Evaluating the Impact of Privatization on the Quality of Health Care in Correctional Facilities: A Quantitative Analysis

Research study on private versus public healthcare delivery in prisons

Chloe Martinez
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Evaluating the Impact of Privatization on the Quality of Health Care in CorrectionalFacilities: A Quantitative AnalysisBased on the research findings presented in the article, "From Public to Private Care," by Shalev(2009), as well as thestudies by Golembeski & Fullilove (2008) and Aktan (2013), discuss theimplications of privatizing health care in correctional facilities. How does privatization impactthe quality of care delivered to inmates, particularly in terms of access, efficiency, andrehabilitation programs? Consider the challenges outlined in the research, and propose potentialstrategies to improve the quality of health care in privatized prison settings.Word Count Requirement:Your response should be between 1,500-2,000 words.

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ResearchPart 1Shalev (2009) reports research findings on privatization and the quality of health care inprisons in the article “From Public to Private Care.” The research problem of this study is theincreasing population of inmates within correctional facilities and the resultant challenges thatprivate health care providers face in delivering high quality of care to inmates. The questions thatguided the study were whether the increase in prison population poses public health challenges inthe delivery of privatized care and whether financial and administrative shifts from public toprivate correctional health care systems has implications on the quality of care. The researcherconducted a case study of the largest prisons in the State of New Yolk with a goal of determiningthe challenges that private health care providers face in meeting the increasing demand for healthcare.Shalev (2009) found out that privatization of correctional facilities and the shifts offinancial and administrative operations have significant impact on the health care qualityoutcomes within prisons. The challenges in achieving the desired quality of care within thesefacilities is linked to the high population and limited health care resources. The case that theauthor presents in the research is compelling because theoretical frameworks, past researchevidence and primary research findings are used to support the study hypothesis. The findings ofthe researcher are significant owing to the health care crisis that characterizes health care systemswithin prison environments within the United States. The findings of the researcher haveimplications on the legal and policy frameworks on the privatization of health care systemswithin prisons.

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Golembeski & Fullilove (2008) published research evidence on the health careconsequences of the privatization of health care systems within prisons in the journal article“Criminal (In) Justice in the City and Its Associated Health Consequences.” The researchproblem that that the researchers sought to address is the lack of effective rehabilitative programsby privatized health care systems within prisons. The selection of research subjects orparticipants was the main threat to the validity of their study. This is because they focused theirstudy on poorly educated Latino and African Americans within correctional facilities with apurpose of determining if privatized health care systems had a positive impact on the quality oftheir rehabilitation.Golembeski & Fullilove (2008) reveal that private health care systems in prisons failed toimplement community-centered and humanistic approaches in the rehabilitation of poorlyeducated inmates. This leads to negative implications on the reentry of these prisoners into thecommunity. Their findings have implications on the administrative of health care andrehabilitative programs by private contractors. This is because the researchers use researchevidence to indicate that private contractors should implement more effective rehabilitativeprograms for prisoners in order to realize the benefits of rehabilitation to the inmates, thecommunity and the society in general. The findings and conclusions of the researchers make acompelling case because they use past research evidence to demonstrate that poorly educatedinmates from minority ethnic groups have more negative rehabilitative outcomes within prisonsas compared to other groups.Aktan (2013) research evidence and discussion on the implications of privatization ofhealth care systems within the journal article “Health Care Reform: Does One Size Fit All?” Theresearcher hypothesized that health care reform through privatization does not meet the health
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