{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:43:19Z","timestamp":1784259799498,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Correct Health Care"],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:p>\n                    Health care professionals and patients impacted by incarceration face unique medical, legal, and ethical issues. The frequency and nature of ethics consultations for these patients are underexplored. This study aimed to characterize the primary ethical issue and contextual features of ethics consultations involving patients impacted by incarceration. We conducted a qualitative concept content analysis of ethics consultations involving patients impacted by incarceration and calculated descriptive statistics of demographics to compare these patients with the broader population of patients impacted by incarceration at a single institution from January 1, 2015, through June 30, 2022. We identified 37,184 patients impacted by incarceration (people currently or formerly incarcerated or whose surrogate decision-maker is incarcerated) at our institution. Most were White (70%) and non-Hispanic (88%); 51% were male, 49% female. Individuals impacted by incarceration comprised 3% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200938) of ethics consults. Most were White (58%), male (79%), and hospitalized (92%). The primary ethical issues were surrogate decision-making (34%) and fiduciary duties (beneficence\/nonmaleficence\/best interest; 16%). The primary contextual feature was intra-family communication challenges (37%). Incarceration status impacts access to decision-makers and the provision of medically necessary care. Ethics consultation for women and individuals in outpatient and emergency settings could be underutilized. More education about ethics consultation services and coordination with correctional officials is recommended.\n                  <\/jats:p>","DOI":"10.1089\/jchc.23.10.0083","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T10:44:10Z","timestamp":1712745850000},"page":"198-205","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical Ethics Consultation for Patients Impacted by Incarceration: A Single Center Retrospective Review"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3688-6598","authenticated-orcid":false,"given":"Yena","family":"Kang","sequence":"first","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Chao","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, Michigan, USA."},{"name":"Department of Emergency Medicine, University of Michigan Health, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alethia","family":"Battles","sequence":"additional","affiliation":[{"name":"Office of the Vice President and General Counsel, University of Michigan Health, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4668-1011","authenticated-orcid":false,"given":"Janice","family":"Firn","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, Michigan, USA."},{"name":"Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA."},{"name":"Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan, USA."},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"e_1_3_4_2_1","unstructured":"American Medical Association. 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Correctional populations in the United States 2020\u2013Statistical tables (NCJ 303184). Bureau of Justice Statistics. https:\/\/bjs.ojp.gov\/content\/pub\/pdf\/cpus20st.pdf"},{"key":"e_1_3_4_16_1","doi-asserted-by":"crossref","unstructured":"Maher P. J. Adedipe A. A. Sanders B. L. Buck T. Craven P. & Strote J. (2018). Emergency department utilization by a jail population. American Journal of Emergency Medicine 36(9) 1631\u20131634. https:\/\/doi.org\/10.1016\/j.ajem.2018.06.034","DOI":"10.1016\/j.ajem.2018.06.034"},{"key":"e_1_3_4_17_1","doi-asserted-by":"crossref","unstructured":"Maschi T. Marmo S. & Han J. (2014). Palliative and end-of-life care in prisons: A content analysis of the literature. International Journal of Prisoner Health 10(3) 172\u2013197. https:\/\/doi.org\/10.1108\/ijph-05-2013-0024","DOI":"10.1108\/IJPH-05-2013-0024"},{"key":"e_1_3_4_18_1","unstructured":"Michigan Department of Corrections. (2023). Health care. 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