The Accessibility to Health Services and the End-of-Life Desires of Elderly Inmates

Authors

  • Parinya Wanlem Department of Sociology and Anthropology, Faculty of Political Science, Chulalongkorn University
  • Pavika Sriratanaban Department of Sociology and Anthropology, Faculty of Political Science, Chulalongkorn University.

DOI:

https://doi.org/10.61462/cujss.v55i1.3105

Keywords:

Elderly Inmates, Prison, End of Life, Palliative Care, Multidisciplinary

Abstract

The purpose of this article is to study the state of health services and the Thai correctional system's accessibility to palliative care, under various conditions based on human rights, inmate rights, supportive care and treatment concepts, and the international regulatory framework and national laws. It also aims to study the approach of health services in the dimension of end-of-life care. The needs of elderly inmates in prisons and methods for dealing with death in prison through the Thai correctional system, which has various multidisciplinary teams that come to provide services to inmates in the end-of-life period with inmates. This study is based on qualitative research. The findings show that the living conditions of sick inmates face difficulties in prison, resulting in them being easily exposed to illness. The prison environment is not compatible with the elderly. However, elderly prisoners at the end of their lives in prison receive international standard medical services comparable to treatment in general hospitals outside of prison, due to a multidisciplinary team with expertise. There is also an online visiting service for terminally ill inmates in prison. The desire at the end of the life of inmates in prison is to “go home,” which is considered an important discovery and the last hope before dying.

Downloads

Download data is not yet available.

References

Department of Corrections. 2017. Corrections Act 2017. Department of Corrections. (in Thai)

Department of Corrections. 2024. “Statistics on special groups of prisoners of February 2024” Accessed February 10, 2024. https://opendata.nesdc.go.th/dataset/statistics-of-special-groups-of-prisoners. (in Thai)

Department of International Organizations, Ministry of Foreign Affairs of Thailand. n.d. " Society and Human Rights". Thai International Organization. Accessed May 20, 2024. https://thai-inter-org.mfa.go.th/th/page/สังคมและสิทธิมนุษยชน?menu=5d6bb81015e39c3c8c005d5e. (in Thai)

Health System Research Institute. 2023. " Medical Care for Inmates: Special Bangkok Remand Prison Has Sufficient Medical Supplies and No Shortages". H-Focus, November 29, 2023. https://www.hfocus.org/content/2023/11/29062. (in Thai)

Nittaya Subwongcharoen and Teepatad Chintapanyakun. 2020. “Role of Palliative Care Nurses in Tertiary Hospitals”. Journal of The Royal Thai Army Nurses 21 (1):26-34. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203234. (in Thai)

Prost, Stephanie Grace and Brie Williams. (2020). “Strategies to Optimize the Use of Compassionate Release from US Prisons.” American Journal of Public Health 110 (Suppl 1): S25-S26. https://doi.org/10.2105/AJPH.2019.305434

Royal Gazette. 2020. "National Health Commission Announcement on Operational Definition of Terms Related to Palliative Care for Thailand B.E. 2563 (2020)." Volume 137, Special Section 261 Ngo, November 6, 3. https://www.ratchakitcha.soc.go.th/DATA/PDF/2563/E/261/T_0003.PDF (in Thai)

Saranya Seema. 2023. " Suspension of Punishment". In 100 Stories of Thailand. Broadcast on December 2023. Office of the Secretariat of the House of Representatives, Academic Bureau. https://library.parliament.go.th/th/radioscript/rr2566-dec6. (in Thai)

Thanee Vorapatr. 2018. "16 Hours in a Prison with Iron Bars, 8 Hours in a Barbed Wire Wall and Sustainable Development for Offenders." Kamlangjai Journal 6 (2): 36-42. https://www.kamlangjai.or.th/siteth/ebookpreview-26-36-4-342.html. (in Thai)

UNHCR. 1990. “Basic Principles for the Treatment of Prisoners” Accessed February, 10, 2024 https://www.ohchr.org/en/instruments-mechanisms/instruments/basic-principles-treatment-prisoners.

United Nations Office on Drug and Crime. 2015. United Nations Standard Minimum Rules for the Treatment of Prisoners (the Nelson Mandela Rules). Translated by Department of Corrections, Behavior Development Division, Welfare and Inmate Welfare Section. http://www.correct.go.th/pti/wp-content/uploads/2020/04/ข้อกำหนดแมนเดลา.pdf (in Thai)

Wanwadee Poonpoksin. 2018. "Health Insurance for Protecting Migrant Workers: Points of View from Social Capital of Thailand." Journal of Social Work 26 (1): 1-33. https://so04.tci-thaijo.org/index.php/swjournal/article/view/168084. (in Thai)

Woratha Mongkhonsuebsakul. 2022. "Thailand's Access to Healthcare Services: The Reflection and Inequality of Vulnerable Group." SAU Journal of Social Science & Humanities 6 (1): 55-69. https://so05.tci-thaijo.org/index.php/saujournalssh/article/view/257255. (in Thai)

Downloads

Published

16-06-2025

How to Cite

Wanlem, Parinya, and Pavika Sriratanaban. 2025. “The Accessibility to Health Services and the End-of-Life Desires of Elderly Inmates”. Chulalongkorn University Journal of Social Sciences 55 (1). Bangkok, Thailand:1-28. https://doi.org/10.61462/cujss.v55i1.3105.

Issue

Section

Research Articles