Danielle German1, Lisa Kodadek2, Ryan Shields2, Susan Peterson3, Claire Snyder4,5, Eric Schneider6, Laura Vail7, Anju Ranjit6, Maya Torain6, Jeremiah Schuur8, Brandyn Lau2, Adil Haider6. 1. 1 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland. 2. 2 Department of Surgery, Johns Hopkins School of Medicine , Baltimore, Maryland. 3. 3 Department of Emergency Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland. 4. 4 Department of General Internal Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland. 5. 5 Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland. 6. 6 Center for Surgery and Public Health, Brigham and Women's Hospital , Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts. 7. 7 Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine , Baltimore, Maryland. 8. 8 Department of Emergency Medicine, Brigham and Women's Hospital , Boston, Massachusetts.
Abstract
PURPOSE: To identify patient and provider perspectives concerning collection of sexual orientation and gender identity (SO&GI) information in emergency departments (EDs). METHODS: Semistructured interviews were conducted during the period of 2014-2015 with a diverse purposive sample of patients across the spectrum of sexual orientation and gender identities (n = 53) and ED nurses, physician assistants, physicians, and registrars (n = 38) in a major metropolitan area. Interviews were recorded, transcribed verbatim, and analyzed by multiple coders using constant comparative methods. RESULTS: Patients were willing to provide SO&GI information if collected safely and appropriately, and staff described willingness to collect SO&GI information to inform understanding of health disparities. Key themes across respondents were as follows: What will be done with the data? How will it be collected? Who will collect it? Is the environment conducive to safe disclosure? Confidentiality and potential sensitivity; standardized collection emphasizing population health; nurse intake and/or nonverbal data collection; and environmental cues and cultural competency promoting comfort for sexual and gender minorities emerged as critical considerations for effective implementation. CONCLUSION: Staff and patients are amenable to SO&GI data collection in EDs, but data quality and patient and provider comfort may be compromised without attention to specific implementation considerations.
PURPOSE: To identify patient and provider perspectives concerning collection of sexual orientation and gender identity (SO&GI) information in emergency departments (EDs). METHODS: Semistructured interviews were conducted during the period of 2014-2015 with a diverse purposive sample of patients across the spectrum of sexual orientation and gender identities (n = 53) and ED nurses, physician assistants, physicians, and registrars (n = 38) in a major metropolitan area. Interviews were recorded, transcribed verbatim, and analyzed by multiple coders using constant comparative methods. RESULTS:Patients were willing to provide SO&GI information if collected safely and appropriately, and staff described willingness to collect SO&GI information to inform understanding of health disparities. Key themes across respondents were as follows: What will be done with the data? How will it be collected? Who will collect it? Is the environment conducive to safe disclosure? Confidentiality and potential sensitivity; standardized collection emphasizing population health; nurse intake and/or nonverbal data collection; and environmental cues and cultural competency promoting comfort for sexual and gender minorities emerged as critical considerations for effective implementation. CONCLUSION: Staff and patients are amenable to SO&GI data collection in EDs, but data quality and patient and provider comfort may be compromised without attention to specific implementation considerations.
Entities:
Keywords:
LGBT; data collection; emergency department; gender identity; sexual and gender minorities; sexual orientation
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