Heterogeneity in Jail Nursing Medical Intake Forms: A Content Analysis.

Heterogeneity in Jail Nursing Medical Intake Forms: A Content Analysis.
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DOI:
10.1089/jchc.20.04.0018
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发表时间:
2021-12
期刊:
Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
影响因子:
--
通讯作者:
Nowotny KM
Nowotny KM
中科院分区:
其他
文献类型:
--
作者:
Wurcel AG;Chen G;Zubiago JA;Reyes J;Nowotny KM

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尽管监狱中传染病和药物使用障碍的发病率很高,但在这种情况下,护理吸收过程的指导方针有限。我们对马萨诸塞州14个县监狱中使用的护理摄入表格进行了内容分析,重点是传染病和物质使用障碍。只有85%的监狱在接受护理期间提供艾滋病毒检测,50%的监狱提供丙型肝炎检测。预防性干预措施,如疫苗或暴露前预防治疗,很少在护理摄入期间提供。大多数摄入表格都有物质使用障碍筛查,但只有23%的摄入表格询问了阿片类药物使用障碍的持续药物辅助治疗。结果反映了护理摄入形式的异质性,突出了公共卫生干预措施的错失机会。
Despite high prevalence of infectious diseases and substance use disorders in jails, there are limited guidelines for the nursing intake process in this setting. We performed a content analysis of nursing intake forms used at each of the 14 Massachusetts county jails, focusing on infectious disease and substance use disorder. Only 85% of jails offered HIV testing during nursing intake and 50% of jails offered hepatitis C testing. Preventive interventions such as vaccines or pre-exposure prophylaxis therapy were infrequently offered during nursing intake. Screening for substance use disorder was present on the majority of intake forms, but only 23% of intake forms inquired about ongoing medication-assisted treatment for opioid use disorder. The results reflect heterogeneity in nursing intake forms, highlighting missed opportunities for public health interventions.
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