Bridging Health Disparity Gaps through the Use of Medical Legal Partnerships in Patient Care: A Systematic Review

Over the past two decades, we have seen an increase in the use of medical-legal partnerships (MLPs) in health-care and/or legal settings to address health disparities affecting vulnerable populations. MLPs increase medical teams' capacity to address social and environmental threats to patients&...

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Published in:The Journal of law, medicine & ethics medicine & ethics, 2017-06, Vol.45 (2), p.260-273
Main Authors: Martinez, Omar, Boles, Jeffrey, Muñoz-Laboy, Miguel, Levine, Ethan C., Ayamele, Chukwuemeka, Eisenberg, Rebecca, Manusov, Justin, Draine, Jeffrey
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Care and treatment
Government regulation
Health care
Health disparities
Health technology assessment
Hispanic Americans
HIV
Housing
Human immunodeficiency virus
Infections
Intervention
Laws, regulations and rules
Legal medicine
Longitudinal studies
Medical care
Medical care quality
Medical research
Medical-legal partnerships
Meta-analysis
Observational studies
Patient care
Patient safety
Patients
Physicians
Qualitative research
Quality management
Systematic review
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Boles, Jeffrey
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Manusov, Justin
Draine, Jeffrey
description Over the past two decades, we have seen an increase in the use of medical-legal partnerships (MLPs) in health-care and/or legal settings to address health disparities affecting vulnerable populations. MLPs increase medical teams' capacity to address social and environmental threats to patients' health, such as unsafe housing conditions, through partnership with legal professionals. Following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, we systematically reviewed observational studies published from January 1993-January 2016 to investigate the capacity of MLPs to address legal and health disparities. We identified 13 articles for qualitative analysis from an initial pool of 355 records. The resulting pool of 13 articles revealed more information regarding the capacity of MLPs to address legal outcomes than their capacity to address health outcomes; only 4 studies directly addressed the impact of MLP intervention on patient wellbeing and/or patient utilization of healthcare services. We call for further evaluation/longitudinal studies that specifically address MLPs' short and long term effects upon patient health disparities. Finally, given the demonstrated capacity of MLPs to address unmet legal needs, and their evident potential in regards to improving health outcomes, we present the MLP model as a framework to address HIV-related legal and health disparities.
doi_str_mv 10.1177/1073110517720654
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MLPs increase medical teams' capacity to address social and environmental threats to patients' health, such as unsafe housing conditions, through partnership with legal professionals. Following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, we systematically reviewed observational studies published from January 1993-January 2016 to investigate the capacity of MLPs to address legal and health disparities. We identified 13 articles for qualitative analysis from an initial pool of 355 records. The resulting pool of 13 articles revealed more information regarding the capacity of MLPs to address legal outcomes than their capacity to address health outcomes; only 4 studies directly addressed the impact of MLP intervention on patient wellbeing and/or patient utilization of healthcare services. We call for further evaluation/longitudinal studies that specifically address MLPs' short and long term effects upon patient health disparities. 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subjects Acquired immune deficiency syndrome
AIDS
Care and treatment
Government regulation
Health care
Health disparities
Health technology assessment
Hispanic Americans
HIV
Housing
Human immunodeficiency virus
Infections
Intervention
Laws, regulations and rules
Legal medicine
Longitudinal studies
Medical care
Medical care quality
Medical research
Medical-legal partnerships
Meta-analysis
Observational studies
Patient care
Patient safety
Patients
Physicians
Qualitative research
Quality management
Systematic review
title Bridging Health Disparity Gaps through the Use of Medical Legal Partnerships in Patient Care: A Systematic Review
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