Evidence map›Paper›PMID 40026617›Full record

ArticleJournal of the American College of Emergency Physicians open2025

Prevalence of Health Harming Legal Needs of Patients Seeking Care in the Emergency Department.

Heather Ngai, David Wang, Tim P Moran, Steve Gottlieb, Candice Priest, Randi N Smith, Dennis Hsieh, Margaret Samuels-Kalow, Amy Zeidan

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. 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
–field-weighted citation impact
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. 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

9 authors.

Heather NgaiDepartment of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California, USA.
David WangDepartment of Internal Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Tim P MoranDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Steve GottliebAtlanta Legal Aid Society, Atlanta, Georgia, USA.
Candice PriestAtlanta Legal Aid Society, Atlanta, Georgia, USA.
Randi N SmithDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Dennis HsiehCentral California Alliance for Health, Merced, California, USA.
Margaret Samuels-KalowDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Amy ZeidanDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Patients seeking care in the emergency department (ED) often have unmet social needs that impact their health and health outcomes. Medical-legal partnerships (MLPs) have been shown to positively impact social and legal needs of patients yet few ED-MLPs exist. The goal of this study was to explore the prevalence of health-harming legal needs (HHLNs) that could be addressed through an ED-MLP. Methods: We conducted a survey study of a convenience sample of patients seeking care in one ED located in the Southeastern United States over a 6-month period. Research assistants conducted a HHLNs survey following the income/insurance, housing and utilities, education and employment, legal status, personal and family stability (I-HELP) framework with eligible consenting participants. Results were analyzed using descriptive statistics. Results: Of the total 205 participants, almost all the participants reported one or more HHLNs (n = 187, 91.7%) with many reporting 2 or more overlapping HHLNs (n = 152, 74.1%). The most common HHLNs reported were financial issues, access to benefits, and access to government insurance coverage or benefits. Many participants had concerns about housing and food insecurity. Conclusion: Our results demonstrate that patients seeking care in the ED had multiple overlapping social and legal needs that could be addressed through an MLP. As EDs increasingly utilize social screeners to identify unmet needs, inclusion of HHLNs would be an important addition to expand resources and interventions available to patients.

Indexed as

health-harming legal needshealth inequitiessocial determinants of healthunmet legal needs

Identifiers

PMID40026617
PMCPMC11868935

What OpenQuestion holds

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Registered trials

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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.