Literature DB >> 34791308

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

Heather L Marney1, David K Vawdrey1,2, Leyla Warsame1, Spencer Tavares1, Andrea Shapiro1, Arthur Breese3, Amy Brayford3, Aliasgar Z Chittalia4.   

Abstract

The lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) community is vulnerable to health-care disparities. Many health-care organizations are working to collect sexual orientation and gender identity in their electronic health records (EHRs), with the goal of providing more inclusive care to their LGBTQ+ patients. There are significant human and technical barriers to making these efforts successful. Based on our 5-year experience at Geisinger (an integrated health system located in a rural, generally conservative area), this case report provides insights to overcome challenges in 4 critical areas: (1) enabling the EHR to collect and use information to support the health-care needs of LGBTQ+ patients, (2) building a culture of awareness and caring, empowering members of the health-care team to break down barriers of misunderstanding and mistrust, (3) developing services to support the needs of LGBTQ+ patients, and (4) partnering with local communities to become a trusted health-care provider.
© The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  cultural competency; electronic health records; gender identity; health-care disparities; sexual and gender minorities

Mesh：

Year:  2022        PMID： 34791308      PMCID： PMC8757301          DOI： 10.1093/jamia/ocab227

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN： 1067-5027            Impact factor:   4.497


  13 in total

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

Authors:  Aliasgar Z Chittalia; Heather L Marney; Spencer Tavares; Leyla Warsame; Arthur W Breese; Dawn L Fisher; Michael E Stoppie; D Coen; Kim A Zikowski; Andrea W Shapiro; David K Vawdrey
Journal:  AMIA Annu Symp Proc       Date:  2021-01-25

2.  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

3.  Nurse Documentation of Sexual Orientation and Gender Identity in Home Healthcare: A Text Mining Study.

Authors:  Ragnhildur I Bjarnadottir; Walter Bockting; Sunmoo Yoon; Dawn W Dowding
Journal:  Comput Inform Nurs       Date:  2019-04       Impact factor: 1.985

4.  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

5.  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 6.  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

7.  Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department: The EQUALITY Study.

Authors:  Adil Haider; Rachel R Adler; Eric Schneider; Tarsicio Uribe Leitz; Anju Ranjit; Christina Ta; Adele Levine; Omar Harfouch; Danielle Pelaez; Lisa Kodadek; Laura Vail; Claire Snyder; Danielle German; Susan Peterson; Jeremiah D Schuur; Brandyn D Lau
Journal:  JAMA Netw Open       Date:  2018-12-07

Review 8.  A rapid review of gender, sex, and sexual orientation documentation in electronic health records.

Authors:  Francis Lau; Marcy Antonio; Kelly Davison; Roz Queen; Aaron Devor
Journal:  J Am Med Inform Assoc       Date:  2020-11-01       Impact factor: 4.497

9.  An Environmental Scan of Sex and Gender in Electronic Health Records: Analysis of Public Information Sources.

Authors:  Francis Lau; Marcy Antonio; Kelly Davison; Roz Queen; Katie Bryski
Journal:  J Med Internet Res       Date:  2020-11-11       Impact factor: 5.428

10.  What Sexual and Gender Minority People Want Researchers to Know About Sexual Orientation and Gender Identity Questions: A Qualitative Study.

Authors:  Leslie W Suen; Mitchell R Lunn; Katie Katuzny; Sacha Finn; Laura Duncan; Jae Sevelius; Annesa Flentje; Matthew R Capriotti; Micah E Lubensky; Carolyn Hunt; Shannon Weber; Kirsten Bibbins-Domingo; Juno Obedin-Maliver
Journal:  Arch Sex Behav       Date:  2020-09-01
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  1 in total

1.  Informatics for sex- and gender-related health: understanding the problems, developing new methods, and designing new solutions.

Authors:  Mary Regina Boland; Noémie Elhadad; Wanda Pratt
Journal:  J Am Med Inform Assoc       Date:  2022-01-12       Impact factor: 7.942
  1 in total

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