Health care delivery in the Texas prison system: The role of academic medicine

Benny Raimer, John D. Stobo

    Research output: Contribution to journalArticle

    45 Citations (Scopus)

    Abstract

    Faced with explosive growth in its prison population and a legal mandate to improve medical care for incarcerated offenders, the state of Texas implemented a novel correctional managed health care program in 1994. The organizational structure of the program is based on a series of contractual relationships between the state prison system, 2 of the state's academic medical centers, and a separate governing body composed of 9 appointed members, which include 5 physicians. All medical, dental, and psychiatric care for more than 145000 offenders, incarcerated under the jurisdiction of the Texas Department of Criminal Justice, is provided by the University of Texas Medical Branch and Texas Tech University Health Sciences Center. The health delivery system is composed of several levels of care, including primary ambulatory care clinics in each prison unit, 16 infirmaries at strategic locations throughout the state, several regional medical facilities, and a dedicated prison hospital with a full range of services. Specialized treatment programs have been established at various units for patients with chronic conditions, such as hypertension, diabetes mellitus, major psychiatric disorders, hepatitis, and human immunodeficiency virus infection. Significant improvements in health outcomes have occurred since the managed care program was established.

    Original languageEnglish (US)
    Pages (from-to)485-489
    Number of pages5
    JournalJournal of the American Medical Association
    Volume292
    Issue number4
    DOIs
    StatePublished - Jul 28 2004

    Fingerprint

    Prisons
    Medicine
    Delivery of Health Care
    Managed Care Programs
    Psychiatry
    Health
    Criminal Law
    Dental Care
    Virus Diseases
    Ambulatory Care
    Hepatitis
    Primary Health Care
    Diabetes Mellitus
    HIV
    Hypertension
    Physicians
    Growth
    Population
    Therapeutics

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Health care delivery in the Texas prison system : The role of academic medicine. / Raimer, Benny; Stobo, John D.

    In: Journal of the American Medical Association, Vol. 292, No. 4, 28.07.2004, p. 485-489.

    Research output: Contribution to journalArticle

    @article{cdb35483ea9a4f48bba9d975ea424849,
    title = "Health care delivery in the Texas prison system: The role of academic medicine",
    abstract = "Faced with explosive growth in its prison population and a legal mandate to improve medical care for incarcerated offenders, the state of Texas implemented a novel correctional managed health care program in 1994. The organizational structure of the program is based on a series of contractual relationships between the state prison system, 2 of the state's academic medical centers, and a separate governing body composed of 9 appointed members, which include 5 physicians. All medical, dental, and psychiatric care for more than 145000 offenders, incarcerated under the jurisdiction of the Texas Department of Criminal Justice, is provided by the University of Texas Medical Branch and Texas Tech University Health Sciences Center. The health delivery system is composed of several levels of care, including primary ambulatory care clinics in each prison unit, 16 infirmaries at strategic locations throughout the state, several regional medical facilities, and a dedicated prison hospital with a full range of services. Specialized treatment programs have been established at various units for patients with chronic conditions, such as hypertension, diabetes mellitus, major psychiatric disorders, hepatitis, and human immunodeficiency virus infection. Significant improvements in health outcomes have occurred since the managed care program was established.",
    author = "Benny Raimer and Stobo, {John D.}",
    year = "2004",
    month = "7",
    day = "28",
    doi = "10.1001/jama.292.4.485",
    language = "English (US)",
    volume = "292",
    pages = "485--489",
    journal = "JAMA - Journal of the American Medical Association",
    issn = "0002-9955",
    publisher = "American Medical Association",
    number = "4",

    }

    TY - JOUR

    T1 - Health care delivery in the Texas prison system

    T2 - The role of academic medicine

    AU - Raimer, Benny

    AU - Stobo, John D.

    PY - 2004/7/28

    Y1 - 2004/7/28

    N2 - Faced with explosive growth in its prison population and a legal mandate to improve medical care for incarcerated offenders, the state of Texas implemented a novel correctional managed health care program in 1994. The organizational structure of the program is based on a series of contractual relationships between the state prison system, 2 of the state's academic medical centers, and a separate governing body composed of 9 appointed members, which include 5 physicians. All medical, dental, and psychiatric care for more than 145000 offenders, incarcerated under the jurisdiction of the Texas Department of Criminal Justice, is provided by the University of Texas Medical Branch and Texas Tech University Health Sciences Center. The health delivery system is composed of several levels of care, including primary ambulatory care clinics in each prison unit, 16 infirmaries at strategic locations throughout the state, several regional medical facilities, and a dedicated prison hospital with a full range of services. Specialized treatment programs have been established at various units for patients with chronic conditions, such as hypertension, diabetes mellitus, major psychiatric disorders, hepatitis, and human immunodeficiency virus infection. Significant improvements in health outcomes have occurred since the managed care program was established.

    AB - Faced with explosive growth in its prison population and a legal mandate to improve medical care for incarcerated offenders, the state of Texas implemented a novel correctional managed health care program in 1994. The organizational structure of the program is based on a series of contractual relationships between the state prison system, 2 of the state's academic medical centers, and a separate governing body composed of 9 appointed members, which include 5 physicians. All medical, dental, and psychiatric care for more than 145000 offenders, incarcerated under the jurisdiction of the Texas Department of Criminal Justice, is provided by the University of Texas Medical Branch and Texas Tech University Health Sciences Center. The health delivery system is composed of several levels of care, including primary ambulatory care clinics in each prison unit, 16 infirmaries at strategic locations throughout the state, several regional medical facilities, and a dedicated prison hospital with a full range of services. Specialized treatment programs have been established at various units for patients with chronic conditions, such as hypertension, diabetes mellitus, major psychiatric disorders, hepatitis, and human immunodeficiency virus infection. Significant improvements in health outcomes have occurred since the managed care program was established.

    UR - http://www.scopus.com/inward/record.url?scp=3242815379&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=3242815379&partnerID=8YFLogxK

    U2 - 10.1001/jama.292.4.485

    DO - 10.1001/jama.292.4.485

    M3 - Article

    C2 - 15280346

    AN - SCOPUS:3242815379

    VL - 292

    SP - 485

    EP - 489

    JO - JAMA - Journal of the American Medical Association

    JF - JAMA - Journal of the American Medical Association

    SN - 0002-9955

    IS - 4

    ER -