Health Service Utilization by Adults Impacted by the Justice System at a Large Federally Qualified Health Care Clinic Network.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI:10.1353/hpu.2025.a967334

Victoria D Ojeda, Deisy Celis, Adam Northrup, Sydney Lewis, Sandra D'Alonzo, Freddy Sanchez, Arthur Groneman, Job Godino

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引用次数: 0

Abstract

This study examines health care service utilization of adults impacted by the justice system (n=3380) and general patient population (n=226,970) receiving care at one federally qualified health center (FQHC; n=62 service sites) in California between 2020-2022. A hybrid manual review of the electronic medical record was conducted. The top five departments used by adults impacted by the justice system, based on total number of encounters, were general medicine, case management, mental health services, specialty services, and substance use disorder services. Patients demonstrated vulnerabilities in education, employment, and housing and extensive use of clinical services. Adults impacted by the justice system can benefit from targeted and coordinated case management to support health care utilization. Findings may inform funding initiatives, staffing, and service delivery models to optimize care and support services for individuals who have experienced contact with the justice system.

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在一个大型联邦合格医疗保健诊所网络受司法系统影响的成年人的卫生服务利用。

本研究调查了受司法系统影响的成年人（n=3380）和普通患者（n=226,970）在2020-2022年期间在加利福尼亚州一家联邦合格医疗中心（FQHC; n=62个服务站点）接受医疗服务的情况。对电子病历进行了混合人工审查。根据接触的总数，受司法系统影响的成年人使用的前五大部门是普通医学、案件管理、精神卫生服务、专业服务和物质使用障碍服务。患者在教育、就业、住房和广泛使用临床服务方面表现出脆弱性。受司法系统影响的成年人可以从有针对性和协调的案件管理中受益，以支持卫生保健的利用。调查结果可以为资助倡议、人员配备和服务提供模式提供信息，以优化对与司法系统有过接触的个人的护理和支持服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.