住院医师培训项目中教授健康的社会决定因素和结构胜任力的医疗-法律伙伴关系方法。
The Medical-Legal Partnership Approach to Teaching Social Determinants of Health and Structural Competency in Residency Programs.
作者信息
Paul Edward G, Curran Mallory, Tobin Tyler Elizabeth
机构信息
E.G. Paul is academic chair, Department of Family Medicine, St. Joseph's Hospital & Medical Center/Dignity Health, Phoenix, Arizona.M. Curran is a consultant who specializes in medical-legal partnership, including with the National Center for Medical-Legal Partnership, Department of Health Policy and Management, George Washington University, Washington, DC.E. Tobin Tyler is assistant professor of family medicine, Warren Alpert Medical School of Brown University, and assistant professor of health services, policy and practice, Brown University School of Public Health, Providence, Rhode Island. The author also serves as a consultant to the National Center for Medical-Legal Partnership, Department of Health Policy and Management, George Washington University, Washington, DC.
出版信息
Acad Med. 2017 Mar;92(3):292-298. doi: 10.1097/ACM.0000000000001494.
Medical-legal partnerships (MLPs) embed civil legal services lawyers into health care settings and interprofessional health care teams delivering care to low-income or otherwise vulnerable patients and communities. MLPs present the opportunity to instill in residents a practical understanding of the social determinants of health and provide them with concrete tools to address them. MLP training helps residents develop structural competency and build the skills necessary to address barriers to health at the patient, institutional, and population levels. Through a case study, this Perspective explores how residents can address health-harming legal needs working in partnership with interprofessional health care teams that include lawyers, and illustrates how such MLP experiences can relate to competency-based Milestones that are applicable to training residents in all specialties.
医疗-法律合作项目（MLPs）将民事法律服务律师融入医疗保健机构以及为低收入或其他弱势群体患者和社区提供护理的跨专业医疗团队中。医疗-法律合作项目为住院医师提供了一个机会，使其切实理解健康的社会决定因素，并为他们提供应对这些因素的具体工具。医疗-法律合作项目培训有助于住院医师培养结构胜任力，并培养在患者、机构和人群层面解决健康障碍所需的技能。通过一个案例研究，本观点探讨了住院医师如何与包括律师在内的跨专业医疗团队合作，满足有害健康的法律需求，并说明了这种医疗-法律合作项目经历如何与适用于所有专业住院医师培训的基于胜任力的里程碑相关联。
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