Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic
- PMID: 31105492
- PMCID: PMC6506975
- DOI: 10.1177/1559827617698417
Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic
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.
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
Similar articles
-
Optimizing the health impacts of civil legal aid interventions: the public health framework of medical-legal partnerships.R I Med J (2013). 2013 Jul 1;96(7):23-6. R I Med J (2013). 2013. PMID: 23819137
-
Addressing Social Determinants Of Health Through Medical-Legal Partnerships.Health Aff (Millwood). 2018 Mar;37(3):378-385. doi: 10.1377/hlthaff.2017.1264. Health Aff (Millwood). 2018. PMID: 29505366
-
The Medical-Legal Partnership Approach to Teaching Social Determinants of Health and Structural Competency in Residency Programs.Acad Med. 2017 Mar;92(3):292-298. doi: 10.1097/ACM.0000000000001494. Acad Med. 2017. PMID: 28225730
-
What medical-legal partnerships can do for trauma patients and trauma care.J Trauma Acute Care Surg. 2024 Feb 1;96(2):340-345. doi: 10.1097/TA.0000000000004167. Epub 2023 Dec 27. J Trauma Acute Care Surg. 2024. PMID: 38147579 Review.
-
US Medical-Legal Partnerships to Address Health-Harming Legal Needs: Closing the Health Injustice Gap.J Gen Intern Med. 2024 May;39(7):1204-1213. doi: 10.1007/s11606-023-08546-0. Epub 2024 Jan 8. J Gen Intern Med. 2024. PMID: 38191972 Free PMC article. Review.
Cited by
-
A New Kind of Academic MLP: Addressing Clients' Criminal Legal Needs to Promote Health Justice and Reduce Mass Incarceration.J Law Med Ethics. 2023;51(4):847-855. doi: 10.1017/jme.2024.3. Epub 2024 Mar 13. J Law Med Ethics. 2023. PMID: 38477263 Free PMC article.
-
Using Racial Justice Principles in Medical-Legal Partnership Design and Implementation.J Law Med Ethics. 2023;51(4):757-763. doi: 10.1017/jme.2023.159. Epub 2024 Mar 13. J Law Med Ethics. 2023. PMID: 38477268 Free PMC article.
-
Embedding Equity and Inclusion Principles Into Nephrology Board Examinations: An Essential Part of Our Path Toward Kidney Health Justice.Adv Kidney Dis Health. 2025 Jan;32(1):95-107. doi: 10.1053/j.akdh.2024.12.005. Adv Kidney Dis Health. 2025. PMID: 40175035 Review.
-
Integration of Waiting Room "Know Your Rights" Education into Medical Care of Immigrant Patients in a Federally Qualified Health Center: A Case Study.Health Equity. 2022 Jan 17;6(1):13-20. doi: 10.1089/heq.2020.0145. eCollection 2022. Health Equity. 2022. PMID: 35112041 Free PMC article.
-
Interventions to address cancer-related financial toxicity: Recommendations from the field.J Rural Health. 2022 Sep;38(4):817-826. doi: 10.1111/jrh.12637. Epub 2021 Dec 3. J Rural Health. 2022. PMID: 34861066 Free PMC article.
References
-
- National Center for Medical-Legal Partnership, National Center for Medical-Legal Partnership. http://medical-legalpartnership.org/. Accessed March 8, 2017.
-
- 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
-
- 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
-
- 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
Publication types
LinkOut - more resources
Full Text Sources