Hdl Handle:
http://hdl.handle.net/10147/225351
Title:
Primary medical care in Irish prisons
Authors:
Barry, Joe M; Darker, Catherine D; Thomas, David E; Allwright, Shane PA; O'Dowd, Tom
Citation:
BMC Health Services Research. 2010 Mar 22;10(1):74
Issue Date:
22-Mar-2010
URI:
http://dx.doi.org/10.1186/1472-6963-10-74; http://hdl.handle.net/10147/225351
Abstract:
Abstract Background An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT) inspected the medical facilities, equipment and relevant custodial areas in eleven of the fourteen prisons within the IPS. Semistructured interviews took place with personnel who had operational responsibility for delivery of prison medical care. Prison doctors completed a questionnaire to elicit issues such as allocation of clinician's time, nurse and administrative support and resources available. Results There was wide variation in the standard of medical facilities and infrastructure provided across the IPS. The range of medical equipment available was generally below that of the equivalent general practice scheme in the community. There is inequality within the system with regard to the ratio of doctor-contracted time relative to the size of the prison population. There is limited administrative support, with the majority of prisons not having a medical secretary. There are few psychiatric or counselling sessions available. Conclusions People in prison have a wide range of medical care needs and there is evidence to suggest that these needs are being met inconsistently in Irish prisons.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorBarry, Joe M-
dc.contributor.authorDarker, Catherine D-
dc.contributor.authorThomas, David E-
dc.contributor.authorAllwright, Shane PA-
dc.contributor.authorO'Dowd, Tom-
dc.date.accessioned2012-05-22T15:46:21Z-
dc.date.available2012-05-22T15:46:21Z-
dc.date.issued2010-03-22-
dc.identifier.citationBMC Health Services Research. 2010 Mar 22;10(1):74-
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6963-10-74-
dc.identifier.urihttp://hdl.handle.net/10147/225351-
dc.description.abstractAbstract Background An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT) inspected the medical facilities, equipment and relevant custodial areas in eleven of the fourteen prisons within the IPS. Semistructured interviews took place with personnel who had operational responsibility for delivery of prison medical care. Prison doctors completed a questionnaire to elicit issues such as allocation of clinician's time, nurse and administrative support and resources available. Results There was wide variation in the standard of medical facilities and infrastructure provided across the IPS. The range of medical equipment available was generally below that of the equivalent general practice scheme in the community. There is inequality within the system with regard to the ratio of doctor-contracted time relative to the size of the prison population. There is limited administrative support, with the majority of prisons not having a medical secretary. There are few psychiatric or counselling sessions available. Conclusions People in prison have a wide range of medical care needs and there is evidence to suggest that these needs are being met inconsistently in Irish prisons.-
dc.titlePrimary medical care in Irish prisons-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderBarry et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2012-05-22T15:03:17Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.