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

Author:

Marney Heather L1ORCID,Vawdrey David K12,Warsame Leyla1,Tavares Spencer1,Shapiro Andrea1,Breese Arthur3,Brayford Amy3,Chittalia Aliasgar Z4

Affiliation:

1. Steele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA

2. Biomedical Informatics, Columbia University, New York, New York, USA

3. Human Resources, Geisinger, Pittston, Pennsylvania, USA

4. Community Medicine, Geisinger, Mountain Top, Pennsylvania, USA

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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