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.
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