Behind bars: the compelling case for academic health centers partnering with correctional facilities

UMMS Affiliation

Department of Family Medicine and Community Health; Commonwealth Medicine, Center for Health Policy and Research

Publication Date


Document Type



*Academic Medical Centers; *Delivery of Health Care; Education, Medical, Graduate; Fellowships and Scholarships; Health Services Needs and Demand; Health Services Research; Health Status Disparities; Humans; *Interinstitutional Relations; *Prisons; United States


Community Health and Preventive Medicine | Health and Medical Administration | Health Services Administration | Health Services Research | Medical Education | Preventive Medicine | Primary Care


Academic health centers (AHCs), particularly those that are publicly funded institutions, have as their mission the treatment of disadvantaged populations, the training of the next generation of clinicians, and the development and dissemination of new knowledge to reduce the burden of disease and improve the health of individuals and populations. Incarcerated populations have the most prevalent and acute disease burden and health disparities in the United States, even in comparison with inner-city populations. Yet, only a small proportion of AHCs have reached out to incarcerated populations to fulfill their mission. Those AHCs that have partnered with correctional facilities have overcome concerns about the value and popularity of "training behind bars"; the cost, liability, and pragmatics of caring for a medically complicated population; and the viability of correctional health research and extramural research funding. They have done so to great benefit to patients, students, and faculty. Partnering with correctional facilities to provide health care offers opportunities for AHCs to fulfill their core missions of clinical service, education, and research, while also enhancing their financial stability, to the benefit of all. In this Commentary, the authors discuss, based on their experiences, these concerns, how existing partnerships have overcome them, and the benefits of such relationships to both AHCs and correctional facilities.

DOI of Published Version



Acad Med. 2015 Jan;90(1):16-9. doi: 10.1097/ACM.0000000000000431. Link to article on publisher's site

Journal/Book/Conference Title

Academic medicine : journal of the Association of American Medical Colleges

Related Resources

Link to Article in PubMed

PubMed ID