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首页> 外文期刊>Journal of general internal medicine >Medical-legal partnership: collaborating with lawyers to identify and address health disparities.
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Medical-legal partnership: collaborating with lawyers to identify and address health disparities.

机译：医疗法律伙伴关系：与律师合作以发现并解决健康差异。

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INTRODUCTION: Medical-legal partnerships (MLPs) bring together medical professionals and lawyers to address social causes of health disparities, including access to adequate food, housing and income. SETTING: Eighty-one MLPs offer legal services for patients whose basic needs are not being met. PROGRAM DESCRIPTION: Besides providing legal help to patients and working on policy advocacy, MLPs educate residents (29 residency programs), health care providers (160 clinics and hospitals) and medical students (25 medical schools) about how social conditions affect health and screening for unmet basic needs, and how these needs can often be impacted by enforcing federal and state laws. These curricula include medical school courses, noon conferences, advocacy electives and CME courses. PROGRAM EVALUATION: Four example programs are described in this paper. Established MLPs have changed knowledge (MLP | Boston-97% reported screening for two unmet needs), attitudes (Stanford reported reduced concern about making patients "nervous" with legal questions from 38% to 21%) and behavior (NY LegalHealth reported increasing resident referrals from 15% to 54%) after trainings. One developing MLP found doctors experienced difficulty addressing social issues (NJ LAMP-67% of residents felt uncomfortable). DISCUSSION: MLPs train residents, students and other health care providers to tackle socially caused health disparities.
机译：简介：医疗法律伙伴关系（MLP）将医疗专业人员和律师召集在一起，以解决造成健康差异的社会原因，包括获得充足食物，住房和收入的机会。地点：81个MLP为未满足基本需求的患者提供法律服务。计划说明：MLP除了向患者提供法律帮助和进行政策宣传外，还教育居民（29个居住项目），医疗保健提供者（160家诊所和医院）和医学院学生（25所医学院）关于社会状况如何影响健康和筛查的知识未满足的基本需求，以及执行联邦和州法律通常如何影响这些需求。这些课程包括医学院课程，中午会议，宣传选修课和CME课程。程序评估：本文描述了四个示例程序。既定的MLP改变了知识（MLP | Boston-97％报告了对两个未满足需求的筛查），态度（Stanford报告了对使患者“因法律问题而紧张”的担忧从38％减少到21％）和行为（NY LegalHealth报告了居民人数增加了）培训后从15％转为54％）。一位发展中的MLP发现医生在解决社会问题方面遇到困难（新泽西州LAMP-67％的居民感到不舒服）。讨论：MLP对居民，学生和其他医疗保健提供者进行培训，以解决社会造成的健康差距。

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