A Systematic Review of Medical-Legal Partnerships Serving Immigrant Communities in the United States

League, Avery; Donato, Katharine M.; Sheth, Nima; Selden, Elizabeth; Patel, Sheetal; Cooper, Laurie Ball; Mendenhall, Emily

doi:10.1007/s10903-020-01088-1

Cited by 26 publications

(33 citation statements)

References 22 publications

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“…Moreover, improvements to interpreter services in the outpatient settings can produce more efficacious and efficient patient care, as well as reduce malpractice claims [ 51 ]. Additional legal and social services have demonstrated reductions in overall system costs [ 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

Diverse community leaders’ perspectives about quality primary healthcare and healthcare measurement: qualitative community-based participatory research

Culhane‐Pera

Pergament

Kasouaher

et al. 2021

Int J Equity Health

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Background Healthcare quality measurements in the United States illustrate disparities by racial/ethnic group, socio-economic class, and geographic location. Redressing healthcare inequities, including measurement of and reimbursement for healthcare quality, requires partnering with communities historically excluded from decision-making. Quality healthcare is measured according to insurers, professional organizations and government agencies, with little input from diverse communities. This community-based participatory research study aimed to amplify the voices of community leaders from seven diverse urban communities in Minneapolis-Saint Paul Minnesota, view quality healthcare and financial reimbursement based on quality metric scores. Methods A Community Engagement Team consisting of one community member from each of seven urban communities —Black/African American, Lesbian-Gay-Bisexual-Transgender-Queer-Two Spirit, Hmong, Latino/a/x, Native American, Somali, and White—and two community-based researchers conducted listening sessions with 20 community leaders about quality primary healthcare. Transcripts were inductively analyzed and major themes were identified. Results Listening sessions produced three major themes, with recommended actions for primary care clinics. #1: Quality Clinics Utilize Structures and Processes that Support Healthcare Equity. #2: Quality Clinics Offer Effective Relationships, Education, and Health Promotion. #3: Funding Based on Current Quality Measures Perpetuates Health Inequities. Conclusion Community leaders identified ideal characteristics of quality primary healthcare, most of which are not currently measured. They expressed concern that linking clinic payment with quality metrics without considering social and structural determinants of health perpetuates social injustice in healthcare.

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Section: Discussionmentioning

confidence: 99%

Diverse community leaders’ perspectives about quality primary healthcare and healthcare measurement: qualitative community-based participatory research

Culhane‐Pera

Pergament

Kasouaher

et al. 2021

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…Moreover, improvements to interpreter services in the outpatient settings can produce more e cacious and e cient patient care, as well as reduce malpractice claims [49]. Additional legal and social services have demonstrated reductions in overall system costs [50,51].…”

Section: Discussionmentioning

confidence: 99%

Diverse Community Leaders’ Perspectives About Quality Primary Healthcare and Healthcare Measurement: Qualitative Community-based Participatory Research

Culhane‐Pera

Pergament²,

Kasouaher

et al. 2021

Preprint

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BackgroundHealthcare quality measurements in the United States illustrate disparities by racial/ethnic group, socio-economic class, and geographic location. Redressing healthcare inequities, including measurement of and reimbursement for healthcare quality, requires partnering with communities historically excluded from decision-making. Quality healthcare is measured according to insurers, professional organizations and government agencies, with little input from diverse communities. This community-based participatory research study aimed to amplify the voices of community leaders from seven diverse urban communities in Minneapolis-Saint Paul Minnesota, view quality healthcare and financial reimbursement based on quality metric scores.MethodsA Community Engagement Team consisting of one community member from each of seven urban communities —Black/African American, Lesbian-Gay-Bisexual-Transgender-Queer-Two Spirit, Hmong, Latino/a/x, Native American, Somali, and White—and two community-based researchers conducted listening sessions with 20 community leaders about quality primary healthcare. Transcripts were inductively analyzed and major themes were identified.ResultsListening sessions produced three major themes, with recommended actions for primary care clinics. #1: Quality Clinics Utilize Structures and Processes that Support Healthcare Equity #2: Quality Clinics Offer Effective Relationships, Education, and Health Promotion#3: Funding Based on Current Quality Measures Perpetuates Health InequitiesConclusionCommunity leaders identified ideal characteristics of quality primary healthcare, most of which are not currently measured. They expressed concern that linking clinic payment with quality metrics without considering social and structural determinants of health perpetuates social injustice in healthcare.

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“…Legal-medical partnerships can help confront upstream obstacles to flourishing and health by calling attention to root causes and political determinants. 42 Finally, integrative care models that work across medical, legal, social, cultural and/or religious sectors (eg, women-friendly spaces, self-care interventions based on a logic of 'expert-patients', 43 approaches to 'syndemic care' 44 ) can serve as useful models. ► Health professionals and healthcare organisations can work to transform social, economic and structural circumstances that impede flourishing and harm health-for migrants and for other vulnerable patients and communities.…”

Section: Flourishing: Implications For Global Health Clinicians Systems and Policiesmentioning

confidence: 99%

Flourishing: migration and health in social context

et al. 2021

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Health and the capacity to flourish are deeply intertwined. For members of vulnerable migrant groups, systemic inequalities and structural forms of marginalisation and exclusion create health risks, impede access to needed care and interfere with the ability to achieve one’s full potential. Migrants often have limited access to healthcare, and they frequently are portrayed as less deserving than others of the resources needed to lead a healthy and flourishing life. Under these circumstances, clinicians, healthcare institutions and global health organisations have a moral and ethical obligation to consider the role they can—and do—play in either advancing or impeding migrants’ health and their capacity to flourish. Drawing on case studies from three world regions, we propose concrete steps clinicians and health institutions can take in order to better serve migrant patients. These include recommendations that can help improve understanding of the complex circumstances of migrants’ lives, strengthen collaboration between care providers and non-medical partners and transform the social, economic and structural circumstances that impede flourishing and harm health. Developing new strategies to promote the flourishing of precarious migrants can strengthen our collective ability to re-envision and redesign health systems and structures to value the health, dignity and bodily integrity of all patients—especially the most vulnerable—and to promote flourishing for all.

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A Systematic Review of Medical-Legal Partnerships Serving Immigrant Communities in the United States

Cited by 26 publications

References 22 publications

Diverse community leaders’ perspectives about quality primary healthcare and healthcare measurement: qualitative community-based participatory research

Diverse community leaders’ perspectives about quality primary healthcare and healthcare measurement: qualitative community-based participatory research

Diverse Community Leaders’ Perspectives About Quality Primary Healthcare and Healthcare Measurement: Qualitative Community-based Participatory Research

Flourishing: migration and health in social context

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