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Caregiver Perspectives on Discussing Immigration Legal Status in a Medical Setting.

Sophie Kurschner1, Olanrewaju Falusi2, Daniel Newman2

  • 1George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

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Summary

Medical-legal partnerships (MLPs) effectively integrate legal services into healthcare. Patients are comfortable discussing immigration legal needs during medical visits, showing primary care settings are suitable for addressing these health-related legal issues.

Keywords:
health care integrationimmigration statusmedical-legal partnershipspatient/family-centered carepediatric primary care

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Area of Science:

  • Public Health
  • Health Services Research
  • Legal Medicine

Background:

  • Medical-legal partnerships (MLPs) address social determinants of health, including legal challenges impacting patient well-being.
  • Immigration status presents significant legal hurdles that can adversely affect health outcomes for vulnerable populations.
  • Integrating legal support within healthcare settings can improve access to justice and health equity.

Purpose of the Study:

  • To evaluate the acceptability and patient comfort levels regarding discussions of immigration legal needs within a pediatric primary care setting.
  • To assess patient attitudes toward the integration of legal services into healthcare delivery.
  • To determine the feasibility of using primary care centers as sites for co-located legal services.

Main Methods:

  • A survey was administered to 51 participants during medical visits at a pediatric primary care center.
  • The survey assessed patient/family comfort and appropriateness of discussing immigration legal needs in a healthcare context.
  • Data were collected on participants' experiences seeking legal assistance for immigration status concerns.

Main Results:

  • Over 80% of participants reported concerns related to immigration status, with nearly half having never sought legal assistance.
  • A significant majority (74.5%) found discussions about legal topics very appropriate, and 75.8% were completely comfortable with these conversations in a medical setting.
  • 94.1% of participants considered primary care sites appropriate locations for these legal discussions.

Conclusions:

  • Asking about immigration legal needs within a healthcare setting is acceptable to immigrant families.
  • Primary care centers are effective and appropriate locations for co-locating legal services to address health-related legal needs.
  • MLPs can successfully bridge the gap between healthcare and legal support, improving health outcomes for immigrant populations.