Evidence map›Paper›PMID 38600771›Full record

ArticleJournal of primary care & community health

Effect of a Legal Clinic Program Within an Urban Primary Health Care Center on Social Determinants of Health: A Program Evaluation.

Gina Agarwal, Melissa Pirrie, Dan Edwards, Bethany Delleman, Sharon Crowe, Hugh Tye, Jayne Mallin

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Gina AgarwalDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-5691-4675
Melissa PirrieDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-1407-4775
Dan EdwardsMcMaster Family Practice, Hamilton Health Sciences, Hamilton, ON, Canada.
Bethany DellemanDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Sharon CroweHamilton Community Legal Clinic, Hamilton, ON, Canada.
Hugh TyeHamilton Community Legal Clinic, Hamilton, ON, Canada.
Jayne MallinLegal Aid Ontario, Hamilton, ON, Canada.
McMaster University · CAHamilton Health Sciences · CAImpact · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals living in poverty often visit primary healthcare clinics for health problems stemming from unmet legal needs. We examined the impact of a medical-legal partnership on improving the social determinants of health (SDoH), health-related quality of life, and perceived health status of attendees of a Legal Clinic Program (LCP).

methodsThis was a pre-post program evaluation of a weekly LCP established within an urban primary healthcare clinic to provide free legal consultation. Patients aged 18 years or older were either approached or referred to complete a screening tool to identify potential legal needs. Those identified with potential legal needs were offered an appointment with LCP lawyers who provided legal counsel, referrals, and services. For those who attended the LCP, changes in SDoH and health indicators were collected via a self-reported survey 6 months after they attended the LCP and compared to their baseline scores using paired

resultsDuring the 6-month evaluation period, 31 participants attended the LCP and completed both the baseline and 6-month surveys; 67.8% were female, 64.5% were white, 90.3% were not working full-time, and 61.3% had a household income of $700 to 1800 per month. At follow-up, 25.8% were receiving at least 1 new benefit and there was a statistically significant reduction in food insecurity (35.5% vs 9.7%,

conclusionsThe LCP has the potential to improve the health and wellbeing of patients in primary healthcare clinics by addressing unmet legal needs and SDoH.

Indexed as

Quality of LifeSocial Determinants of HealthAmbulatory Care FacilitiesFemaleHumansMalePrimary Health CareProgram Evaluationinterprofessional carelegal healthprimary careprogam evaluationsocial determinants of health

Identifiers

PMID38600771
PMCPMC11008340
OpenAlexW4394729708

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.