May 2013

Document Type


Degree Name



Oregon Health & Science University


The standards of health care in the prison population are expected to be equivalent for institutionalized and non-institutionalized populations (Asch et al., 2011; Mathis & Schoenly, 2008; Stern, Greifinger & Mellow, 2010; Wilper et al., 2009). Unfortunately, medical management of chronic illness, end of life, and palliative care varies from prison to prison and from state to state. While efforts have been made to develop standards of care in correctional health, success has been elusive and met with varying degrees of achievement (Binswanger, Krueger, & Steiner, 2009; Loeb & AbuDagga, 2006; Loeb, Steffensmeier & Myco, 2007; Mathis & Schoenly, 2008; Mitka, 2004; Raimer & Stobo, 2004; Stern et al., 2010). Nationwide, Texas and Missouri had been the only states to successfully implement quality, cost effective health care in the prison setting (Damberg, Shaw, Teleki, Hiatt, & Asch, 2011; Ha & Robinson, 2011; Raimer & Stobo, 2004). Improving health outcomes in corrections will decrease




School of Nursing



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