Klein Melissa D, Beck Andrew F, Henize Adrienne W, Parrish Donita S, Fink Elaine E, Kahn Robert S
J Health Care Poor Underserved. 2013 Aug;24(3):1063-73. doi: 10.1353/hpu.2013.0147.
Clear associations exist between socioeconomic risks and health, and these risks are often amenable to legal interventions.
This is a case study of an implementation of a medical-legal partnership (MLP) in three pediatric primary care centers that serve a predominantly high-risk population. Referral circumstances and outcomes over the first three years are described.
During the three-year study period, 1,808 MLP referrals were made for 1,614 patients by all levels of provider. Those referred were more likely to have asthma (p<.0001) and developmental delay/behavioral disorder (p<.0001) than the general clinic population. Housing (37%) and income/health benefit (33%) problems were the most common reasons for referral. Referrals led to 1,742 (89%) positive legal outcomes affecting nearly 6,000 cohabitating children and adults and translating into nearly $200,000 in recovered back benefits.
Successful MLP implementation enabled pediatric providers to address social determinants of health potentially improving health and reducing disparities.
社会经济风险与健康之间存在明确的关联，并且这些风险通常适合通过法律干预来解决。
这是一项关于在三个主要服务高危人群的儿科初级保健中心实施医疗-法律合作（MLP）的案例研究。描述了前三年的转诊情况和结果。
在为期三年的研究期间，各级医疗服务提供者共为1614名患者进行了1808次MLP转诊。与普通门诊患者相比，被转诊者更有可能患有哮喘（p<0.0001）和发育迟缓/行为障碍（p<0.0001）。住房问题（37%）和收入/健康福利问题（33%）是最常见的转诊原因。转诊带来了1742个（89%）积极的法律结果，影响了近6000名共同居住的儿童和成人，并追回了近20万美元的福利金。
成功实施MLP使儿科医疗服务提供者能够解决健康的社会决定因素，有可能改善健康状况并减少差距。
