 |
|
Health Care Delivery in the Texas Prison System
The Role of Academic Medicine
Ben G. Raimer, MD;
John D. Stobo, MD
JAMA. 2004;292:485-489.
Faced with explosive growth in its prison population and a legal mandate to improve medical care for incarcerated offenders, the state of Texas implemented a novel correctional managed health care program in 1994. The organizational structure of the program is based on a series of contractual relationships between the state prison system, 2 of the state's academic medical centers, and a separate governing body composed of 9 appointed members, which include 5 physicians. All medical, dental, and psychiatric care for more than 145 000 offenders, incarcerated under the jurisdiction of the Texas Department of Criminal Justice, is provided by the University of Texas Medical Branch and Texas Tech University Health Sciences Center. The health delivery system is composed of several levels of care, including primary ambulatory care clinics in each prison unit, 16 infirmaries at strategic locations throughout the state, several regional medical facilities, and a dedicated prison hospital with a full range of services. Specialized treatment programs have been established at various units for patients with chronic conditions, such as hypertension, diabetes mellitus, major psychiatric disorders, hepatitis, and human immunodeficiency virus infection. Significant improvements in health outcomes have occurred since the managed care program was established.
Author Affiliations: Office of Community Outreach (Dr Raimer) and Office of the President (Dr Stobo), University of Texas Medical Branch, Galveston.
RELATED LETTERS
Health Care Delivery in the Texas Prison System
Christian T. Sinclair and Karin Porter-Williamson
JAMA. 2004;292(18):2212.
EXTRACT
| FULL TEXT
Health Care Delivery in the Texas Prison System
Douglas P. Olson
JAMA. 2004;292(18):2212.
EXTRACT
| FULL TEXT
RELATED ARTICLE
Correctional Health Care Systems and Collaboration With Academic Medicine
Newton E. Kendig
JAMA. 2004;292(4):501-503.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Palliative Care for Prison Inmates: "Don't Let Me Die in Prison"
Linder and Meyers
JAMA 2007;298:894-901.
ABSTRACT
| FULL TEXT
Biomedical Research Involving Prisoners: Ethical Values and Legal Regulation
Gostin
JAMA 2007;297:737-740.
FULL TEXT
Impact of California's Proposition 36 on the Drug Treatment System: Treatment Capacity and Displacement
Hser et al.
Am. J. Public Health 2007;97:104-109.
ABSTRACT
| FULL TEXT
Natural deaths in male prisoners: a 20-year mortality study
Fazel and Benning
Eur J Public Health 2006;16:441-444.
ABSTRACT
| FULL TEXT
Integration of Telemedicine Practice Into Correctional Medicine: An Evolving Standard
Doarn et al.
JOURNAL OF CORRECTIONAL HEALTH CARE 2005;11:253-270.
ABSTRACT
Health Care Delivery in the Texas Prison System
Sinclair and Porter-Williamson
JAMA 2004;292:2212-2212.
FULL TEXT
Health Care Delivery in the Texas Prison System
Olson
JAMA 2004;292:2212-2212.
FULL TEXT
Correctional Health Care Systems and Collaboration With Academic Medicine
Kendig
JAMA 2004;292:501-503.
FULL TEXT
|
