Evidence map›Paper›PMID 26068513›Full record

ArticleBMJ open2015

Early primary care physician contact and health service utilisation in a large sample of recently released ex-prisoners in Australia: prospective cohort study.

Jesse T Young, Diane Arnold-Reed, David Preen, Max Bulsara, Nick Lennox, Stuart A Kinner

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Prisoners co-infected with tuberculosis and HIV: a systematic review.Journal of the International AIDS Society · 2016
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jesse T YoungCentre for Health Services Research, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia National Drug Research Institute, Curtin University, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0001-5702-372X
Diane Arnold-ReedCentre for Health Services Research, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia General Practice and Primary Health Care Research, School of Medicine, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
David PreenCentre for Health Services Research, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia.
Max BulsaraCentre for Health Services Research, School of Population Health, The University of Western Australia, Perth, Western Australia, Australia Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Nick LennoxQueensland Centre for Intellectual and Developmental Disability, School of Medicine, The University of Queensland, Mater Misericordiae Hospital, South Brisbane, Queensland, Australia.
Stuart A KinnerMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia School of Medicine, the University of Queensland, Herston, Queensland, Australia School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne, Victoria, Australia Murdoch Children's Research Institute, Parkville, Victoria, Australia.

Funding

Medical Research Council MR/K006525/1
6 · The paper itself

Abstract

objectiveTo describe the association between ex-prisoner primary care physician contact within 1 month of prison release and health service utilisation in the 6 months following release.

designA cohort from the Passports study with a mean follow-up of 219 (± 44) days postrelease. Associations were assessed using a multivariate Andersen-Gill model, controlling for a range of other factors.

settingFace-to-face, baseline interviews were conducted in a sample of prisoners within 6 weeks of expected release from seven prisons in Queensland, Australia, from 2008 to 2010, with telephone follow-up interviews 1, 3 and 6 months postrelease.

participantsFrom an original population-based sample of 1325 sentenced adult (≥ 18 years) prisoners, 478 participants were excluded due to not being released from prison during follow-up (n=7, 0.5%), loss to follow-up (n=257, 19.4%), or lacking exposure data (n=214, 16.2%). A total of 847 (63.9%) participants were included in the analyses. EXPOSURE: Primary care physician contact within 1 month of follow-up as a dichotomous measure.

main outcome measuresAdjusted time-to-event hazard rates for hospital, mental health, alcohol and other drug and subsequent primary care physician service utilisations assessed as multiple failure time-interval data.

resultsPrimary care physician contact prevalence within 1 month of follow-up was 46.5%. One-month primary care physician contact was positively associated with hospital (adjusted HR (AHR)=2.07; 95% CI 1.39 to 3.09), mental health (AHR=1.65; 95% CI 1.24 to 2.19), alcohol and other drug (AHR=1.48; 95% CI 1.15 to 1.90) and subsequent primary care physician service utilisation (AHR=1.47; 95% CI 1.26 to 1.72) over 6 months of follow-up.

conclusionsEngagement with primary care physician services soon after prison release increases health service utilisation during the critical community transition period for ex-prisoners. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12608000232336).

Indexed as

Physicians, Primary CareAdultAmbulatory CareAustraliaFemaleFollow-Up StudiesHealth ServicesHospitalizationHumansMaleMental Health ServicesPrimary Health CarePrisonersProspective StudiesTime FactorsGENERAL PRACTITIONERHEALTH SERVICESPHYSICIANSPRIMARY CAREPRISONERSUTILISATION

Identifiers

PMID26068513
PMCPMC4466622

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.