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Review
. 2017 Mar 23;13(3):282-291.
doi: 10.1177/1559827617698417. eCollection 2019 May-Jun.

Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic

Affiliations
Review

Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic

Elizabeth Tobin Tyler. Am J Lifestyle Med. .

Abstract

Medical-legal partnership (MLP) is a health care delivery innovation that embeds civil legal aid expertise into the health care team to address health-harming legal needs for vulnerable populations at risk for poor health. The MLP approach focuses on prevention by addressing upstream structural and systemic social and legal problems that affect patient and population health. Because many unmet legal needs affect health (such as residing in substandard housing; wrongful denial of government income supports, health insurance, or food assistance; family violence; and barriers to care based on immigration status), lawyers are important members of the health care team. This review describes the MLP approach to addressing the social determinants of health, examines its benefits for improving the delivery of primary care for vulnerable patients and populations, and explores new opportunities for MLP in primary care with the advent of systems reforms driven by the Affordable Care Act.

Keywords: health reform; medical-legal; primary care; social determinants of health; vulnerable populations.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
How Civil Legal Aid Helps Health Care Address the Social Determinants of Health.
Figure 2.
Figure 2.
Impact of Medical-Legal Partnerships in Health Centers.
Figure 3.
Figure 3.
MLPs Strengthen Value-Based Strategies. Abbreviation: MLP, medical-legal partnerships.

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References

    1. National Center for Medical-Legal Partnership, National Center for Medical-Legal Partnership. http://medical-legalpartnership.org/. Accessed March 8, 2017.
    1. Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12:573-575. - PMC - PubMed
    1. Braveman PA, Egerter SA, Mockenhaupt RE. Broadening the focus: the need to address the social determinants of health. Am J Prev Med. 2011;40(1 S1):S4-S18. - PubMed
    1. McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Aff (Millwood). 2002;21:78-93. - PubMed
    1. Frieden TR; Centers for Disease Control and Prevention (CDC). CDC health disparities and inequalities report—United States, 2013. MMWR Suppl. 2013;62(suppl 3):1-187. - PubMed

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