title: A tool for tracking and assessing chronic illness care in prison (ACIC-P).
abstract: Chronic disease care is being transformed in correctional settings, given an aging inmate population, ongoing quality improvement efforts, litigation, and rising costs. The Chronic Care Model, established for chronic disease care in the community, might be a suitable framework to transform chronic disease care in prison, but it has not been systematically adapted for the correctional health care setting. We employed cognitive interviewing to adapt an extant survey used to measure the delivery of chronic illness care in the community, Assessment of Chronic Illness Care, for a prison setting. Results from the cognitive interviews and the modified Assessment of Chronic Illness Care-Prison (ACIC-P) instrument are presented in this article. Future studies will need to test the reliability and psychometric properties of the adapted ACIC-P.
authors.affiliation: Department of Medicine, Yale University School of Medicine, New Haven, CT, USA emily.wang@yale.edu.
authors.forename: Emily A
authors.initials: EA
authors.lastname: Wang
authors.affiliation: Department of Medicine, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Jenerius A
authors.initials: JA
authors.lastname: Aminawung
authors.affiliation: Department of Family Medicine & Community Health, University of Massachusetts Medical School, Worcester, MA, USA.
authors.forename: Warren
authors.initials: W
authors.lastname: Ferguson
authors.affiliation: Correctional Managed Health Care and the Department of Medicine, University of Connecticut Health Center, Farmington, CT, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Trestman
authors.affiliation: Group Health Research Institute, Seattle, WA, USA.
authors.forename: Edward H
authors.initials: EH
authors.lastname: Wagner
authors.affiliation: Department of Medicine and Nursing, University of Massachusetts Medical School, Worcester, MA, USA.
authors.forename: Carol
authors.initials: C
authors.lastname: Bova
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology* / Q000628:therapy*; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D005260:Female; D006801:Humans; D008875:Middle Aged; D011330:Prisons / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care / Q000458:organization & administration* / Q000592:standards; D015203:Reproducibility of Results; D012648:Self Care; D014481:United States / Q000453:epidemiology
keywords: chronic care model; chronic disease; prison health care; quality improvement