Differences between incarcerated and non-incarcerated patients who die in community hospitals highlight the need for palliative care services for seriously ill prisoners in correctional facilities and in community hospitals: A cross-sectional study
Abstract
Background:
Incarcerated populations worldwide are aging dramatically; in the United States, prisoner mortality rates have reached an all-time high. Little is known about the incarcerated patients who die in community hospitals.
Aim:
Compare incarcerated and non-incarcerated hospital decedents in California.
Design:
Cross-sectional study.
Setting/participants:
All state hospital decedents (N = 370,831) from 2009 to 2013, decedent age over time examined with additional data (2001–2013).
Results:
Overall, 745 incarcerated and 370,086 non-incarcerated individuals died in California hospitals. Incarcerated decedents were more often male (93% vs 51%), Black (19% vs 8%) Latino (27% vs 19%), younger (55 vs 73 years), had shorter hospitalizations (13 vs 16 days), and fewer had an advance care plan (23% vs 36%, p < 0.05). Incarcerated decedents had higher rates of cancer, liver disease, HIV/AIDs, and mental health disorders. Cause of death was disproportionately missing for incarcerated decedents. The average age of incarcerated decedents rose between 2001 and 2013, while it remained stable for others.
Conclusion:
Palliative care services in correctional facilities should accommodate the needs of relatively young patients and those with mental illness. Given the simultaneous growth in the older prisoner population with the rising age of incarcerated hospital decedents, community hospital clinicians should be prepared to care for seriously ill, incarcerated patients. Significant epidemiologic differences between incarcerated and non-incarcerated decedents in this study suggest the importance of examining the differential palliative care needs of incarcerated patients in all communities.
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References
1. Williams BA, Goodwin JS, Baillargeon J, et al. Addressing the aging crisis in U.S. criminal justice health care. J Am Geriatr Soc 2012; 60(6): 1150–1156.
2. Hayes AJ, Burns A, Turnbull P, et al. Social and custodial needs of older adults in prison. Age Ageing 2013; 42(5): 589–593.
3. Ahalt C, Trestman RL, Rich JD, et al. Paying the price: the pressing need for quality, cost, and outcomes data to improve correctional health care for older prisoners. J Am Geriatr Soc 2013; 61(11): 2013–2019.
4. Fazel S, Baillargeon J. The health of prisoners. Lancet 2011; 377(9769): 956–965.
5. Noonan ME. Mortality in local jails, 2000–2014-statistical tables. Washington, DC: Department of Justice, Office of Justice Programs, Bureau of Statistics, 2016, https://www.bjs.gov/content/pub/pdf/mlj0014st.pdf
6. Linder JF, Meyers FJ. Palliative care for prison inmates: “don’t let me die in prison.” JAMA 2007; 298(8): 894–901.
7. Hoffman HC, Dickinson GE. Characteristics of prison hospice programs in the United States. Am J Hosp Palliat Care 2011; 28(4): 245–252.
8. Maschi T, Marmo S, Han J. Palliative and end-of-life care in prisons: a content analysis of the literature. Int J Prison Health 2014; 10(3): 172–197.
9. Wood FJ. The challenge of providing palliative care to terminally ill prison inmates in the UK. Int J Palliat Nurs 2007; 13(3): 131–135.
10. Carson EA. Prisoners in 2013. NCJ 247282. Washington, DC: Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, 2014, https://www.bjs.gov/content/pub/pdf/p13.pdf
11. OSHPD. “Data and reports.” Database from California office of statewide health planning and development, http://www.oshpd.ca.gov/HID/
12. HCUP. Clinical Classifications Software (CCS) for ICD-9-CM. Created by AHRQ through Federal-State-Industry partnership, https://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
13. Tiggemann M. Body image across the adult life span: stability and change. Body Image 2004; 1(1): 29–41.
14. Williams BA, Stern MF, Mellow J, et al. Aging in correctional custody: setting a policy agenda for older prisoner health care. Am J Public Health 2012; 102(8): 1475–1481.
15. Williams BA, Sudore RL, Greifinger R, et al. Balancing punishment and compassion for seriously ill prisoners. Ann Intern Med 2011; 155(2): 122–126.
16. Bolano M, Ahalt C, Ritchie C, et al. Detained and distressed: persistent distressing symptoms in a population of older jail inmates. J Am Geriatr Soc 2016; 64(11): 2349–2355.
17. Handtke V, Wangmo T. Ageing prisoners’ views on death and dying: contemplating end-of-life in prison. J Bioeth Inq 2014; 11(3): 373–386.
18. World Health Organization. Health in prisons: a WHO guide to the essentials in prison health. Copenhagen: The WHO Regional Office for Europe, 2007, http://www.euro.who.int/__data/assets/pdf_file/0009/99018/E90174.pdf
19. Davis C, Cloud D. Bridging the gap. Improving the health of justice-involved people through information technology. Vera Institute of Justice, http://archive.vera.org/sites/default/files/resources/downloads/samhsa-justice-health-information-technology.pdf
20. Skolnick AA. Correctional and community health care collaborations. JAMA 1998; 279(2): 98–99.
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Article first published online: September 27, 2017
Issue published: January 2018
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PubMed: 28952889
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