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JAMA Intern Med. 2013 Sep 23;173(17):1621-8. doi: 10.1001/jamainternmed.2013.9008.

A high risk of hospitalization following release from correctional facilities in Medicare beneficiaries: a retrospective matched cohort study, 2002 to 2010.

Author information

1
Section of General Internal Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.

Abstract

IMPORTANCE:

Little is known about the risk of individuals who are released from correctional facilities, a time when there may be discontinuity in care.

OBJECTIVE:

To study the risk for hospitalizations among former inmates soon after their release from correctional facilities.

DESIGN:

Retrospective cohort study.

PARTICIPANTS:

Data from Medicare administrative claims for 110,419 fee-for-service beneficiaries who were released from a correctional facility from 2002 through 2010 and controls matched by age, sex, race, Medicare status, and residential zip code.

MAIN OUTCOMES AND MEASURES:

Hospitalization rates and specifically those for ambulatory care-sensitive conditions 7, 30, and 90 days after release.

RESULTS:

Of 110,419 released inmates, 1559 individuals (1.4%) were hospitalized within 7 days after release; 4285 individuals (3.9%) within 30 days; and 9196 (8.3%) within 90 days. The odds of hospitalization was higher for released inmates compared with those of matched controls (within 7 days: odds ratio [OR], 2.5 [95% CI, 2.3-2.8]; within 30 days: OR, 2.1 [95% CI, 2.0-2.2]; and within 90 days: OR, 1.8 [95% CI, 1.7-1.9]). Compared with matched controls, former inmates were more likely to be hospitalized for ambulatory care-sensitive conditions (within 7 days: OR, 1.7 [95% CI, 1.4-2.1]; within 30 days: OR, 1.6 [95% CI, 1.5-1.8]; and within 90 days: OR, 1.6 [95% CI, 1.5-1.7]).

CONCLUSIONS AND RELEVANCE:

About 1 in 70 former inmates are hospitalized for an acute condition within 7 days of release, and 1 in 12 by 90 days, a rate much higher than in the general population.

PMID:
23877707
PMCID:
PMC4069256
DOI:
10.1001/jamainternmed.2013.9008
[Indexed for MEDLINE]
Free PMC Article

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