Health Outcomes and Retention in Care Following Release from Prison for Patients of an Urban Post-incarceration Transitions Clinic
Health Outcomes and Retention in Care Following Release from Prison for Patients of an Urban Post-incarceration Transitions Clinic
复制标题
DOI：
10.1353/hpu.2014.0139
复制
发表时间：
2014-08-01
影响因子：
1.4
通讯作者：
Cunningham, Chinazo O.
中科院分区：
文献类型：
--
作者：
Fox, Aaron D.;Anderson, Matthew R.;Cunningham, Chinazo O.
慢性健康状况在囚犯中的比例过高，他们在获释后往往面临医疗保健障碍。过渡诊所寻求在释放后及时提供医疗服务。这项回顾性队列研究调查了在布朗克斯过渡诊所接受护理的最近获释囚犯的护理提供和健康结果。在135名最近获释的囚犯中，从获释到首次就医的平均时间为10天（智商范围：5-31）。艾滋病毒感染者的6个月护理保留率较高（86%），但阿片类药物依赖（33%），高血压（45%）和糖尿病（43%）较低。在6个月时，54%的HIV患者的病毒载量受到抑制，但较少的丁丙诺啡治疗患者减少阿片类药物的使用（19%），较少的高血压和糖尿病患者达到各自的血压（35%）和血红蛋白A1 c（14%）目标。获得医疗保健是必要的，但不足以控制慢性健康状况。有必要对以前被监禁的人采取额外的干预措施，以实现最佳的健康结果。
Chronic health conditions are overrepresented among prisoners who often face barriers to medical care following release. Transitions clinics seek to provide timely access to medical care following release. This retrospective cohort study investigated care delivery and health outcomes for recently released prisoners receiving care at the Bronx Transitions Clinic. Among 135 recently released prisoners, median time from release to initial medical visit was 10 days (IQ Range: 5-31). Six-month retention in care was high for HIV-infection (86%), but lower for opioid dependence (33%), hypertension (45%) and diabetes (43%). At six months, 54% of HIV-patients had a suppressed viral load, but fewer buprenorphine-treated patients reduced opioid use (19%), and fewer hypertensive and diabetic patients reached respective blood pressure (35%) and hemoglobin A1c (14%) goals. Access to medical care is necessary but not sufficient to control chronic health conditions. Additional interventions are necessary for formerly incarcerated people to achieve optimal health outcomes.