2021
DOI: 10.1001/jama.2021.0263 View full text |Buy / Rent full text
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Abstract: More than 2 million adults are incarcerated in the United States and therefore receive their health care from correctional health systems. Coronavirus disease 2019 (COVID-19) is the latest signal of massive deficiencies in correctional health infrastructure; as of June 2020, the COVID-19 case rate for people in prisons was more than 5 times higher than that for the general US population (3251 vs 587 per 100 000 people). 1 This higher risk adds to the burden of racial disparities in the nation because People of… Show more

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“…4 There is no governmental accreditation for detention facilities as there is among hospitals and other health systems. 5 There are no enforced standards of care applied to jails and prisons nationally. Whereas patient satisfaction surveys, Joint Commission audits, and patient services departments are ubiquitous in the health-care system outside of jails and prisons, similar policy initiatives are absent in carceral health settings.…”
Section: What Are the Greatest Health Challenges Facing People Who Are Incarcerated? We Need To Ask Themmentioning
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“…4 There is no governmental accreditation for detention facilities as there is among hospitals and other health systems. 5 There are no enforced standards of care applied to jails and prisons nationally. Whereas patient satisfaction surveys, Joint Commission audits, and patient services departments are ubiquitous in the health-care system outside of jails and prisons, similar policy initiatives are absent in carceral health settings.…”
Section: What Are the Greatest Health Challenges Facing People Who Are Incarcerated? We Need To Ask Themmentioning
“…Congressional investigations have recently highlighted these concerns. 5 In an attempt to address misaligned profit-based incentives, one of the first executive orders issued by President Biden was to eliminate federal contracts with privately operated detention facilities. Focusing on patients over profits could have a dramatic effect on not just incarcerated patients, but also on the neighbouring communities to which they return, as 95% of incarcerated people are ultimately released.…”
Section: What Are the Greatest Health Challenges Facing People Who Are Incarcerated? We Need To Ask Themmentioning