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Il Giornale Italiano di Radiologia Medica 2018 Novembre-Dicembre;5(6):695-700

DOI: 10.23736/S2283-8376.18.00145-6

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Management of radiological exams among maximum security jail inmates: clinical and organizational implications

Silvia TORTORA , Giovanna GORGA, Luca MAGGI, Elena VALCONI, Chiara FLORIDI, Gianpaolo CARRAFIELLO

U.O. Radiologia Diagnostica e Interventistica, P.O. Ospedale San Paolo, ASST Santi Paolo e Carlo, Milano, Italia


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BACKGROUND: To evaluate the different management and costs among the inmate patients held in “hard prison regime” (41 bis) compared to patients admitted to standard internships and surgical departments.
METHODS: A prospective study was conducted from March 2013 to July 2018. All the radiological investigations performed among prisoner patients recovered in a hard prison regime (41 bis) in our hospital were evaluated. Type of the investigation performed (CT or MRI), clinical questions, duration of the exam and total costs were noted and compared to those performed among non-inmate patients admitted to standard internships and surgical departments.
RESULTS: During the follow-up period, 134 patients admitted to the 41 bis regime underwent radiological investigations for a total of 155 CT scans and 140 MRI. The diagnostic questions concerned respectively 35 medical problems, 30 oncological problems and 25 surgical problems. For security reasons all patients’ names were anonymized; all the exams have been performed in presence of at least 6 armed prison guards and the reference diagnostic activity was interrupted for 15 minutes before and after the exam, to avoid contact with other non-inmate patients. For this reason, the average duration and cost for each exam was higher to the reference standards of about 30%.
CONCLUSIONS: The health care of prisoners in maximum security regime requires an appropriate management of the radiology service to which they belong.


KEY WORDS: Prisons - Tomography, X-ray computed - Cost-benefit analysis - Magnetic resonance imaging

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