Millions are confined in U.S. jails each year, often with unmet health and social needs. After release, many will visit the emergency department (ED). To illuminate their patterns of ED use, this study linked records from all individuals detained at a Southern urban jail over a 5-year period with health records from a large health care system with three EDs. Over half used the ED at least once, and of those who received care at the health system, 83% visited the ED. Jail-involved people made up 4.1% of the health care system's ED users but 21.3% of its chronic frequent ED users. Frequent ED use was associated with more frequent jail bookings and with co-occurring serious mental illness and substance use disorder. Health systems and jails have a common interest in addressing the needs of this population. Individuals with co-occurring disorders should be prioritized for intervention.

中文翻译：

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监狱中被拘留者对社区急救部门的依赖：回顾性横断面研究。

美国每年有数百万人被关押在监狱中，健康和社会需求往往得不到满足。出院后，许多人会去急诊室 (ED)。为了阐明急诊室的使用模式，这项研究将 5 年内被拘留在南部城市监狱的所有个人的记录与拥有三个急诊室的大型医疗保健系统的健康记录联系起来。超过一半的人至少使用过一次急诊室，在卫生系统接受护理的人中，83% 去过急诊室。监狱相关人员占医疗保健系统 ED 用户的 4.1%，但在长期频繁使用 ED 的用户中占 21.3%。频繁使用急诊室与更频繁地入狱以及同时发生的严重精神疾病和药物滥用障碍有关。卫生系统和监狱在满足这一人群的需求方面有着共同的利益。患有并发疾病的个体应优先接受干预。