Healthcare Organizational Structural Conditions and the Health of People Recently Released From Prison
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- Kaiser Permanente
- Enrollment
- 508
- Locations
- 1
- Primary Endpoint
- Healthcare utilization
Study Overview
Brief Summary
People released from prison experience two times higher cardiovascular (CV) mortality than the general population, have a high prevalence of poor CV health and increased risk of CV events within 2 years of release. Access to high quality healthcare following release from prison is key to preventing poor health and CV outcomes. Our study team will investigate facilitators and barriers to health care access experienced by people released from prison.
Detailed Description
Upon release from prison, people face numerous challenges including unstable housing, limited employment, stigma, and poor health. Structural conditions in healthcare systems, including policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health, and specialized services for people released from prison, may influence access and health outcomes for people released from prison. We will enroll people released from prison into a prospective cohort study to examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Moderation by participant characteristics such as self-reported race, ethnicity, gender, age and baseline CV health will be tested.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Recenlty released from state prison into the Denver/Aurora Colorado metro area
- •Age 18 and older
- •Ability to understand study procedures in English or Spanish
- •No plans to leave the area for six months
Exclusion Criteria
- •On "current inmate" status or still under correctional observation (i.e., under locked confinement part of the day or night)
- •Plans to leave area within six months
- •Unable to consent
Arms & Interventions
Exposure to structural conditions
Using a survey, we will measure participant exposure to organizational: access policies, transition programs, culture, support for social determinants of health and specialized services.
Outcomes
Primary Outcomes
Healthcare utilization
Time Frame: 12 months
Clinic visits, emergency visits, hospitalization
Secondary Outcomes
- Death(12 months)
- Cardiovascular hospitalization(12 months)