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Health Care Delivery in the Texas Prison System
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To the Editor: The article by Drs Raimer and Stobo1 highlighted many improvements in the health care of inmates in the Texas prison system, but did not discuss whether any prison hospice programs were initiated during this time period. The decrease in mortality rates in the Texas prison health care system related to chronic diseases is commendable. Unfortunately, the aging of the prison population will continue to challenge current prison health services.2
Other prisons have successfully operated hospices, supported by publication regarding hospice initiation, educational materials, and detailed results in the medical literature.2-4 Descriptions of existing prison hospice programs demonstrate the need to emulate hospice programs in free society, while being sensitive to the unique needs and conditions a terminally ill inmate faces. These include making use of inmate volunteers; observing the definition of family to a terminal inmate, which may include other inmates; and security issues. We would be . . . [Full Text of this Article]
Christian T. Sinclair, MD
Kansas City Hospice
Kansas City, Mo
Karin Porter-Williamson, MD
kporter-williamson@kumc.edu
Department of Internal Medicine
University of Kansas
Kansas City, Kan
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