Health outcomes and retention in care following release from prison for patients of an urban post-incarceration transitions clinic.

Abstract:

: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.

authors

Fox AD,Anderson MR,Bartlett G,Valverde J,Starrels JL,Cunningham CO

doi

10.1353/hpu.2014.0139

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

1139-52

issue

3

eissn

1049-2089

issn

1548-6869

pii

S1548686914300157

journal_volume

25

pub_type

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