PRP085: Evaluating the Impact of Health Justice Partnerships: A Scoping Review

Imaan Bayoumi, MD, MSc; Danny Jomaa, MSc; Chalani Ranasinghe, BSc; Nicole Raymer, BHSc, MA, JD Candidate


Context: Social determinants of health (SDoH), including access to housing, income supports, education, employment, and healthcare services, shape the health of individuals and populations. Unmet legal needs are often embedded in the social determinants of health and their health-harming consequences can be ameliorated through legal intervention. Health-Justice Partnerships (HJPs) (collaborations between providers of health and free legal services) are a promising approach to addressing the impacts of SDoH on vulnerable people’s health by facilitating their access to justice. Objective: The objective of this study is to identify which health-harming legal needs are commonly addressed by HJPs, to evaluate the effectiveness of HJPs and identify the factors associated with HJP success.
Study Design: Scoping review.
Dataset: Search strategies were developed in consultation with expert medical and legal librarians to search MEDLINE, EMBASE, CINAHL, and the Index to Legal Periodicals databases.
Population Studied: Inclusion criteria include peer-reviewed publications of original research conducted in OECD countries from January 1st, 2000-July 31st, 2019. Included studies evaluated HJPs with primary outcomes including one or more of: process, SDoH, health, healthcare utilization, and legal orpolicy outcomes. Abstracts and literature that did not report primary data were excluded. Title and abstract screening was conducted on 8,921 articles, full text screening was conducted on 49 studies, and data was extracted from 31 studies.
Outcome Measures: Study population, setting, design, legal needs addressed, method of legal service provision, study intervention, and primary outcomes reported.
Anticipated Results: Understanding impact of well-established HJPs with opportunities for interprofessional education and collaboration to intervene early, and to prevent and resolve potential legal issues; and improve patient health outcomes.
Outcomes To Be Reported: A narrative synthesis of the results of each outcome measure will be prepared. This will inform the development of an evaluation framework for HJPs.
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Marcia Dailey 11/15/2020

I did not see where there were patient/community advisory included in the study on the medical health side of the partnership.

Imaan Bayoumi 11/23/2020

Certainly including a community advisory group in future research would strengthen it.

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