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  1. The quality of health care in prison : results of a year's programme of semistructured inspections.

    Article - En anglais

    Objectives 

    To assess, as part of wider inspections by HM Inspectorate of Prisons, the extent and quality of health care in prisons in England and Wales.

    Design 

    Inspections based on a set of « expectations » derived mainly from existing healthcare quality standards published by the prison service and existing ethical guidelines ; questionnaire survey of prisoners.

    Subjects 

    19 prisons in England and Wales, 1996-7.

    Main outcome measures 

    Appraisals of needs assessment and the commissioning and delivery of health care against the inspectorate's expectations.

    Results 

    The quality of health care varied greatly.

    A few prisons provided health care broadly equivalent to NHS care, but in many the health care was of low quality, some doctors were not adequately trained to do the work they faced, and some care failed to meet proper ethical standards.

    Little professional support was available to healthcare staff.

    Conclusions 

    The current policy for improving health care in prisons is not likely to achieve its objectives and is potentially wasteful.

    The prison service needs to recognise that expertise in the commissioning and delivery of health care is overwhelmingly based in the NHS.

    The current review of the provision of health care in prisons offers an opportunity to ensure that prisoners are not excluded from high quality health care.

    Mots-clés Pascal : Soin santé primaire, Milieu carcéral, Qualité, Evaluation, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Organisation santé, Homme

    Mots-clés Pascal anglais : Primary health care, Carceral environment, Quality, Evaluation, England, Great Britain, United Kingdom, Europe, Wales, Public health organization, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0033437

    Code Inist : 002B30A03B. Création : 17/04/1998.