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Uncommon Ground

Robert B. Greifinger, MD Workshop on Health and Incarceration

December 5, 2012

Litigation-driven prison health care

Structural Challenges

Structural Challenges

Structural Challenges

Structural Challenges

Structural Challenges

Structural Challenges

Structural Challenges

Structural Challenges

Poor performing systems lack . . .

Poor performing systems lack . . .

Poor performing systems lack . . .

Poor performing systems lack . . .

Poor performing systems lack . . .

Poor performing systems typically have . . .

Poor performing systems have . . .

Poor performing systems have . . .

Poor performing systems have . . .

Poor performing systems have . . .

Why not use evidence?

High-performing U.S. community health systems are . . .

High-performing U.S. community health systems have . . .

High-performing U.S. community health systems have . . .

High-performing U.S. community health systems have . . .

High-performing U.S. community health systems have . . .

High-performing U.S. community health systems have . . .

High-performing U.S. community health systems have . . .

Affordable Care Act Opportunities for Change?

References

Moller L. Health in prisons: a WHO guide to the essentials in prison health. WHO 2007. Greifinger RB, Thirty years since Estelle v. Gamble, in Greifinger, RB (ed), Public health behind bars: from prisons to communities. Springer 2007; 4-8.