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AJPH First Look, published online ahead of print Apr 1, 2008
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December 2008, Vol 98, No. 12 | American Journal of Public Health 2182-2184
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.119669


RESEARCH AND PRACTICE

Discharge Planning and Continuity of Health Care: Findings From the San Francisco County Jail

Emily A. Wang, MD, Mary C. White, PhD, MPH, RN, Ross Jamison, MPA, Joe Goldenson, MD, Milton Estes, MD and Jacqueline P. Tulsky, MD

Emily A. Wang is with the Division of General Internal Medicine, University of California, San Francisco. Mary C. White is with Community Health Systems, University of California, San Francisco. Ross Jamison and Jacqueline P. Tulsky are with the Positive Health Program, San Francisco General Hospital, University of California, San Francisco. Joe Goldenson and Milton Estes are with the San Francisco County Jail Health Services, San Francisco Department of Public Health, San Francisco.

Correspondence: Requests for reprints should be sent to Emily A. Wang, MD, Division of General Internal Medicine, Department of Medicine, Box 1364, University of California, San Francisco, San Francisco, CA 94143-1364 (e-mail: emily.wang{at}ucsf.edu).

Continuity of health care among the formerly incarcerated is an emerging public health challenge. We used data from the San Francisco County Jail to determine whether discharge planning improves access to care on release. Inmates who were HIV positive and received discharge planning were 6 times more likely to have a regular source of care in the community compared with inmates with other chronic medical conditions, and they were as likely to have a regular source of care compared with the general San Francisco population.







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