[Working under pressure].
From medical view the main problems of investigation and convicts are in particular in the range of the drugs and alcohol illnesses to see transferable diseases (HIV, hepatitis B - C and tuberculosis) and psychological illnesses. These complex diseases require a close meshed and intensive support of each individual patient and represent actually the main problem during an arrest. The development of the health service could address the new requirements making possible cost-conscious acting in handling with resources in the health service. In the canton Berne 957197 inhabitants live on a total area of 5959 km2. The police and military management operates the regional and district prisons as well as the transportation service for prisoners in the canton Berne for prisoners. The canton Berne has altogether 327 places. Since May 1971 persons from the regional and district prison and the penal institutions needing hospitalisation can be accepted. In the University hospital Berne on a specially equipped guard station and be cared for their medical problems. The prisoners profit in such a way from the entire range of the university facilities.
Klinik und Poliklinik für Allgemeine Innere Medizin, Universitätsspital Bern. chvetter_ol@spital.ktso.ch
Ch
Ch
Vetter
L
L
Robert-Tissot
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P
Cottagnoud
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A
Stucki
D000553:Ambulatory Care / Q000458:organization & administration / Q000706:statistics & numerical data; D003140:Communicable Disease Control / Q000458:organization & administration; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000706:statistics & numerical data; D006509:Hepatitis B / Q000453:epidemiology; D006526:Hepatitis C / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data; D006785:Hospitals, University / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D011329:Prisoners / Q000706:statistics & numerical data*; D011330:Prisons; D012637:Security Measures / Q000458:organization & administration; D019966:Substance-Related Disorders / Q000453:epidemiology; D013557:Switzerland