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Newton E. Kendig, MD

JAMA. 2004;292:501-503.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A jail or prison is the health care setting for millions of patients in the United States. Nevertheless, correctional health care remains largely an enigma to mainstream medicine and largely disregarded by academic medicine. The article by Raimer and Stobo¹ in this issue of JAMA describes an uncommon, if not unique, relationship between academic medicine and a correctional health care system. In this model, 2 Texas medical schools assumed the responsibility for delivery and oversight of the medical care for inmates under the jurisdiction of the Texas Department of Criminal Justice. Direct university involvement in correctional health care resulted in a more structured delivery of health care services using evidence-based medicine, greater access to subspecialists (particularly through telehealth), improved clinical outcomes for chronic illnesses, and cost savings for the state of Texas.

Despite the apparent improvements in the Texas correctional health care system since its reincarnation . . . [Full Text of this Article]

Author Affiliation: Federal Bureau of Prisons, Washington, DC.

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