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- W1515076686 abstract "A LITTLE MORE THAN 5 YEARS AGO, Michael Kelley, MD, decided he wanted to be where the action is. That decision landed him in prison, but he has no regrets. As director of preventive medicine for the Texas Department of Criminal Justice, Kelley believes he can make more of a difference in public health than in his previous work with the Texas Department of Health. “It is exciting . . . I really like what I’m doing,” he says. The state prison system “has a highrisk population, a high burden of disease, a more controlled environment, and a structured health care system.” In other words, it is a place where an individual physician can have an unusual degree of leverage to improve the system. Throughout the years, the image of the “jail doc” and health care conditions in correctional facilities has bordered on appalling. And even though inmate advocates say many US prisons and jails continue to have “shocking” health care problems, another picture of correctional health care is beginning to emerge. The field is maturing, as physicians like Kelley find new challenges and the National Commission on Correctional Health Care (NCCHC) and other groups work to establish comprehensive surveillance systems, screening programs, and the use of clinical guidelines in correctional settings. Some correctional physicians predict that the day when prisons and jails produce outcomes comparable with commercial health plans isn’t far off. “We now have a much better sense of what is necessary to provide adequate care [in correctional settings] by using nationally recognized guidelines and keeping up with science,” says Ronald Shansky, MD, MPH, a Chicagobased correctional health consultant." @default.
- W1515076686 created "2016-06-24" @default.
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- W1515076686 date "2004-04-07" @default.
- W1515076686 modified "2023-10-17" @default.
- W1515076686 title "New Initiatives Target Inmates' Health" @default.
- W1515076686 doi "https://doi.org/10.1001/jama.291.13.1549" @default.
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