Healthcare in a pure gatekeeping system: utilization of primary, mental and emergency care in the prison population over time.

ABSTRACT:

Background

This study investigates the prisoner and prison-level factors associated with healthcare utilization (HCU) and the dynamic effects of previous HCU and health events. We analyze administrative data collected on annual adult prisoner-stay HCU (n = 10,136) including physical and mental chronic disease diagnoses, acute health events, penal circumstances and prison-level factors between 2013 and 2017 in 4 prisons of Canton of Vaud, Switzerland. Utilization of four types of health services: primary, nursing, mental and emergency care; are assessed using multivariate and multi-level negative binomial regressions with fixed/random effects and dynamic models conditional on prior HCU and lagged health events.

Results

In a prison setting with health screening on detention, r

SUBMITTER: Spycher J 

PROVIDER: S-EPMC8120814 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature