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

<h4>Background</h4>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 prov...

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Autores principales:	Latasha Jennings, Carolina Fernández Branson, Andrea M Maxwell, Tyler N A Winkelman, Rebecca J Shlafer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a8ca41af754948f6a1ab0bfa08a11841
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spelling	oai:doaj.org-article:a8ca41af754948f6a1ab0bfa08a118412021-12-02T20:15:21ZPhysicians' perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study.1932-620310.1371/journal.pone.0254578https://doaj.org/article/a8ca41af754948f6a1ab0bfa08a118412021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254578https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Objective</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Latasha JenningsCarolina Fernández BransonAndrea M MaxwellTyler N A WinkelmanRebecca J ShlaferPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254578 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Latasha Jennings Carolina Fernández Branson Andrea M Maxwell Tyler N A Winkelman Rebecca J Shlafer Physicians' perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study.
description	<h4>Background</h4>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.<h4>Objective</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.
format	article
author	Latasha Jennings Carolina Fernández Branson Andrea M Maxwell Tyler N A Winkelman Rebecca J Shlafer
author_facet	Latasha Jennings Carolina Fernández Branson Andrea M Maxwell Tyler N A Winkelman Rebecca J Shlafer
author_sort	Latasha Jennings
title	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_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_sort	physicians' perspectives on continuity of care for patients involved in the criminal justice system: a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a8ca41af754948f6a1ab0bfa08a11841
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Physicians' perspectives on continuity of care for patients involved in the criminal justice system: A qualitative study.

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