Brinton C. Clark ^1*, Ellie Grossman ², Mary C. White ³, Joe Goldenson ⁴, Jacqueline Peterson Tulsky ³

¹ Providence Portland Medical Center
² Beth Israel Deaconess Medical Center
³ University of California, San Francisco
⁴ San Francisco County Jail Health Services

^* To whom correspondence should be addressed. E-mail: brinton.clark{at}gmail.com.

	Abstract

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.

Key Words: Diabetes, Quality of Care, Urban Health