Edge, Chantal;
Luffingham, Nikki;
Black, Georgia;
George, Julie;
(2022)
Integration, population commissioning and prison health and well-being – an exploration of benefits and challenges through the study of telemedicine.
Journal of Integrated Care
10.1108/jica-11-2021-0055.
(In press).
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Abstract
Purpose: This paper seeks to understand relationships between prison healthcare and integrated care systems (ICS), including how these affect the delivery of new healthcare interventions. It also aims to understand how closer integration between prison and ICS could improve cross system working between community and prison healthcare teams, and highlights challenges that exist to integration between prison healthcare and ICS. Design/methodology/approach: The study uses evidence from research on the implementation of a pilot study to establish telemedicine secondary care appointments between prisons and an acute trust in one English region (a cross-system intervention). Qualitative interview data were collected from prison (n = 12) and community (n = 8) healthcare staff related to the experience of implementing a cross-system telemedicine initiative. Thematic analysis was undertaken on interview data, guided by an implementation theory and framework. Findings: The research found four main themes related to the closer integration between prison healthcare and ICS: (1) Recognition of prison health as a priority; (2) Finding a way to reconcile networks and finances between community and prison commissioning; (3) Awareness of prison service influence on NHS healthcare planning and delivery; and (4) Shared investment in prison health can lead to benefits. Originality/value: This is the first article to provide research evidence to support or challenge the integration of specialist health and justice (H&J) commissioning into local population health.
| Type: | Article |
|---|---|
| Title: | Integration, population commissioning and prison health and well-being – an exploration of benefits and challenges through the study of telemedicine |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1108/jica-11-2021-0055 |
| Publisher version: | https://doi.org/10.1108/jica-11-2021-0055 |
| Language: | English |
| Additional information: | © Chantal Edge, Nikki Luffingham, Georgia Black and Julie George. Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons.org/licences/by/4.0/legalcode |
| Keywords: | s Prison health and well-being, Prisoners, Health and justice, Specialist commissioning, Health inequalities, Resource allocation, Integrated care |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10150753 |
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