{"id":5431,"date":"2019-10-11T00:00:00","date_gmt":"2019-10-11T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/attachment-to-primary-care-and-team-based-primary-care-retrospective-cohort-study-of-people-who-experienced-imprisonment-in-ontario\/"},"modified":"2023-06-14T20:05:08","modified_gmt":"2023-06-15T00:05:08","slug":"attachment-to-primary-care-and-team-based-primary-care-retrospective-cohort-study-of-people-who-experienced-imprisonment-in-ontario","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/attachment-to-primary-care-and-team-based-primary-care-retrospective-cohort-study-of-people-who-experienced-imprisonment-in-ontario\/","title":{"rendered":"Attachment to primary care and team-based primary care: retrospective cohort study of people who experienced imprisonment in Ontario"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; To examine attachment to primary care and team-based primary care in the community for people who experienced imprisonment in Ontario, and to compare these attachment data with data for the general population.<\/p>\n<p><strong>Design<\/strong> &#x2014; Population-based retrospective cohort study.<\/p>\n<p><strong>Setting<\/strong> &#x2014; Ontario.<\/p>\n<p><strong>Participants<\/strong> &#x2014; All persons released from provincial prison in Ontario to the community in 2010 who were linked with provincial health administrative data, and an age- and sex-matched general population group.<\/p>\n<p><strong>Main Outcome Measures<\/strong> &#x2014; Primary care attachment and team-based primary care attachment in the 2 years before admission to provincial prison (baseline) and in the 2 years after release in 2010 (follow-up) for the prison release group, and for the corresponding periods for the general population group.<\/p>\n<p><strong>Results<\/strong> &#x2014; People in the prison release group (n = 48 861) were less likely to be attached to primary care compared with the age- and sex-matched general population group (n = 195 444), at 58.9% versus 84.1% at baseline (P &lt; .001) and 63.0% versus 84.4% during follow-up (P &lt; .001), respectively. The difference in attachment to team-based primary care was small in magnitude but statistically significant, at 14.4% versus 16.1% at baseline (P &lt; .001) and 19.9% versus 21.6% during follow-up (P &lt; .001), respectively.<\/p>\n<p><strong>Conclusion<\/strong> &#x2014; People who experience imprisonment have lower primary care attachment compared with the general population. Efforts should be made to understand barriers and to facilitate access to high-quality primary care for this population, including through initiatives to link people while in prison with primary care in the community.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To examine attachment to primary care and team-based primary care in the community for people who experienced imprisonment in Ontario, and to compare these attachment data with data for the general population. Design &#x2014; Population-based retrospective cohort study. Setting &#x2014; Ontario. Participants &#x2014; All persons released from provincial prison in Ontario to the [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-5431","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Kouyoumdjian F, Kim M, Kiran T, Cheng S, Fung K, Orkin A, Kendall CE, Green S, Matheson FI, Kiefer L. <em>Can Fam Physician<\/em>. 2019; 65(10):e433-42. Epub 2019 Oct 11.","source_url":"https:\/\/www.cfp.ca\/content\/65\/10\/e433","ices_scientist":[1154,1145,1157],"site":[6733],"research_program":[],"news_release":[7997],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"9A402C95-4902-4629-BED1-D4CC69FA1C73","sitecore_item_name":"Attachment-to-primary-care-and-team-based-primary-care-retrospective-cohort-study-of-people-who","sitecore_field_values":"{\n  \"Title\": \"Attachment to primary care and team-based primary care: retrospective cohort study of people who experienced imprisonment in Ontario\",\n  \"Short title\": \"Attachment to primary care and\",\n  \"Summary\": \"Persons who experience imprisonment have lower primary care attachment compared to the general population.\",\n  \"Citation\": \"<p>Kouyoumdjian F, Kim M, Kiran T, Cheng S, Fung K, Orkin A, Kendall CE, Green S, Matheson FI, Kiefer L. <em>Can Fam Physician<\/em>. 2019; 65(10):e433-42. Epub 2019 Oct 11.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To examine attachment to primary care and team-based primary care in the community for people who experienced imprisonment in Ontario, and to compare these attachment data with data for the general population.<\/p>n<p><strong>Design<\/strong> &mdash; Population-based retrospective cohort study.<\/p>n<p><strong>Setting<\/strong> &mdash; Ontario.<\/p>n<p><strong>Participants<\/strong> &mdash; All persons released from provincial prison in Ontario to the community in 2010 who were linked with provincial health administrative data, and an age- and sex-matched general population group.<\/p>n<p><strong>Main Outcome Measures<\/strong> &mdash; Primary care attachment and team-based primary care attachment in the 2 years before admission to provincial prison (baseline) and in the 2 years after release in 2010 (follow-up) for the prison release group, and for the corresponding periods for the general population group.<\/p>n<p><strong>Results<\/strong> &mdash; People in the prison release group (n = 48 861) were less likely to be attached to primary care compared with the age- and sex-matched general population group (n = 195 444), at 58.9% versus 84.1% at baseline (P &lt; .001) and 63.0% versus 84.4% during follow-up (P &lt; .001), respectively. The difference in attachment to team-based primary care was small in magnitude but statistically significant, at 14.4% versus 16.1% at baseline (P &lt; .001) and 19.9% versus 21.6% during follow-up (P &lt; .001), respectively.<\/p>n<p><strong>Conclusion<\/strong> &mdash; People who experience imprisonment have lower primary care attachment compared with the general population. Efforts should be made to understand barriers and to facilitate access to high-quality primary care for this population, including through initiatives to link people while in prison with primary care in the community.<\/p>n<p><a href=\"https:\/\/www.cfp.ca\/content\/65\/10\/e433\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{CCA7CFFF-A241-43D5-923D-B6BAA9BF1E81}|{EEDD5AB8-0E9D-4DBC-B5C7-7B4472AEC20A}|{D45B3FD1-95D9-4C82-93F0-4C4B787BE676}\",\n  \"Posted Date\": \"20191011T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2019\/October\/Attachment-to-primary-care-and-team-based-primary-care-retrospective-cohort-study-of-people-who"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Attachment to primary care and team-based primary care: retrospective cohort study of people who experienced imprisonment in Ontario<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; 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