Do ask, do tell: high levels of acceptability by patients of routine collection of sexual orientation and gender identity data in four diverse American community health centers.
Do ask, do tell: high levels of acceptability by patients of routine collection of sexual orientation and gender identity data in four diverse American community health centers.
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DOI：
10.1371/journal.pone.0107104
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Makadon H
中科院分区：
文献类型：
--
作者：
Cahill S;Singal R;Grasso C;King D;Mayer K;Baker K;Makadon H
医学研究所和联合委员会建议在临床环境中询问性取向和性别认同（SOGI）问题，并将这些数据纳入电子健康记录（EHR）。这越来越被视为系统记录和解决影响女同性恋、男同性恋、双性恋和变性人（LGBT）健康差异的关键一步。美国政府目前正在考虑是否将SOGI数据收集纳入促进EHR有意义使用的激励计划的第三阶段指导方针。然而，一些人质疑是否存在可接受的标准措施来收集临床环境中的SOGI数据。为了更好地了解在初级保健环境中询问SOGI问题时不同患者群体的反应，在美国四个健康中心随机选择了301名接受初级保健的患者，询问SOGI问题，然后询问后续问题。这个样本主要是异性恋，种族多样，地理和区域广泛。接受调查的患者对询问SOGI问题的重要性达成了强烈的共识。大多数LGBT受访者认为，调查中提出的问题使他们能够准确地记录他们的SOGI。大多数受访者-异性恋和LGBT-回答了这些问题，并表示他们将来会回答这些问题。虽然存在一些与年龄相关的差异，但所有年龄段的受访者都压倒性地表示支持询问SOGI问题，并理解提供者了解患者SOGI的重要性。鉴于国家医疗保健监管机构目前的审议和政府对LGBT健康差异的日益关注，患者能够并将回答SOGI问题的发现对公共政策具有重要意义。这项研究提供的证据表明，将SOGI数据收集整合到有意义的使用要求中，对于包括异性恋者在内的不同患者样本来说都是可以接受的，并且是可行的。
The Institute of Medicine and The Joint Commission have recommended asking sexual orientation and gender identity (SOGI) questions in clinical settings and including such data in Electronic Health Records (EHRs). This is increasingly viewed as a critical step toward systematically documenting and addressing health disparities affecting lesbian, gay, bisexual, and transgender (LGBT) people. The U.S. government is currently considering whether to include SOGI data collection in the Stage 3 guidelines for the incentive program promoting meaningful use of EHR. However, some have questioned whether acceptable standard measures to collect SOGI data in clinical settings exist. In order to better understand how a diverse group of patients would respond if SOGI questions were asked in primary care settings, 301 randomly selected patients receiving primary care at four health centers across the U.S. were asked SOGI questions and then asked follow-up questions. This sample was mainly heterosexual, racially diverse, and geographically and regionally broad. There was a strong consensus among patients surveyed about the importance of asking SOGI questions. Most of the LGBT respondents thought that the questions presented on the survey allowed them to accurately document their SOGI. Most respondents—heterosexual and LGBT—answered the questions, and said that they would answer such questions in the future. While there were some age-related differences, respondents of all ages overwhelmingly expressed support for asking SOGI questions and understood the importance of providers' knowing their patients' SOGI. Given current deliberations within national health care regulatory bodies and the government's increased attention to LGBT health disparities, the finding that patients can and will answer SOGI questions has important implications for public policy. This study provides evidence that integrating SOGI data collection into the meaningful use requirements is both acceptable to diverse samples of patients, including heterosexuals, and feasible.
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影响因子：
2.6
作者：
Smith, Davey M.;Mathews, Wm. Christopher
通讯作者：
Mathews, Wm. Christopher
DOI：
10.1007/s11524-006-9096-8
发表时间：
2006-09-01
影响因子：
6.6
作者：
Kerker, Bonnie D.;Mostashari, Farzad;Thorpe, Lorna
通讯作者：
Thorpe, Lorna
DOI：
10.1001/archfami.9.9.843
发表时间：
2000-09-01
期刊：
ARCHIVES OF FAMILY MEDICINE
影响因子：
--
作者：
Valanis, BG;Bowen, DJ;Carter, RA
通讯作者：
Carter, RA
影响因子：
6.1
作者：
Makadon, Harvey J.
通讯作者：
Makadon, Harvey J.
影响因子：
12.7
作者：
Mayer, Kenneth H.;Bradford, Judith B.;Landers, Stewart
通讯作者：
Landers, Stewart