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November 18, 1992

Prison Health Care: Guidelines for the Management of an Adequate Delivery System

Author Affiliations

Seattle, Wash

JAMA. 1992;268(19):2713-2714. doi:10.1001/jama.1992.03490190117045

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This very useful text is much, much more than the title suggests. It is the first comprehensive reference book on correctional health care. Prison Health Care traces in fascinating detail the historical, legal, and ethical issues that characterize the field of correctional health care, illuminating the inherent conflicts between custody functions and health professional functions. Questions of confidentiality, informed consent, advance directives, and the participation of inmates in biomedical research have an added dimension in correctional health care.

B. Jaye Anno, PhD, presents potential models for the organization of correctional health facilities, with detailed descriptions of organizational structure and function, architectural considerations, budget development, and fiscal management, as well as health promotion and disease prevention in the community of the correctional facility. She has devoted much attention to data management and documentation, quality assurance and continuous quality improvement, and the differing methods of operation of the several accreditation bodies. Especially