Medical-Legal Partnership: Collaborating with Lawyers to Identify and Address Health Disparities
Introduction Medical-legal partnerships (MLPs) bring together medical professionals and lawyers to address social causes of health disparities, including access to adequate food, housing and income. Setting Eighty-one MLPs offer legal services for patients whose basic needs are not being met. Progra...
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Veröffentlicht in: | Journal of general internal medicine : JGIM 2010-05, Vol.25 (Suppl 2), p.136-139 |
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creator | Cohen, Ellen Fullerton, Danya Fortess Retkin, Randye Weintraub, Dana Tames, Pamela Brandfield, Julie Sandel, Megan |
description | Introduction
Medical-legal partnerships (MLPs) bring together medical professionals and lawyers to address social causes of health disparities, including access to adequate food, housing and income.
Setting
Eighty-one MLPs offer legal services for patients whose basic needs are not being met.
Program Description
Besides providing legal help to patients and working on policy advocacy, MLPs educate residents (29 residency programs), health care providers (160 clinics and hospitals) and medical students (25 medical schools) about how social conditions affect health and screening for unmet basic needs, and how these needs can often be impacted by enforcing federal and state laws. These curricula include medical school courses, noon conferences, advocacy electives and CME courses.
Program Evaluation
Four example programs are described in this paper. Established MLPs have changed knowledge (MLP | Boston—97% reported screening for two unmet needs), attitudes (Stanford reported reduced concern about making patients “nervous” with legal questions from 38% to 21%) and behavior (NY LegalHealth reported increasing resident referrals from 15% to 54%) after trainings. One developing MLP found doctors experienced difficulty addressing social issues (NJ LAMP—67% of residents felt uncomfortable).
Discussion
MLPs train residents, students and other health care providers to tackle socially caused health disparities. |
doi_str_mv | 10.1007/s11606-009-1239-7 |
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Medical-legal partnerships (MLPs) bring together medical professionals and lawyers to address social causes of health disparities, including access to adequate food, housing and income.
Setting
Eighty-one MLPs offer legal services for patients whose basic needs are not being met.
Program Description
Besides providing legal help to patients and working on policy advocacy, MLPs educate residents (29 residency programs), health care providers (160 clinics and hospitals) and medical students (25 medical schools) about how social conditions affect health and screening for unmet basic needs, and how these needs can often be impacted by enforcing federal and state laws. These curricula include medical school courses, noon conferences, advocacy electives and CME courses.
Program Evaluation
Four example programs are described in this paper. Established MLPs have changed knowledge (MLP | Boston—97% reported screening for two unmet needs), attitudes (Stanford reported reduced concern about making patients “nervous” with legal questions from 38% to 21%) and behavior (NY LegalHealth reported increasing resident referrals from 15% to 54%) after trainings. One developing MLP found doctors experienced difficulty addressing social issues (NJ LAMP—67% of residents felt uncomfortable).
Discussion
MLPs train residents, students and other health care providers to tackle socially caused health disparities.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1007/s11606-009-1239-7</identifier><identifier>PMID: 20352508</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Attorneys ; Collaboration ; Cooperative Behavior ; Health care access ; Healthcare Disparities - methods ; Healthcare Disparities - standards ; Humans ; Innovations in Education ; Internal Medicine ; Lawyers - education ; Lawyers - standards ; Legislation, Medical - standards ; Medicine ; Medicine & Public Health ; Physicians ; Physicians - standards ; Program Evaluation - methods ; Program Evaluation - standards</subject><ispartof>Journal of general internal medicine : JGIM, 2010-05, Vol.25 (Suppl 2), p.136-139</ispartof><rights>Society of General Internal Medicine 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-8fb10f96c72d430843bc996d71910f4a47b0a834b114565d740792e5ec71692c3</citedby><cites>FETCH-LOGICAL-c468t-8fb10f96c72d430843bc996d71910f4a47b0a834b114565d740792e5ec71692c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847107/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847107/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20352508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cohen, Ellen</creatorcontrib><creatorcontrib>Fullerton, Danya Fortess</creatorcontrib><creatorcontrib>Retkin, Randye</creatorcontrib><creatorcontrib>Weintraub, Dana</creatorcontrib><creatorcontrib>Tames, Pamela</creatorcontrib><creatorcontrib>Brandfield, Julie</creatorcontrib><creatorcontrib>Sandel, Megan</creatorcontrib><title>Medical-Legal Partnership: Collaborating with Lawyers to Identify and Address Health Disparities</title><title>Journal of general internal medicine : JGIM</title><addtitle>J GEN INTERN MED</addtitle><addtitle>J Gen Intern Med</addtitle><description>Introduction
Medical-legal partnerships (MLPs) bring together medical professionals and lawyers to address social causes of health disparities, including access to adequate food, housing and income.
Setting
Eighty-one MLPs offer legal services for patients whose basic needs are not being met.
Program Description
Besides providing legal help to patients and working on policy advocacy, MLPs educate residents (29 residency programs), health care providers (160 clinics and hospitals) and medical students (25 medical schools) about how social conditions affect health and screening for unmet basic needs, and how these needs can often be impacted by enforcing federal and state laws. These curricula include medical school courses, noon conferences, advocacy electives and CME courses.
Program Evaluation
Four example programs are described in this paper. Established MLPs have changed knowledge (MLP | Boston—97% reported screening for two unmet needs), attitudes (Stanford reported reduced concern about making patients “nervous” with legal questions from 38% to 21%) and behavior (NY LegalHealth reported increasing resident referrals from 15% to 54%) after trainings. One developing MLP found doctors experienced difficulty addressing social issues (NJ LAMP—67% of residents felt uncomfortable).
Discussion
MLPs train residents, students and other health care providers to tackle socially caused health disparities.</description><subject>Attorneys</subject><subject>Collaboration</subject><subject>Cooperative Behavior</subject><subject>Health care access</subject><subject>Healthcare Disparities - methods</subject><subject>Healthcare Disparities - standards</subject><subject>Humans</subject><subject>Innovations in Education</subject><subject>Internal Medicine</subject><subject>Lawyers - education</subject><subject>Lawyers - standards</subject><subject>Legislation, Medical - standards</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Physicians</subject><subject>Physicians - standards</subject><subject>Program Evaluation - methods</subject><subject>Program Evaluation - standards</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kUuPFCEUhYnROO3oD3BjiBtX6L1AFeDCZNI-ZpI2utA1UkB1M6muaqHaSf976fQ4PhJXJJzvHs7lEPIU4SUCqFcFsYWWARiGXBim7pEFNrxhKI26TxagtWRaCXlGHpVyDYCCc_2QnHEQFQO9IN8-xpC8G9gqrt1AP7s8jzGXTdq9pstpGFw3ZTencU1v0ryhK3dzqDKdJ3oV4jin_kDdGOhFCDmWQi-jGyr2NpWdy2lOsTwmD3o3lPjk9jwnX9-_-7K8ZKtPH66WFyvmZatnpvsOoTetVzxIAVqKzhvTBoWm3ksnVQdOC9khyqZtgpKgDI9N9Apbw704J29Ovrt9t43B13DZDXaX09blg51csn8rY9rY9fTDci0VgqoGL24N8vR9H8tst6n4WL9gjNO-WCVETYVCV_L5P-T1tM9j3c5qhRIF8KMdniCfp1Jy7O-iINhje_bUnq3t2WN79jjz7M8d7iZ-1VUBfgJKlcZ1zL9f_r_rT6yVpRI</recordid><startdate>20100501</startdate><enddate>20100501</enddate><creator>Cohen, Ellen</creator><creator>Fullerton, Danya Fortess</creator><creator>Retkin, Randye</creator><creator>Weintraub, Dana</creator><creator>Tames, Pamela</creator><creator>Brandfield, Julie</creator><creator>Sandel, Megan</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100501</creationdate><title>Medical-Legal Partnership: Collaborating with Lawyers to Identify and Address Health Disparities</title><author>Cohen, Ellen ; 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Medical-legal partnerships (MLPs) bring together medical professionals and lawyers to address social causes of health disparities, including access to adequate food, housing and income.
Setting
Eighty-one MLPs offer legal services for patients whose basic needs are not being met.
Program Description
Besides providing legal help to patients and working on policy advocacy, MLPs educate residents (29 residency programs), health care providers (160 clinics and hospitals) and medical students (25 medical schools) about how social conditions affect health and screening for unmet basic needs, and how these needs can often be impacted by enforcing federal and state laws. These curricula include medical school courses, noon conferences, advocacy electives and CME courses.
Program Evaluation
Four example programs are described in this paper. Established MLPs have changed knowledge (MLP | Boston—97% reported screening for two unmet needs), attitudes (Stanford reported reduced concern about making patients “nervous” with legal questions from 38% to 21%) and behavior (NY LegalHealth reported increasing resident referrals from 15% to 54%) after trainings. One developing MLP found doctors experienced difficulty addressing social issues (NJ LAMP—67% of residents felt uncomfortable).
Discussion
MLPs train residents, students and other health care providers to tackle socially caused health disparities.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20352508</pmid><doi>10.1007/s11606-009-1239-7</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings |
subjects | Attorneys Collaboration Cooperative Behavior Health care access Healthcare Disparities - methods Healthcare Disparities - standards Humans Innovations in Education Internal Medicine Lawyers - education Lawyers - standards Legislation, Medical - standards Medicine Medicine & Public Health Physicians Physicians - standards Program Evaluation - methods Program Evaluation - standards |
title | Medical-Legal Partnership: Collaborating with Lawyers to Identify and Address Health Disparities |
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