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The need to improve health care in prisons.

Fernandes LH, Alvarenga CW, Santos LL, Pazin Filho A - Rev Saude Publica (2014)

Bottom Line: With respect to the teams, it was observed that a large majority were in conditions close to those proposed by the Bipartite Commission 2013 but without improvement being reflected in the indicators.With respect to the process, more than 60.0% of prisons located in small towns do not have the structural conditions to ensure secondary or tertiary health care for the continuity of treatment.This profile of prisons in the country can be used for planning and monitoring future actions for the continuous improvement of healthcare processes.

View Article: PubMed Central - PubMed

Affiliation: Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

ABSTRACT

Objective: To analyze physical structure, working conditions of health professionals and outline of the procedures established in prisons.

Methods: We analyzed 34 provisional detention centers and 69 male and six female prison units in the state of Sao Paulo, Southeastern Brazil, in 2009. A self-applied instrument was developed to collect quantitative data on the characteristics of health care structure, equipment and personnel in prisons. Analysis of variance (ANOVA) or equivalent non-parametric tests and Chi-square or Fisher's tests were used to compare categorical and continuous variables, respectively, between the groups.

Results: The main problems were delays in the results of laboratory tests and imaging. With respect to the teams, it was observed that a large majority were in conditions close to those proposed by the Bipartite Commission 2013 but without improvement being reflected in the indicators. With respect to the process, more than 60.0% of prisons located in small towns do not have the structural conditions to ensure secondary or tertiary health care for the continuity of treatment.

Conclusions: This profile of prisons in the country can be used for planning and monitoring future actions for the continuous improvement of healthcare processes.

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Related in: MedlinePlus

(A) Map of the distribution of the prison population in prison units in thestate of Sao Paulo. (B) Map of the area covered by the XIII Health CareDepartment of the state of Sao Paulo, municipalities of Ribeirao Preto andSerra Azul (Micro administrative region of Ribeirao Preto) (B). I highlightsthe absolute number of inmates; II shows proportional distribution inrelation to the population of the municipality.
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f01: (A) Map of the distribution of the prison population in prison units in thestate of Sao Paulo. (B) Map of the area covered by the XIII Health CareDepartment of the state of Sao Paulo, municipalities of Ribeirao Preto andSerra Azul (Micro administrative region of Ribeirao Preto) (B). I highlightsthe absolute number of inmates; II shows proportional distribution inrelation to the population of the municipality.

Mentions: Regarding complementary tests, all interviewees reported that laboratory tests werecollected in the unit itself and that there was a delay in receiving results. Withregards to imaging tests, the more complex the test, the more difficult it is tohave it done (9.0% regarding radiography and 71.0% in cases of tomography) and thereis also a delay in obtaining results. Available medication are provided through theDose Certab program, but around 60.0% ofunits reported a lack of medication, principally anti-inflammatories andbenzodiazepines. Table 1 shows thecharacteristics of the health care professionals involved in providing care. Table 2 shows the prevalence of detainees’health care needs and eventual capacity to meet these needs. In Table 3 can be found the interconnection ofinternal conditions of care with the SUS hierarchy. The Figure illustrates the prison population in the state of SaoPaulo according to municipality, both in absolute values and relative to thepopulation of the municipality housing it.


The need to improve health care in prisons.

Fernandes LH, Alvarenga CW, Santos LL, Pazin Filho A - Rev Saude Publica (2014)

(A) Map of the distribution of the prison population in prison units in thestate of Sao Paulo. (B) Map of the area covered by the XIII Health CareDepartment of the state of Sao Paulo, municipalities of Ribeirao Preto andSerra Azul (Micro administrative region of Ribeirao Preto) (B). I highlightsthe absolute number of inmates; II shows proportional distribution inrelation to the population of the municipality.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4206137&req=5

f01: (A) Map of the distribution of the prison population in prison units in thestate of Sao Paulo. (B) Map of the area covered by the XIII Health CareDepartment of the state of Sao Paulo, municipalities of Ribeirao Preto andSerra Azul (Micro administrative region of Ribeirao Preto) (B). I highlightsthe absolute number of inmates; II shows proportional distribution inrelation to the population of the municipality.
Mentions: Regarding complementary tests, all interviewees reported that laboratory tests werecollected in the unit itself and that there was a delay in receiving results. Withregards to imaging tests, the more complex the test, the more difficult it is tohave it done (9.0% regarding radiography and 71.0% in cases of tomography) and thereis also a delay in obtaining results. Available medication are provided through theDose Certab program, but around 60.0% ofunits reported a lack of medication, principally anti-inflammatories andbenzodiazepines. Table 1 shows thecharacteristics of the health care professionals involved in providing care. Table 2 shows the prevalence of detainees’health care needs and eventual capacity to meet these needs. In Table 3 can be found the interconnection ofinternal conditions of care with the SUS hierarchy. The Figure illustrates the prison population in the state of SaoPaulo according to municipality, both in absolute values and relative to thepopulation of the municipality housing it.

Bottom Line: With respect to the teams, it was observed that a large majority were in conditions close to those proposed by the Bipartite Commission 2013 but without improvement being reflected in the indicators.With respect to the process, more than 60.0% of prisons located in small towns do not have the structural conditions to ensure secondary or tertiary health care for the continuity of treatment.This profile of prisons in the country can be used for planning and monitoring future actions for the continuous improvement of healthcare processes.

View Article: PubMed Central - PubMed

Affiliation: Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

ABSTRACT

Objective: To analyze physical structure, working conditions of health professionals and outline of the procedures established in prisons.

Methods: We analyzed 34 provisional detention centers and 69 male and six female prison units in the state of Sao Paulo, Southeastern Brazil, in 2009. A self-applied instrument was developed to collect quantitative data on the characteristics of health care structure, equipment and personnel in prisons. Analysis of variance (ANOVA) or equivalent non-parametric tests and Chi-square or Fisher's tests were used to compare categorical and continuous variables, respectively, between the groups.

Results: The main problems were delays in the results of laboratory tests and imaging. With respect to the teams, it was observed that a large majority were in conditions close to those proposed by the Bipartite Commission 2013 but without improvement being reflected in the indicators. With respect to the process, more than 60.0% of prisons located in small towns do not have the structural conditions to ensure secondary or tertiary health care for the continuity of treatment.

Conclusions: This profile of prisons in the country can be used for planning and monitoring future actions for the continuous improvement of healthcare processes.

Show MeSH
Related in: MedlinePlus