National Findings from an LGBT Healthcare Organizational Needs Assessment

Goldhammer, Hilary; Maston, Essence D; Kissock, Laura A; Davis, John A.; Keuroghlian, Alex S.

doi:10.1089/lgbt.2018.0118

Cited by 52 publications

(31 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…“HIV & Aids”, “Mental Health & Well-Being”, “Drug & Alcohol Use”, “Sexual & Reproductive Health”, “Universal Health Coverage”, “Access to Affordable Medicines”, and “Training of the Health Workforce” are named as important issues in LGBTI health and well-being [4]. Furthermore, a wide range of empirical research shows that these issues are specifically relevant for LGBTI individuals [9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30]. In summary, there is a call for equal opportunities for LGBTI individuals and heterosexual cisgender people in health care treatment on the one hand, as well as a need for specific patient-centered services for LGBTI individuals on the other hand.…”

Section: Introductionmentioning

confidence: 99%

The Needs of LGBTI People Regarding Health Care Structures, Prevention Measures and Diagnostic and Treatment Procedures: A Qualitative Study in a German Metropolis

Lampalzer

Behrendt

Dekker

et al. 2019

IJERPH

View full text Add to dashboard Cite

(1) Background: Studies indicate that lesbian, gay, bisexual, transgender and intersex (LGBTI) people constantly face challenges and disadvantages in the health care system that prevent them from getting the best possible patient-centered care. However, the present study is the first to focus on LGBTI-related health in a major German metropolis. It aimed to investigate health care structures, prevention measures and diagnostic as well as treatment procedures that LGBTI individuals need in order to receive appropriate patient-centered health care and health promotion. (2) Methods: Following a participatory approach, five expert interviews with LGBTI people with multiplier function, i.e., people who have a key role in a certain social milieu which makes them able to acquire and spread information in and about this milieu, and three focus groups with LGBTI people and/or health professionals were conducted. Qualitative data were analyzed according to the principles of content analysis. (3) Results: The specific needs of LGBTI individuals must be recognized as a matter of course in terms of depathologization, sensitization, inclusion, and awareness. Such an attitude requires both basic knowledge about LGBTI-related health issues, and specific expertise about sufficient health care services for each of the minorities in the context of sex, sexual orientation and gender identity. (4) Conclusions: For an appropriate approach to LGBTI-centered health care and health promotion, health professionals will need to adopt a better understanding of specific soft and hard skills.

show abstract

Section: Introductionmentioning

confidence: 99%

The Needs of LGBTI People Regarding Health Care Structures, Prevention Measures and Diagnostic and Treatment Procedures: A Qualitative Study in a German Metropolis

Lampalzer

Behrendt

Dekker

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…However, previous qualitative research suggests that VHA providers do not consistently assess patients' sexual orientation in clinical practice, [17][18][19] despite extant literature strongly suggesting its utility for comprehensive patient-centered care and the willingness of Veterans to disclose sexual orientation if asked. 20,21 The leading reasons for VHA providers not talking with patients about sexual orientation are similar to reasons reported by non-VHA providers, 22,23 including fear of offending patients, not considering the information pertinent to health care, and believing that patients would bring up sexual orientation if they felt that it was important. 18 Disclosure apprehension among SM Veterans is rooted in fear of mistreatment and stigmatization 24,25 and the belief that patients should initiate discussions about sexual orientation.…”

Section: Introductionmentioning

confidence: 76%

Variation in Sexual Orientation Documentation in a National Electronic Health Record System

et al. 2021

View full text Add to dashboard Cite

Purpose: The purpose of this study was to determine variation in sexual minority (SM) sexual orientation documentation within the electronic medical records of the Veterans Health Administration (VHA). Methods: Documentation of SM sexual orientation was retrospectively extracted from clinical notes and administrative data in the VHA from October 1, 1999 to July 1, 2019. The rate of documentation overall and by calendar year was calculated, and differences across patient, provider, and clinic characteristics were evaluated. Results: Approximately 1.4% of all VHA Veterans (n = 115,911) had at least one documentation of SM sexual orientation, including 79,455 men and 36,456 women. The rate of documentation increased from 81.01/100,000 in 2000 to 568.84/100,000 in 2018. The majority of documentations (58.7%) occurred in mental health settings by non-MD mental health/social work counselors, whereas only 9.6% occurred in primary care settings. Although 99% of these Veterans had a primary care visit, only 19% had SM status recorded in that setting. Conclusion: Documentation patterns of SM sexual orientation varied considerably in the VHA with notable gaps in primary care. Diverse approaches to culturally competent training for primary care clinicians and patientfacing collection strategies could facilitate documentation of sexual orientation.

show abstract

“…Goldhammer et al. (2018) concluded that the majority of health care workers rarely or never talked to their patients about sexual orientation (55.4%) or gender identity (71.9%), mostly due to believing that the topics were not relevant to care, concerns with making the patient uncomfortable or offending the patient, lack of experience and not knowing the appropriate language for talking about the subjects. Therefore, it is important that LGBT individuals receive health care services for disease prevention.…”

Section: Discussionmentioning

confidence: 99%

LGBT individuals' opinions about their health care experiences: A qualitative research study

Karakaya

Kutlu

2020

J. Nurs. Manag.

View full text Add to dashboard Cite

National Findings from an LGBT Healthcare Organizational Needs Assessment

Cited by 52 publications

References 36 publications

The Needs of LGBTI People Regarding Health Care Structures, Prevention Measures and Diagnostic and Treatment Procedures: A Qualitative Study in a German Metropolis

The Needs of LGBTI People Regarding Health Care Structures, Prevention Measures and Diagnostic and Treatment Procedures: A Qualitative Study in a German Metropolis

Variation in Sexual Orientation Documentation in a National Electronic Health Record System

LGBT individuals' opinions about their health care experiences: A qualitative research study

Contact Info

Product

Resources

About