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J Public Health (Oxf). 2019 Mar 1;41(1):e16-e24. doi: 10.1093/pubmed/fdy076.
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Addressing Social Determinants Of Health Through Medical-Legal Partnerships.通过医疗法律伙伴关系解决健康的社会决定因素。
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国家调查退伍军人事务部下属法律诊所,以促进与卫生和社区服务的伙伴关系。

National Survey of Legal Clinics Housed by the Department of Veterans Affairs to Inform Partnerships with Health and Community Services.

出版信息

J Health Care Poor Underserved. 2020;31(3):1440-1456. doi: 10.1353/hpu.2020.0104.

DOI:10.1353/hpu.2020.0104
PMID:33416704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8215811/
Abstract

Legal clinics housed by the Department of Veterans Affairs (VA) help veterans eliminate service access barriers. In this survey of 95 VA-housed legal clinics (70% of clinics), clients' legal problems were mainly estate planning, family, obtaining VA benefits, and housing (14-17% of clients). Most clinics rarely interacted with VA health care providers, did not have access to clients' VA health care records, and did not track clients' VA health care access (58-81% of clinics); 32% did not have dedicated and adequate space. Most clinic staff members were unpaid. Survey findings-that most VA-housed legal clinics do not interact with VA health care or directly address clients' mental health and substance use needs, and lack funds to serve fully all veterans seeking services-suggest that VA and community agencies should enact policies that expand and fund veterans' legal services and health system interactions to address health inequities and improve health outcomes.

摘要

退伍军人事务部(VA)下设的法律诊所帮助退伍军人消除获取服务的障碍。在对 95 家 VA 法律诊所(占诊所总数的 70%)的调查中,客户的法律问题主要集中在遗嘱规划、家庭事务、获取 VA 福利和住房(占客户的 14-17%)。大多数诊所很少与 VA 医疗服务提供者互动,无法获得客户的 VA 医疗记录,也不跟踪客户的 VA 医疗保健服务获取情况(占诊所的 58-81%);32%的诊所没有专用且充足的空间。大多数诊所工作人员没有报酬。调查结果表明,大多数 VA 法律诊所不与 VA 医疗保健系统互动,也不直接解决客户的心理健康和药物使用需求,并且缺乏资金为所有寻求服务的退伍军人提供全面服务,这表明 VA 和社区机构应制定政策,扩大和资助退伍军人的法律服务和卫生系统互动,以解决健康不平等问题并改善健康结果。