From New York City's Bellevue Hospital comes this discussion of difficulties in dealing with a prisoner/patient population. Authors Gage and Goldfrank discuss staff bias, prisoner/patient security, and difficulties in maintaining on-going health care in a "less than optimal system." While prison health is beyond the realm of work for a relatively small number of physicians, the size of the U.S. prison population makes it a significant part of health care in the United States.
Continuing a series which began in February, this installment of "Patient Abandonment" gives insights into how such a situation might be perceived by a patient, defended by a physician, and interpreted by a court of law. Several situations are cited, including such settings as educational or training institutions, joint ventures or enterprises and in the case of telephone contacts. Other topics include "Duty to Refer," "Abandonment by Improper Referral," and "Failure to See Patient."
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