Medical-Legal Strategies to Improve Infant Health Care: A Randomized Trial

By: Robert Sege et al. Published by: Pediatrics. Published in July 2015

Link to article

Background

“Changes in health care delivery create opportunities to improve systems to better meet abstract 0the needs of low-income families while achieving quality benchmarks.

Methods

Families of healthy newborns receiving primary care at a single large urban safety-net hospital participated. Intervention families were randomly assigned a family specialist who provided support until the 6-month routine health care visit. The Developmental Understanding and Legal Collaboration for Everyone (DULCE) intervention is based on the Strengthening Families approach and incorporated components of the Healthy Steps and Medical-Legal Partnership models. Medical record reviews determined use of preventive and emergency care. Surveys conducted at baseline, post-intervention (6 months), and follow-up (12 months) were used to determine hardship and attainment of concrete supports.

Results

Three hundred thirty families participated in the study. At baseline, 73% of families reported economic hardships. Intervention parents had an average of 14 contacts with the family specialist, and 5 hours of total contact time. Intervention infants were more likely to have completed their 6-month immunization schedule by age 7 months (77% vs 63%, P < .005) and by 8 months (88% vs 77%, P < .01). Intervention infants were more likely to have 5 or more routine preventive care visits by age 1 year (78% vs 67%, P , .01) and were less likely to have visited the emergency department by age 6 months (37% vs 49.7%, P , .03). The DULCE intervention accelerated access to concrete resources (P = .029).

Conclusion

Assignment to the Project DULCE intervention led to improvements in preventive health care delivery and utilization and accelerated access to concrete supports among low-income families.” (abstract)



Categories: Children, Delivery systems (e.g., MLPs), Health, Health, Legal Aid Practitioners, Medical-Legal Partnerships, National, Policymakers and Funders, Researchers and Academics

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: