TY  - BOOK
AU  - Current, J J
AU  - Hall, Erin C
AU  - Rosen, Jennifer E
AU  - Sava, Jack
TI  - The Case for Integrating Medical-Legal Partnerships Into Trauma Care
PY  - 2022///
KW  - *Delivery of Health Care
KW  - *Emergency Medical Services
KW  - Adult
KW  - Housing
KW  - Humans
KW  - Surveys and Questionnaires
KW  - Vulnerable Populations
KW  - MedStar Washington Hospital Center
KW  - Surgery
KW  - Surgery/General Surgery
KW  - Surgery/Trauma Surgery
KW  - Trauma Prevention
KW  - Journal Article
N2  - CONCLUSIONS: Trauma patients have a high baseline burden of medical-legal needs. Medical-legal partnerships embedded in trauma teams may offer an innovative strategy to help address long-term health outcomes in a highly vulnerable population that would not otherwise have contact with the healthcare system. Copyright (c) 2022 Elsevier Inc. All rights reserved; INTRODUCTION: Medical-legal needs are health-harming adverse social conditions with a legal remedy. Medical-legal partnerships in primary care settings have been proposed to address these needs for at-risk patients already seeking medical care. Our hypothesis is that trauma patients represent a unique population that may be more likely to have baseline medical-legal needs; METHODS: A trauma-specific medical-legal needs survey was developed. Adult trauma patients who were able to give consent and were admitted to our urban Level I hospital were surveyed. Medical-legal needs were tabulated from the surveys. Those patients in the top decile of medical-legal needs were categorized as having a High Burden of medical-legal needs. Multivariate logistic regression was used to identify those independent risk factors for having a High Burden of medical-legal needs; RESULTS: A total of 566 participants completed the survey (78.2% response rate). The mean number of medical-legal needs for our population was 2.5 (SD = 3.1). 73% of our respondents had at least one medical-legal need. The most common needs were Housing (n = 229, 40%) and Education/Employment (n = 223, 39%). Older age (aOR = 3.01, 95% CI 1.2-8.1, P = 0.02), being separated or divorced (aOR = 4.25, 95% CI 1.2-14.0, P = 0.02), self perceived poor health (aOR = 8.4, 95% CI 2.61-26.86, P < 0.001), penetrating mechanism of injury (aOR = 2.52, 95% CI 1.22-5.2, P = 0.01), and having been admitted to the hospital for a longer period of time (aOR = 5.48, 95% CI 1.55-19.4, P = 0.008) were all independently associated with a High Burden of medical-legal needs
UR  - https://dx.doi.org/10.1016/j.jss.2021.12.043
ER  -