Thorburn K M
Department of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, USA.
West J Med. 1995 Dec;163(6):560-4.
More than 1.3 million adults are in correctional facilities, including jails and federal and state prisons, in the United States. Health care of the inmates is an integral component of correctional management. Health services in correctional facilities underwent dramatic improvements during the 1970s. Public policy trends beginning in the early 1980s substantially affected the demographics and health status of jail and prison populations and threatened earlier gains in the health care of inmates. Correctional health services are seldom considered in discussions about health policy and health care reform.
在美国,超过130万成年人被关押在惩教机构中,包括监狱以及联邦和州立监狱。囚犯的医疗保健是惩教管理的一个重要组成部分。惩教机构的医疗服务在20世纪70年代有了显著改善。始于20世纪80年代初的公共政策趋势极大地影响了监狱人口的人口统计学特征和健康状况,并威胁到了囚犯医疗保健方面早期取得的成果。在关于卫生政策和医疗改革的讨论中,很少会考虑惩教卫生服务。