Marsha Regenstein (
Jennifer Trott is a research scientist in the Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University.
Health Aff (Millwood). 2018 Mar;37(3):378-385. doi: 10.1377/hlthaff.2017.1264.
The US health care system needs effective tools to address complex social and environmental issues that perpetuate health inequities, such as food insecurity, education and employment barriers, and substandard housing conditions. The medical-legal partnership is a collaborative intervention that embeds civil legal aid professionals in health care settings to address seemingly intractable social problems that contribute to poor health outcomes and health disparities. More than three hundred health care organizations are home to medical-legal partnerships. This article draws upon national survey data and field research to identify three models of the medical-legal partnership that health care organizations have adopted and the core elements of infrastructure that they share. Financing and commitment from health care organizations are key considerations for sustaining and scaling up the medical-legal partnership as a health equity intervention.
美国的医疗保健系统需要有效的工具来解决那些持续存在健康不平等现象的复杂社会和环境问题,例如食品不安全、教育和就业障碍以及住房条件不达标等问题。医疗法律伙伴关系是一种协作干预措施,它将民事法律援助专业人员嵌入医疗保健环境中,以解决看似棘手的社会问题,这些问题会导致健康状况不佳和健康差距。有三百多个医疗保健组织拥有医疗法律伙伴关系。本文利用全国性调查数据和实地研究,确定了医疗保健组织所采用的三种医疗法律伙伴关系模式,以及它们所共有的基础设施核心要素。医疗保健组织的融资和承诺是维持和扩大医疗法律伙伴关系作为健康公平干预措施的关键考虑因素。