Evidence map›Paper›PMID 31048315›Full record

ArticleBMJ open2019

Propensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven.

Emily A Wang, Hsiu-Ju Lin, Jenerius A Aminawung, Susan H Busch, Colleen Gallagher, Kathleen Maurer, Lisa Puglisi, Shira Shavit, Linda Frisman

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 2% of its field
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Emily A WangInternal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Hsiu-Ju LinSchool of Social Work, University of Connecticut System, Storrs, Connecticut, USA.
Jenerius A AminawungInternal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Susan H BuschYale University School of Public Health, New Haven, Connecticut, USA.
Colleen GallagherConnecticut Department of Correction, Wethersfield, Connecticut, USA.
Kathleen MaurerConnecticut Department of Correction, Wethersfield, Connecticut, USA.
Lisa PuglisiInternal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Shira ShavitFamily and Community Medicine, University of California, San Francisco, San Francisco, California, USA.
Linda FrismanSchool of Social Work, University of Connecticut System, Storrs, Connecticut, USA.
Yale University · USUniversity of Connecticut · USUniversity of California, San Francisco · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundHealth systems can be integral to addressing population health, including persons with incarceration exposure. Few studies have comprehensively integrated state-wide data to assess how the primary care system can impact criminal justice outcomes. We examined whether enhanced primary care can decrease future contact with the criminal justice system among individuals just released from prison.

methodsWe linked administrative data (2013-2016) of Connecticut Department of Correction, Department of Mental Health and Addiction Services, Department of Social Service, Court Support Services Division, and Department of Public Health to conduct a quasi-experimental study using propensity score matching of 94 participants who received enhanced primary care in Transitions Clinic to 94 controls not exposed to the programme. The propensity score included 23 variables, which encompassed participants' medical and incarceration history and service utilisation. The main outcomes were reincarceration rates and days incarcerated in the first year from the index date, which was either enrolment in the Transitions Clinic programme or release from prison in the control group.

resultsThe odds of reincarceration, including arrests and new convictions, were similar for the two groups, but Transitions Clinic participants had lower odds of returning to prison for a parole or probation technical violation (adjusted OR: 0.38; 95% CI 0.16 to 0.93) compared with the control group. Further, Transitions Clinic participants had fewer incarceration days (incidence rate ratio: 0.55; 95% CI 0.35 to 0.84) compared with the control group.

conclusionsEnhanced primary care for individuals just released from prison can reduce reincarceration for technical violations and shorten time spent within correctional facilities. This study shows how community health systems may play a role in current strategies to reduce prison populations.

Indexed as

AdultFemaleHumansMaleMiddle AgedPrimary Health CarePrisonersPropensity Scoreincarcerationprimary careprisonsocial determinant of health

Identifiers

PMID31048315
PMCPMC6502013
OpenAlexW2942819195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.