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Efficiency of Health Care in State Correctional Institutions

机译：国家惩教机构的卫生保健效率

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摘要

Little is known about the efficiency of health care in correction settings. This article reports an efficiency analysis of health care in state correctional institutions (SCIs) in a single, mid-Atlantic state from 2003 to 2006. A two-stage data envelopment analysis was used to estimate the technical efficiency of prison health care and determine inmate and institutional characteristics that were associated with efficiency. Our output variable was the number of infirmary inpatient days for each year of study. The input variable for the first stage was the sum of personnel medical staff costs and other medical operating costs. SCIs with more white prisoners, older prisoners, and higher proportions of inmates with parole violations were significantly less efficient in their provision of health care than other SCIs. There were no SCI characteristics that were predictive of efficiency. These results suggest that healthcare efficiency in corrections may decline as the prison population continues to age.
机译：关于矫正环境中保健的效率知之甚少。本文报告了2003年至2006年大西洋中部一个州的州教养机构（SCI）的医疗保健效率分析。采用两阶段数据包络分析来估算监狱医疗保健的技术效率并确定囚犯与效率相关的制度特征。我们的输出变量是每个研究年度的住院日数。第一阶段的输入变量是人事医疗人员成本和其他医疗运营成本的总和。与其他SCI相比，拥有更多白人囚犯，年龄更大的囚犯和违反假释行为的囚犯比例更高的SCI在提供医疗保健方面的效率明显较低。没有可以预测效率的SCI特征。这些结果表明，随着监狱人口的持续老化，矫正工作中的医疗保健效率可能会下降。

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