Inclusion of Sexual Orientation and Gender Identity in Stage 3 Meaningful Use Guidelines: A Huge Step Forward for LGBT Health
Inclusion of Sexual Orientation and Gender Identity in Stage 3 Meaningful Use Guidelines: A Huge Step Forward for LGBT Health
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DOI：
10.1089/lgbt.2015.0136
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发表时间：
2016-04-01
期刊：
影响因子：
4.8
通讯作者：
Makadon, Harvey J.
中科院分区：
文献类型：
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作者：
Cahill, Sean R.;Baker, Kellan;Makadon, Harvey J.
医疗保险和医疗补助服务中心和国家卫生信息技术协调员办公室于2015年10月发布的最终规则要求获得有意义使用认证的电子健康记录软件包括性取向和性别认同（SO/GI）字段。这是使SO/GI数据收集成为临床标准做法的关键一步。性取向认同——无论是男同性恋、女同性恋还是双性恋——与行为健康负担相关，收集这些数据很重要。提供者还应收集出生时的性别数据以及当前的性别认同数据。对临床工作人员进行收集和使用性取向/性别差异数据的培训、对LGBT患者的教育以及性取向/性别差异非歧视政策是成功实施的关键。
Final rules issued by the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology in October 2015 require electronic health record software certified for Meaningful Use to include sexual orientation and gender identity (SO/GI) fields. This is a critical step toward making SO/GI data collection a standard practice in clinical settings. Sexual orientation identitywhether one identifies as gay, lesbian, or bisexualcorrelates with behavioral health burden, and it is important to collect these data. Providers should also collect sex assigned at birth data as well as current gender identity data. Training of clinical staff in collection and use of SO/GI data, education of LGBT patients, and SO/GI nondiscrimination policies are critical for successful implementation.