Le nuove frontiere del Servizio Sanitario Penitenziario

The survey of research on prison health is an absolutely innovative in the national scene for both the field of investigation that the method adopted in relation to the particular organizational and managerial focus with which the same has been completed. The complexity of the research work has been determined by a variety of factors related to the difficulty of access to detention facilities that the contextual data systematization of health management and related organizational structures that have never been the subject of scientific research in our country. This is demonstrated both by the rarity of research studies undertaken in the field, and by the scarcity of scientific contributions and the existing literature on the subject (Sangiacomo M., L. Ianni, F. Degrassi, A. D'Urso in Mecosan, Volume XVIII, n. 72/2009). The problem of health care in prison although, at present, one of the most debated topics both in healthcare and in the criminal justice especially among the "practioners" in the industry (see acts Simspe National Convention, 2007; National Conference Amapi, 2009) struggling to find full legitimacy in academia, in contrast with other international realities. The aim of this work is to analyze the main implications of organizational - managerial determined from the issue of the DPCM April 1, 2008, especially trying to grasp the "driver" critics who did not allow, at present, to proceed with an actual implementation of the reform process, made a "regulatory failure" which did not allow a real improvement of services provided by the prison health service. The research seeks to draw from the identification of critical organizational levers, the necessary indications for the redesign of the new organizational structure of the health system in prison, the ineffectiveness of the current one has been confirmed by events that occur everyday with extraordinary inadequacy of 'current health management to meet the new challenges of complexity that the context detention forcefully imposes. Therefore, the research aims to present itself as the starting point for the implementation of new organizational models capable of ensuring the full and effective right to health of the patient detained in a perspective of internationalization of the Italian penitentiary health system that, based on experiences "mature" tested in other European Union countries, shows us how similar to what happened in our country you can take an effective and progressive process of organizational improvement of the prison health care system. .. [edited by Author]