Death After Jail Release: Matching to Improve Care Delivery
Death After Jail Release: Matching to Improve Care Delivery
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DOI：
10.1177/1078345816685311
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发表时间：
2017-01-01
影响因子：
1.2
通讯作者：
MacDonald, Ross
中科院分区：
文献类型：
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作者：
Alex, Byron;Weiss, David B.;MacDonald, Ross
从监狱或监狱释放后的一段时间死亡风险增加。这项研究试图通过将2011年至2012年期间在纽约市监狱服刑的人的电子健康记录与生命统计记录相匹配，更好地了解释放后死亡。据估计，狱中和释放后6周的死亡率分别为每1000人年1.39和5.89人。在从监狱释放后6周内发生的59例死亡中，原因包括阿片类药物过量（37.3%）、其他药物（8.5%）、慢性病（25.4%）、攻击性创伤（20.3%）和其他创伤（8.5%）。这些数据证实，药物过量死亡是释放后死亡的最常见原因。惩教卫生系统和生命统计数据之间的匹配可以为监狱卫生保健服务的质量改进工作提供信息。
The period immediately after release from prison or jail carries increased mortality risk. This study sought to better understand postrelease death by matching electronic health records from those incarcerated in New York City jails between 2011 and 2012 with vital statistics records. The in-jail and 6-week postrelease mortality rates were estimated to be 1.39 and 5.89 per 1,000 person-years, respectively. Of 59 deaths occurring within 6 weeks of release from jail, the causes included opioid overdose (37.3%), other drugs (8.5%), chronic disease (25.4%), assaultive trauma (20.3%), and other trauma (8.5%). These data confirm that overdose death accounts for the most frequent cause of postrelease death. Matching between correctional health systems and vital statistics can inform quality improvement efforts in jail health care delivery.