The Influence of a Medical-Legal Partnership on Self-Reported Health Outcomes in Upstate New York.

Meghan Long, Alyssa Reese, Gayle Elledge, Jeanine Santelli, Rebecca Russo
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Abstract

Introduction: Medical-legal partnerships (MLP) improve the ability of healthcare professionals to address patients' socioeconomic concerns. The Finger Lakes Legal Care Project (FLLC) is an MLP of LawNY, a nonprofit law firm that provides free legal assistance in western New York. This study aimed to assess for changes in self-reported health outcomes following receipt of legal aid.

Materials and methods: Patients who received legal assistance through the FLLC Project were administered the Short Form-12 Health Survey (SF-12) at the outset and conclusion of legal intervention. Demographic information was collected. Survey responses were analyzed using paired t-tests.

Results: Four hundred and eight participants with an average age of 49 years completed the pre-legal intervention survey and 123 individuals completed the survey post legal intervention. The majority of participants were White, non-Hispanic (36%) or African American (31.3%). There were statistically significant differences in the mean scores of two of the SF-12 questions. Participants reported that their health was less likely to limit their ability to perform regular activities (p = .037) and they felt "calm and peaceful" more frequently (p = .032) following legal aid.

Conclusions: Standardized surveys in conjunction with qualitative measures are needed to assess the efficacy of MLP models and establish a framework for emerging MLPs.

纽约州北部医疗-法律伙伴关系对自我报告健康结果的影响
简介:医疗法律伙伴关系(MLP)提高医疗保健专业人员的能力,以解决患者的社会经济问题。芬格湖法律关怀项目(FLLC)是LawNY的一个MLP, LawNY是一家在纽约西部提供免费法律援助的非营利性律师事务所。本研究旨在评估接受法律援助后自我报告的健康结果的变化。材料和方法:通过FLLC项目获得法律援助的患者在法律干预开始和结束时进行了简短的健康调查(SF-12)。收集了人口统计信息。调查结果采用配对t检验进行分析。结果:248名平均年龄49岁的参与者完成了法律干预前的调查,123人完成了法律干预后的调查。大多数参与者是白人,非西班牙裔(36%)或非洲裔美国人(31.3%)。SF-12问题中有两个问题的平均得分有统计学上的显著差异。参与者报告说,他们的健康状况不太可能限制他们进行常规活动的能力(p = .037),在法律援助之后,他们更频繁地感到“平静和安宁” (p = .032)。结论:需要结合定性措施的标准化调查来评估MLP模型的有效性,并为新兴MLP建立一个框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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