title: The Collision of Inmate and Patient.
abstract: Every year in France 100 inmates die in prison from illness, but their experiences with end of life (EOL) have not been investigated to date. The purpose of this article is to highlight the realities regarding inmates at the end of life, putting into perspective the viewpoints of the sick prisoners with those of the health and correctional professionals accompanying them. Based on qualitative research, the challenge is to identify potential barriers to palliative care for inmates in order to consider possible improvements. The study results reveal that EOL inmates were not fully considered as patients and did not benefit from a comprehensive palliative care approach. For most dying inmates, and according to many health professionals, compassionate release on medical grounds remains the best approach to deal with EOL issues.
authors.affiliation: 1 Clinical Investigation Centre, C.I.C-Inserm 1431, Medical Centre, University Hospital of Besançon, Besançon, France.|2 Department of Sociology and Anthropology, University of Bourgogne - Franche-Comté, Besançon, France.|3 Department of Palliative Care, University Hospital of Besançon, Besançon, France.
authors.forename: Aline
authors.initials: A
authors.lastname: Chassagne
authors.affiliation: 1 Clinical Investigation Centre, C.I.C-Inserm 1431, Medical Centre, University Hospital of Besançon, Besançon, France.|3 Department of Palliative Care, University Hospital of Besançon, Besançon, France.|4 Department of Philosophy, University of Bourgogne - Franche-Comté, Besançon, France.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Godard
authors.affiliation: 1 Clinical Investigation Centre, C.I.C-Inserm 1431, Medical Centre, University Hospital of Besançon, Besançon, France.|3 Department of Palliative Care, University Hospital of Besançon, Besançon, France.|4 Department of Philosophy, University of Bourgogne - Franche-Comté, Besançon, France.
authors.forename: Elodie
authors.initials: E
authors.lastname: Cretin
authors.affiliation: 1 Clinical Investigation Centre, C.I.C-Inserm 1431, Medical Centre, University Hospital of Besançon, Besançon, France.|5 Department of Neurosciences, University of Bourgogne - Franche-Comté, Besançon, France.
authors.forename: Lionel
authors.initials: L
authors.lastname: Pazart
authors.affiliation: 1 Clinical Investigation Centre, C.I.C-Inserm 1431, Medical Centre, University Hospital of Besançon, Besançon, France.|3 Department of Palliative Care, University Hospital of Besançon, Besançon, France.|4 Department of Philosophy, University of Bourgogne - Franche-Comté, Besançon, France.|5 Department of Neurosciences, University of Bourgogne - Franche-Comté, Besançon, France.
authors.forename: Régis
authors.initials: R
authors.lastname: Aubry
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D004645:Empathy; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000458:organization & administration*; D011329:Prisoners / Q000706:statistics & numerical data*; D011330:Prisons / Q000458:organization & administration*; D036301:Qualitative Research; D013727:Terminal Care / Q000458:organization & administration*
keywords: France; compassionate release; end of life (EOL); palliative care; prison