Benefits of Implementing and Improving Collection of Sexual Orientation and Gender Identity Data in Electronic Health Records
Benefits of Implementing and Improving Collection of Sexual Orientation and Gender Identity Data in Electronic Health Records
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DOI：
10.1097/cin.0000000000000417
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发表时间：
2018-06-01
影响因子：
1.3
通讯作者：
Bjarnadottir, Ragnhildur I.
中科院分区：
文献类型：
--
作者：
Bosse, Jordon D.;Leblanc, Raeann G.;Bjarnadottir, Ragnhildur I.
在女同性恋，男同性恋，双性恋和变性人社区的个人经历在身体和心理健康（例如，心血管疾病和抑郁症）的几个差距，以及难以获得照顾，是富有同情心和相关的独特需求。获得护理的机会受到影响，部分原因是信息系统不完善，无法获取身份数据。从2018年1月开始，有意义的使用标准要求电子健康记录能够收集与患者的性取向和性别认同相关的数据。护士信息学家在开发新的电子健康记录的过程中发挥着至关重要的作用，这些记录对女同性恋，男同性恋，双性恋和变性人社区的需求和身份敏感。改善性取向和性别认同数据的收集工作，将有助于查明男女同性恋、双性恋和变性者群体所经历的健康差异。更具包容性的电子健康记录将允许提供者监测风险行为，评估减少差异的进展，并提供以患者和家庭为中心的医疗保健。具体的建议，修改电子健康记录系统，以及如何护士信息学家可能能够弥合差距，通过跨专业的合作，在电子健康记录的变化时，提供者的知识和不适。
Individuals in lesbian, gay, bisexual, and transgender communities experience several disparities in physical and mental health (eg, cardiovascular disease and depression), as well as difficulty accessing care that is compassionate and relevant to their unique needs. Access to care is compromised in part due to inadequate information systems that fail to capture identity data. Beginning in January 2018, meaningful use criteria dictate that electronic health records have the capability to collect data related to sexual orientation and gender identity of patients. Nurse informaticists play a vital role in the process of developing new electronic health records that are sensitive to the needs and identities of the lesbian, gay, bisexual, and transgender communities. Improved collection of sexual orientation and gender identity data will advance the identification of health disparities experienced by lesbian, gay, bisexual, and transgender populations. More inclusive electronic health records will allow providers to monitor risk behavior, assess progress toward the reduction of disparities, and provide healthcare that is patient and family centered. Concrete suggestions for the modification of electronic health record systems are presented, as well as how nurse informaticists may be able to bridge gaps in provider knowledge and discomfort through interprofessional collaboration when implementing changes in electronic health records.