The quality of prison primary care: cross-sectional cluster-level analyses of prison healthcare data in the North of England.

ABSTRACT:

Background

Prisoners have significant health needs, are relatively high users of healthcare, and often die prematurely. Strong primary care systems are associated with better population health outcomes. We investigated the quality of primary care delivered to prisoners.

Methods

We assessed achievement against 30 quality indicators spanning different domains of care in 13 prisons in the North of England. We conducted repeated cross-sectional analyses of routinely recorded data from electronic health records over 2017-20. Multi-level mixed effects logistic regression models explored associations between indicator achievement and prison and prisoner characteristics.

Findings

Achievement varied markedly between indicators, prisons and over time. Achieved processes of care

SUBMITTER: McLintock K 

PROVIDER: S-EPMC10484963 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature