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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.056119v1 96/9/1571    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Clark, B. C. Articles by Tulsky, J. P. Search for Related Content PubMed PubMed Citation Articles by Clark, B. C. Articles by Tulsky, J. P. Related Collections Diabetes Access to Care Quality of Care Urban Health

Brinton C. Clark, MD, MPH, Ellie Grossman, MD, Mary C. White, RN, MPH, PhD, Joe Goldenson, MD and Jacqueline Peterson Tulsky, MD

At the time of the study, Brinton C. Clark and Ellie Grossman were residents at the University of California, San Francisco. Mary C. White is with the Department of Community Health Systems, School of Nursing, University of California, San Francisco. Joe Goldenson is with the San Francisco Department of Public Health and the County Jail Health Services, San Francisco, Calif. Jacqueline Peterson Tulsky is with the Department of Medicine and the Positive Health Program, University of California, San Francisco, San Francisco General Hospital.

Correspondence: Requests for reprints should be sent to Brinton C. Clark, MD, MPH, Providence Portland Internal Medicine Residency Program, Providence Portland Medical Center, 5050 NE Hoyt St, Suite 540, Portland, OR 97213 (e-mail: brinton.clark{at}providence.org).

Chronic disease management is becoming increasingly important in correctional settings, especially diabetes. We conducted a retrospective chart review of diabetic inmates in San Francisco County Jail and examined the sociodemographic characteristics, markers of disease status, and compliance with jail-specific care guidelines within this setting. We found high rates of compliance with immediate-term care guidelines (e.g., finger-stick glucose and blood pressure checks at intake) but less success in providing the more complex care required for chronic diseases. Inmates’ age, race, and gender did not affect likelihood of meeting guidelines.