of contractual services on the process of men's sick call. The contractual program was associated with a decrease in utilization of men's sick call: 62.9 patient visits per day per 1,000 prisoners in 1975 versus 27.4 patient visits per day per 1,000 prisoners in 1978; an increased duration of encounter; 2.8 minutes in 1975 versus 10.9 minutes in 1978; and with changes in prescribing patterns and in categories of patients' complaints. Baltimore City Jail spent about $588 per prisoner-year during fiscal year 1977, and about $670 per prisoner-year during fiscal year 1978, the first year of contractual services. We conclude that a system of health services for a large, urban jail can allow time for humane and professional encounters between providers and patients.
囚犯发起的一场非暴力抗议开启了一个为期两年的规划进程，最终促成了巴尔的摩市监狱合同制医疗服务的实施。开展这项研究是为了评估合同制服务对男性病号问诊流程的影响。合同制项目与男性病号问诊利用率的下降有关：1975年每1000名囚犯每天有62.9人次就诊，而1978年为每1000名囚犯每天27.4人次就诊；问诊时长增加，1975年为2.8分钟，1978年为10.9分钟；并且在处方模式和患者投诉类别方面也有变化。在合同制服务的第一年即1978财年，巴尔的摩市监狱每名囚犯每年花费约670美元，而1977财年每名囚犯每年花费约588美元。我们得出结论，为大型城市监狱提供的医疗服务体系能够为医护人员与患者之间进行人道且专业的交流留出时间。
