ArticleBMC health services research2022
Multimorbidity and quality of primary care after release from prison: a prospective data-linkage cohort study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Accuracy of administrative data in ascertaining health conditions: a systematic review.JAMIA open · 2026Review
- Exploring Medication Safety in Transitions From Prison to Community: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Navigating reentry: a qualitative analysis of health system engagement among adults with chronic health conditions after release from prison.Justice, opportunities, and rehabilitation · 2026Article
- Australia's research investment in the health of justice-involved populations.Australian health review : a publication of the Australian Hospital Association · 2025Article
- Physical multimorbidity, concurrent psychiatric morbidity, and emergency department presentation among adults released from prison: a prospective cohort study from Queensland, Australia.Health & justice · 2025Article
- Health and incarceration research in Australia: a scoping review.The Lancet regional health. Western Pacific · 2025Review
- Determinants of access to primary healthcare for formerly incarcerated women transitioning into the community: a systematic review of the literature.BMJ public health · 2024Article
- Recent evidence on rates and factors influencing smoking behaviours after release from smoke-free prisons: a scoping review.International journal of prison health · 2024Article
- Data linkage studies of primary care utilisation after release from prison: a scoping review.BMC primary care · 2024Article
- The association between drug use and mortality in a norwegian prison cohort: a prospective cohort study.Health & justice · 2023Article
- Is use of opioid agonist treatment associated with broader primary healthcare use among men with recent injecting drug use histories following release from prison? A prospective cohort study.Harm reduction journal · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe period after release from prison can be challenging, especially due to a higher risk of morbidity and mortality despite commonly increased use of healthcare services. However, little is known about the quality of the healthcare offered to this population, which limits the possibility of addressing this important health inequity. This study characterised multimorbidity and investigated the relationship between multimorbidity and quality of primary healthcare in adults within 2 years after release from prison.
methodsThis was a prospective cohort study of 1046 participants of a service brokerage intervention after release from prison between August 2008 and July 2010 in Queensland, Australia. Participants had their baseline survey and clinical data linked prospectively with their medical, correctional and death records. Multimorbidity was ascertained using the Cumulative Illness Rating Scale and classified into three categories: none, moderate (morbidity in 2-3 domains) and complex (morbidity in 4 or more domains). Outcomes were Usual Provider Continuity Index (UPCI), Continuity of Care (COC) Index, and having at least one extended primary care consultation (> 20 minutes). Descriptive statistics and logistic regression were used in the analyses.
resultsMultimorbidity was present for 761 (73%) participants, being more prevalent among females (85%) than males (69%), p < 0.001. Moderate multimorbidity was not associated with UPCI or COC, but was associated with having at least one long consultation (AOR = 1.64; 95% CI:1.14-2.39), after adjusting for covariates. Complex multimorbidity was positively associated with all outcomes in the adjusted models. Indigenous status was negatively associated with UPCI (AOR = 0.54; 95% CI: 0.37-0.80) and COC (AOR = 0.53; 95% CI: 0.36-0.77), and people younger than 25 years were at 36% lower odds (AOR = 0.64; 95% CI: 0.44-0.93) of having a long consultation than the middle-aged group (25-44 years) in the adjusted models.
conclusionModerate multimorbidity was associated with having at least one extended primary care consultation, but not with adequate continuity of care, for adults within 2 years of being released from prison. Nearly half of those with complex multimorbidity did not receive adequate continuity of care. The quality of primary care is inadequate for a large proportion of adults released from prison, constituting an important and actionable health inequity.
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