What Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Patients Say Doctors Should Know and Do: A Qualitative Study
What Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Patients Say Doctors Should Know and Do: A Qualitative Study
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DOI：
10.1080/00918369.2017.1321376
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发表时间：
2017-01-01
影响因子：
2.6
通讯作者：
Fox, Aaron D.
中科院分区：
文献类型：
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作者：
Alpert, Alison B.;CichoskiKelly, Eileen M.;Fox, Aaron D.
这项定性研究探讨了女同性恋、男同性恋、双性恋、变性人、酷儿和双性人（LGBTQI）在医疗保健方面的经验以及他们对医生的建议。2013年10月至2014年4月期间，在美国四个城市对LGBTQI人群（N=48）进行了六次焦点小组调查。关于患者对提供者的建议，出现了五个首要主题：与LGBTQI患者相处融洽;分享医疗决策;避免假设;应用LGBTQI相关知识;解决健康差距的社会背景。这些核心能力与美国医学院协会等国家组织创造的能力有很大的不同。源自社区的能力（1）强调合作性医患伙伴关系的重要性，特别是在为变性患者制定激素处方方面，并优先解决健康的社会决定因素，重点关注边缘化亚群体（2）和社区的耻辱化需求。考虑了各种限制，特别是抽样的限制。社区投入可以改善医学教育干预措施，以减少边缘化社区的健康差距。
This qualitative study explored the experiences of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) people in health care and their recommendations for physicians. Six focus groups were conducted with LGBTQI people (N=48) in four U.S. cities between October 2013 and April 2014. Five overarching themes emerged regarding patients' suggestions for providers: be comfortable with LGBTQI patients; share medical decision-making; avoid assumptions; apply LGBTQI-related knowledge; and address the social context of health disparities. These core competencies differed in meaningful ways from competencies created by national organizations such as the Association of American Medical Colleges. Community-derived competencies(1) stressed the importance of collaborative patient-physician partnerships, particularly in the setting of hormone prescription for transgender patients, and prioritized addressing social determinants of health and focusing on marginalized subpopulations(2) and stigmatized needs of the community. Limitations, particular of sampling, were considered. Community input could improve medical education interventions to reduce health disparities in marginalized communities.