Title

The role of advocacy in occasioning community and organizational change in a medical-legal partnership.

Document Type

Article

Publication Date

1-1-2013

Identifier

DOI: 10.1080/10852352.2013.788343

Abstract

Health disparities among low-income individuals remain a significant problem. A number of social determinants are associated with adverse health outcomes. Medical-legal partnerships address legal concerns of low-income individuals to improve health and wellness in adults and children. The Medical-Legal Partnership at Legal Aid of Western Missouri provides free direct legal services for patients with legal concerns affecting health. There is limited evidence regarding the association between advocacy-related efforts and changes within both the medical-legal partnership structure and in health-care facilities. Three health-care organizations in Kansas City, MO participated in implementing the medical-legal partnership model between 2007 and 2010. Advocacy efforts conducted by key medical-legal partnership personnel were strongly associated with changes in health-care organizations and within the medical-legal partnership structure. This study extends the current evidence base by examining the types of advocacy efforts required to bring about community and organizational changes.

Journal Title

J Prev Interv Community

Volume

41

Issue

3

First Page

167

Last Page

175

MeSH Keywords

Community Networks; Consumer Advocacy; Health Status Disparities; Humans; Jurisprudence; Missouri; Models, Organizational; Organizational Innovation; Poverty; Social Change; Urban Health Services

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