Accessibility of prison healthcare for elderly inmates, a qualitative assessment.

Details

Serval ID
serval:BIB_841A36D9BA1C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Accessibility of prison healthcare for elderly inmates, a qualitative assessment.
Journal
Journal of forensic and legal medicine
Author(s)
Heidari R., Wangmo T., Galli S., Shaw D.M., Elger B.S.
Working group(s)
Agequake group
Contributor(s)
Handtkea V., Bretschneider W.
ISSN
1878-7487 (Electronic)
ISSN-L
1752-928X
Publication state
Published
Issued date
11/2017
Peer-reviewed
Oui
Volume
52
Pages
223-228
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Aging in custody and the rising population of elderly prisoners are creating compelling challenges for criminal justice, prison and public healthcare systems. Geriatric syndrome and higher prevalence of co-morbidities amongst older inmates result in heightened vulnerability in prison environments. Empirical research addressing older adults' access to medical care in detention is scarce; therefore, this study assessed access to medical care in prison from the perspective of older prisoners in Switzerland. We interviewed a sample of 35 older inmates (average age 61 years) on their experience of healthcare accessibility in prison; data were qualitatively analysed and major themes regarding evaluation of their access to medical services were extracted. Our findings identified three barriers to accessing health services in prison including psychological obstacles, negative consequences of healthcare utilization, and environmental hurdles. We advocate facilitating older inmates' access to medical care in order to relieve the psychological burden of seeking health services in detention and adequately informing them of their right to demand these services, thereby lessening the negative consequences of their requests. We suggest further training of prison and medical staff for better management of age-related issues in prison can ease the environmental obstacles.

Keywords
Aged, Facility Design and Construction, Female, Health Services Accessibility, Health Services Needs and Demand, Humans, Interviews as Topic, Male, Medication Adherence, Middle Aged, Patient Isolation, Prisoners/psychology, Prisons, Sick Leave, Switzerland, Elderly inmates, Environmental barriers, Medical ethics, Medical services, Psychological barriers
Pubmed
Web of science
Create date
09/01/2018 16:50
Last modification date
03/03/2018 18:54
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