将医疗法律服务纳入医院暴力干预计划:基于调查和采访的提供者需求评估
Jake Sonnenberg1, Ariana Metchick, Caitlin Schille
1From the University of California, San Francisco, School of Medicine (J.S.), San Francisco, California; Department of Surgery (A.M., E.H.), Georgetown University School of Medicine; Georgetown University Health Justice Alliance (C.S., P.B., L.K., D.P., V.G., B.T.), Georgetown University School of Law; and Department of Surgery (E.H.), MedStar Washington Hospital Center, Washington, District of Columbia.
遭受暴力伤害的患者面临着许多法律需求,包括保险拒绝和福利获取问题. 医疗法律伙伴关系可以解决这些问题,以改善结果并降低成本.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 卫生法 法律 卫生法
背景情况:
- 暴力伤害与健康的社会决定因素和长期不良结果有关.
- 医疗法律伙伴关系 (MLP) 已经成功地解决了其他环境中对健康有害的法律需求.
研究的目的:
- 为了确定在创伤手术环境中暴力受伤的患者健康危害的法律需求.
- 探索解决这些法律需求的障碍和促进因素.
主要方法:
- 电子调查分发给临床医生和一级创伤中心的工作人员.
- 与参与者进行半结构化后续采访.
- 专题分析和数据编码的基础理论.
主要成果:
- 常见的法律需求包括拒绝医疗保险 (62.5%),获取犯罪受害者资金 (56.3%) 和公共福利问题 (50%).
- 解决需求的障碍包括缺乏意识 (68.8%),优先级 (68.8%),成本 (62.5%) 和负面的法律经验 (62.5%).
- 确定的需求跨越了传统的MLP问题和幸存者的新挑战.
结论:
- 遭受暴力伤害的患者具有复杂的,对健康有害的法律需求.
- 量身定制的医疗法律伙伴关系可以满足这些需求,潜在地减少重伤和医疗保健成本.
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