Organization models of health care services in prisons in four countries
Authors: Dubois Christophe , Linchet Stéphanie , Mahieu Céline , Reynaert Jean-François , Seron Périnne 
Published: January 2025

SCIENTIFIC REPORT 11 -- 1 INTRODUCTION 11 -- 2 METHODOLOGICAL CHOICES, LIMITATIONS AND ADJUSTMENTS 12 -- 2.1 GREY LITERATURE REVIEW .12 -- Collection of grey literature review 12 -- Screening of grey literature review .13 -- Organisation of grey literature review 13 -- 2.2 SCIENTIFIC LITERATURE REVIEW 14 -- Collection of scientific literature review .14 -- Results 14 -- Screening of scientific literature review .14 -- 2.3 ADJUSTED POLICY DELPHI 15 -- 3 FRANCE 17 -- 3.1 GENERAL PRESENTATION OF PRISON AND HEALTHCARE SYSTEM .19 -- Main actors 19 -- Respective competences and collaboration frameworks .23 -- Historical perspective .23 -- 3.2 CHARACTERISTICS OF THE PRISONS AND PRISONERS .26 -- Facts and figures 26 -- 3.3 DELIVERY OF CARE 28 -- Availability 28 -- Comprehensibility .32 -- Continuity of care .36 -- Reachability .38 -- Quality assurance and control 38 -- Patients rights 39 -- Financial aspects .40 -- Overall appraisal 44 -- 4 SCOTLAND 45 -- 4.1 GENERAL PRESENTATION OF PRISON AND HEALTHCARE SYSTEM .47 -- 4.1.1 Main actors 47 -- Respective competences and collaboration frameworks .48 -- Historical perspective .49 -- 4.2 CHARACTERISTICS OF THE PRISONS AND PRISONERS .55 -- Facts and figures 55 -- 4.3 DELIVERY OF CARE 57 -- Introduction .57 -- Availability 59 -- Comprehensibility .60 -- Continuity of care .66 -- Reachability .67 -- Quality assurance and control 68 -- Patients rights 71 -- Prisoners' complaints .71 -- Financial aspects .72 -- 5 SWITZERLAND 75 -- GENERAL PRESENTATION OF PRISON AND HEALTHCARE SYSTEM .78 -- Main actors 78 -- Respective competences and collaboration frameworks .80 -- Historical perspective .83 -- 5.2 CHARACTERISTICS OF THE PRISONS AND PRISONERS .86 -- Facts and figures 86 -- 5.3 DELIVERY OF CARE 89 -- Introduction .89 -- Availability 89 -- Comprehensibility .93 -- Continuity of care 105 -- Reachability 107 -- Quality assurance and control 109 -- Patients rights 115 -- 5.4 FINANCIAL ASPECTS 116 -- Health coverage in prison 116 -- Health delivery costs 118 -- 6 THE NETHERLANDS 120 -- 6.1 GENERAL PRESENTATION OF PRISON AND HEALTHCARE SYSTEM 122 -- Main actors 122 -- Respective competences and collaboration frameworks 123 -- Historical perspective 125 -- 6.2 CHARACTERISTICS OF THE PRISONS AND PRISONERS 128 -- Fact and figures 128 -- Health coverage in prison 128 -- 6.3 DELIVERY OF CARE 129 -- Specific Health Issues 129 -- Continuity of care 131 -- 6.4 FINANCIAL ASPECTS 131 -- Budget 131 -- Health insurance 132 -- 7 CONCLUSION: CHALLENGES IN REFORMING HEALTH CARE SERVICES IN PRISONS 133 -- 7.1 SIX CHALLENGES IN REFORMING HEALTH CARE SERVICES 133 -- Building on the pre-existing Institutional Framework 133 -- Improving the Quality of Care Delivery 135 -- Tackling Health Inequities 138 -- Meeting the Specific Needs of Prisoners 139 -- Addressing Professional Practice Issues 141 -- Cost management 145 -- Outline of six challenges in reforming health care services in prisons and lessons for the Belgian reform process 146 -- 7.2 SIX COMPARATIVE DIMENSIONS OF A POLICY AND ORGANIZATIONAL ANALYSIS 149 -- Policy problematization 149 -- Policy design 149 -- Prisoners health care process 150 -- Professional interactions and development 151 -- Prevention policy logics 151 -- Control bodies and prisoners rights watch 152 -- Comparison table of 4 governance models of health care services in prisons on the basis of six analytical dimensions 153 -- REFERENCES 154