Literature DB >> 33936402

Bringing Cultural Competency to the EHR: Lessons Learned Providing Respectful, Quality Care to the LGBTQ Community.

Aliasgar Z Chittalia1, Heather L Marney1, Spencer Tavares1, Leyla Warsame1, Arthur W Breese1, Dawn L Fisher1, Michael E Stoppie1, D Coen1, Kim A Zikowski1, Andrea W Shapiro1, David K Vawdrey1,2.   

Abstract

The lesbian, gay, bisexual, transgender, queer (LGBTQ) community is vulnerable to healthcare disparities. Many healthcare organizations are contemplating efforts to collect sexual orientation and gender identity in the electronic health record (EHR), with a goal of providing more respectful, inclusive, high-quality care to their LGBTQ patients. There are significant human and technical barriers that must be overcome to make these efforts successful. Based on our four-year experience at Geisinger (an integrated health system located in a rural, generally conservative area), we provide insights to overcome challenges in two critical areas: 1) enabling the EHR to collect and use information to support the healthcare needs of LGBTQ patients, and 2) building a culture of awareness and caring, empowering members of the healthcare team to break down barriers of misunderstanding and mistrust. ©2020 AMIA - All rights reserved.

Entities:  

Year:  2021        PMID: 33936402      PMCID: PMC8075512     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN: 1559-4076


  8 in total

1.  Health inequalities among sexual minority adults: evidence from ten U.S. states, 2010.

Authors:  John R Blosnich; Grant W Farmer; Joseph G L Lee; Vincent M B Silenzio; Deborah J Bowen
Journal:  Am J Prev Med       Date:  2014-04       Impact factor: 5.043

2.  Do Contact and Empathy Mitigate Bias Against Gay and Lesbian People Among Heterosexual First-Year Medical Students? A Report From the Medical Student CHANGE Study.

Authors:  Sara E Burke; John F Dovidio; Julia M Przedworski; Rachel R Hardeman; Sylvia P Perry; Sean M Phelan; David B Nelson; Diana J Burgess; Mark W Yeazel; Michelle van Ryn
Journal:  Acad Med       Date:  2015-05       Impact factor: 6.893

3.  Understanding the HIV disparities between black and white men who have sex with men in the USA using the HIV care continuum: a modeling study.

Authors:  Eli S Rosenberg; Gregorio A Millett; Patrick S Sullivan; Carlos Del Rio; James W Curran
Journal:  Lancet HIV       Date:  2014-12       Impact factor: 12.767

4.  A population-based study of sexual orientation identity and gender differences in adult health.

Authors:  Kerith J Conron; Matthew J Mimiaga; Stewart J Landers
Journal:  Am J Public Health       Date:  2010-06-01       Impact factor: 9.308

5.  Planning and implementing sexual orientation and gender identity data collection in electronic health records.

Authors:  Chris Grasso; Michal J McDowell; Hilary Goldhammer; Alex S Keuroghlian
Journal:  J Am Med Inform Assoc       Date:  2019-01-01       Impact factor: 4.497

6.  Disparities in health insurance coverage, access, and outcomes for individuals in same-sex versus different-sex relationships, 2000-2007.

Authors:  Thomas Buchmueller; Christopher S Carpenter
Journal:  Am J Public Health       Date:  2010-01-14       Impact factor: 9.308

7.  Weight misperception and unhealthy weight control behaviors among sexual minorities in the general adolescent population.

Authors:  Scott E Hadland; S Bryn Austin; Carol S Goodenow; Jerel P Calzo
Journal:  J Adolesc Health       Date:  2013-10-29       Impact factor: 5.012

Review 8.  A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people.

Authors:  Michael King; Joanna Semlyen; Sharon See Tai; Helen Killaspy; David Osborn; Dmitri Popelyuk; Irwin Nazareth
Journal:  BMC Psychiatry       Date:  2008-08-18       Impact factor: 3.630

  8 in total
  2 in total

1.  Overcoming technical and cultural challenges to delivering equitable care for LGBTQ+ individuals in a rural, underserved area.

Authors:  Heather L Marney; David K Vawdrey; Leyla Warsame; Spencer Tavares; Andrea Shapiro; Arthur Breese; Amy Brayford; Aliasgar Z Chittalia
Journal:  J Am Med Inform Assoc       Date:  2022-01-12       Impact factor: 4.497

2.  Equity in the Provision of Diabetes Self-Management Education and Support.

Authors:  Julia E Blanchette; Siobhan P Aaron; Nancy A Allen; Michelle L Litchman
Journal:  Diabetes Spectr       Date:  2022-08-15
  2 in total

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