Davis Kara, Fair Melissa L, Buckingham Catie, McKinnon Hannah, Theriot Roley Laurie, Sease Kerry
Institute for the Advancement of Community Health, Furman University, Greenville, South Carolina, USA
Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina, USA.
J Epidemiol Community Health. 2022 Aug 26. doi: 10.1136/jech-2022-219270.
Social determinants of health (SDOHs) impacts on an individual's health outcomes have become more evident, and clinical providers are vital in helping patients address those needs. Providers are experiencing high-stress levels related to patient care, resulting in a diminished capacity to address these SDOHs. This study examines the impact of a medical-legal partnership (MLP) on the clinical capacity to assist providers with addressing SDOH needs and reducing clinician stress.
A 16-question survey was emailed to 532 providers in a local health system. The survey assessed clinicians' perception of their role in addressing SDOH needs, the MLP's impact on their clinical capacity and the MLP's ability to remedy patient SDOH needs.
Providers who have referred to the MLP indicated higher levels of agreement that SDOH screenings were part of their clinical responsibility and had higher levels of agreement regarding comfort levels for completing SDOH screenings. Geriatric providers reported higher levels of agreement that the MLP reduced clinician stress than paediatric providers.
MLPs have the potential to reduce clinician stress and burnout by standing in the gap to assist providers in addressing their patient's SDOH needs.
健康的社会决定因素（SDOHs）对个体健康结果的影响日益明显，临床医疗服务提供者在帮助患者满足这些需求方面至关重要。医疗服务提供者在患者护理方面承受着高压力水平，导致处理这些SDOHs的能力下降。本研究探讨了医疗-法律合作关系（MLP）对协助医疗服务提供者满足SDOH需求以及减轻临床医生压力的临床能力的影响。
通过电子邮件向当地卫生系统的532名医疗服务提供者发送了一份包含16个问题的调查问卷。该调查评估了临床医生对其在满足SDOH需求方面作用的认知、MLP对其临床能力的影响以及MLP满足患者SDOH需求的能力。
咨询过MLP的医疗服务提供者表示，更认同SDOH筛查是其临床职责的一部分，并且在完成SDOH筛查时的舒适度方面也有更高的认同度。老年病医疗服务提供者比儿科医疗服务提供者更认同MLP减轻了临床医生的压力。
MLP有可能通过填补空白来协助医疗服务提供者满足患者的SDOH需求，从而减轻临床医生的压力和职业倦怠。
