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Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study

BACKGROUND: In 2016, over 11 million individuals were admitted to prisons and jails in the United States. Because the majority of these individuals will return to the community, addressing their health needs requires coordination between community and correctional health care providers. However, few...

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Autores principales: Jennings, Latasha, Branson, Carolina Fernández, Maxwell, Andrea M., Winkelman, Tyler N. A., Shlafer, Rebecca J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279398/
https://www.ncbi.nlm.nih.gov/pubmed/34260620
http://dx.doi.org/10.1371/journal.pone.0254578
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author Jennings, Latasha
Branson, Carolina Fernández
Maxwell, Andrea M.
Winkelman, Tyler N. A.
Shlafer, Rebecca J.
author_facet Jennings, Latasha
Branson, Carolina Fernández
Maxwell, Andrea M.
Winkelman, Tyler N. A.
Shlafer, Rebecca J.
author_sort Jennings, Latasha
collection PubMed
description BACKGROUND: In 2016, over 11 million individuals were admitted to prisons and jails in the United States. Because the majority of these individuals will return to the community, addressing their health needs requires coordination between community and correctional health care providers. However, few systems exist to facilitate this process and little is known about how physicians perceive and manage these transitions. OBJECTIVE: The goal of this study was to characterize physicians’ views on transitions both into and out of incarceration and describe how knowledge of a patient’s criminal justice involvement impacts patient care plans. METHODS: Semi-structured interviews were conducted between October 2018 and May 2019 with physicians from three community clinics in Hennepin County, Minnesota. Team members used a hybrid approach of deductive and inductive coding, in which a priori codes were defined based on the interview guide while also allowing for data-driven codes to emerge. RESULTS: Four themes emerged related to physicians’ perceptions on continuity of care for patients with criminal justice involvement. Physicians identified disruptions in patient-physician relationships, barriers to accessing prescription medications, disruptions in insurance coverage, and problems with sharing medical records, as factors contributing to discontinuity of care for patients entering and exiting incarceration. These factors impacted patients differently depending on the direction of the transition. CONCLUSIONS: Our findings identified four disruptions to continuity of care that physicians viewed as key barriers to successful transitions into and out of incarceration. These disruptions are unlikely to be effectively addressed at the provider level and will require system-level changes, which Medicaid and managed care organizations could play a leading role in developing.
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spelling pubmed-82793982021-07-31 Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study Jennings, Latasha Branson, Carolina Fernández Maxwell, Andrea M. Winkelman, Tyler N. A. Shlafer, Rebecca J. PLoS One Research Article BACKGROUND: In 2016, over 11 million individuals were admitted to prisons and jails in the United States. Because the majority of these individuals will return to the community, addressing their health needs requires coordination between community and correctional health care providers. However, few systems exist to facilitate this process and little is known about how physicians perceive and manage these transitions. OBJECTIVE: The goal of this study was to characterize physicians’ views on transitions both into and out of incarceration and describe how knowledge of a patient’s criminal justice involvement impacts patient care plans. METHODS: Semi-structured interviews were conducted between October 2018 and May 2019 with physicians from three community clinics in Hennepin County, Minnesota. Team members used a hybrid approach of deductive and inductive coding, in which a priori codes were defined based on the interview guide while also allowing for data-driven codes to emerge. RESULTS: Four themes emerged related to physicians’ perceptions on continuity of care for patients with criminal justice involvement. Physicians identified disruptions in patient-physician relationships, barriers to accessing prescription medications, disruptions in insurance coverage, and problems with sharing medical records, as factors contributing to discontinuity of care for patients entering and exiting incarceration. These factors impacted patients differently depending on the direction of the transition. CONCLUSIONS: Our findings identified four disruptions to continuity of care that physicians viewed as key barriers to successful transitions into and out of incarceration. These disruptions are unlikely to be effectively addressed at the provider level and will require system-level changes, which Medicaid and managed care organizations could play a leading role in developing. Public Library of Science 2021-07-14 /pmc/articles/PMC8279398/ /pubmed/34260620 http://dx.doi.org/10.1371/journal.pone.0254578 Text en © 2021 Jennings et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Jennings, Latasha
Branson, Carolina Fernández
Maxwell, Andrea M.
Winkelman, Tyler N. A.
Shlafer, Rebecca J.
Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study
title Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study
title_full Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study
title_fullStr Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study
title_full_unstemmed Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study
title_short Physicians’ perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study
title_sort physicians’ perspectives on continuity of care for patients involved in the criminal justice system: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279398/
https://www.ncbi.nlm.nih.gov/pubmed/34260620
http://dx.doi.org/10.1371/journal.pone.0254578
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