Planning Health Services for a City Jail

Impact of Contractual Services on Men??s Sick Call

Bibliographic Data

ID9103258
AuthorsRichard W Freeman (Johns Hopkins University, corresponding author), Roger E Gollub (State of Maryland), Martha Wolski, John A Gschwend (Rush University Medical Center), Mohamed S Al-Ibrahim, Mohamed Al‐Ibrahim (University of Maryland, Baltimore), Patricia R Hawthorne, Leonard J Fox (Baltimore City Health Department), Archie S Golden (Johns Hopkins University, corresponding author), Gordon Kamka (State of Maryland), Gregory B Kelly
Year1981
Volume19
Issue4
Pages410-418
Publication date1981-04-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198104000-00003
PMID7230934
OpenAlexW2047974719
LanguageEN
References cited1

A nonviolent protest by prisoners began a 2-year planning process leading to the implementation of contractual medical services at Baltimore City Jail. This study was conducted in order to assess the impact of contractual services on the process of men's sick call. The contractual program was associated with a decrease in utilization of men's sick call: 62.9 patient visits per day per 1,000 prisoners in 1975 versus 27.4 patient visits per day per 1,000 prisoners in 1978; an increased duration of encounter; 2.8 minutes in 1975 versus 10.9 minutes in 1978; and with changes in prescribing patterns and in categories of patients' complaints. Baltimore City Jail spent about $588 per prisoner-year during fiscal year 1977, and about $670 per prisoner-year during fiscal year 1978, the first year of contractual services. We conclude that a system of health services for a large, urban jail can allow time for humane and professional encounters between providers and patients

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