[영문]Most California prisoners experience discontinuity of health care upon return tothe community. In January 2006, physicians working with community organizationsand representatives of the San Francisco Department of Public Health’ssafety-net health system opened the Transitions Clinic (TC) to provide transitionaland primary care as well as case management for prisoners returning toSan Francisco. This article provides a complete description of TC, including anillustrative case, and reports information about the recently released individualswho participated in the program.From January 2006 to October 2007, TC saw 185 patients with chronicmedical conditions. TC patients are socially and economically disenfranchised;86% belong to ethnic minority groups and 38% are homeless. Eighty-ninepercent of patients did not have a primary care provider prior to their incarceration.Preliminary findings demonstrate that a community-based model ofcare tailored to this disenfranchised population successfully engages them inseeking health care