Indépendance des soins de santé en prison: une analyse historique
- Schwabe Verlagsgruppe AG
- Publication Type:
- Journal Article
- Bioethica Forum, 2017, 10, (3/4), pp. 116-123
- Issue Date:
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Many governments shift the healthcare stewardship in prison from the prison authorities to the national health services. This work aims to draw a picture of the European situation and then identify the strengths of and obstacles to the transfer. It was conducted via PubMed and Google Scholar web search engines and Internet data from international and national organizations. Since 1963 in Europe, 15 countries and regions have transferred the stewardship. This tends to improve the resources, the quality of care, the respect of medical ethics, the equivalence with the outside, the integration with public health, as well as the experience, skills and recruitment of medical staff. These strengths catalyze the reflection about the independence of care. The reported obstacles to the transfer are a lack of knowledge about the prison environment, interprofessional conflicts, and the state of the finances due to the transfer. Despite a lack of scientific analyses, the widely adopted independence is considered useful and necessary.
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