Doctoral Dissertation Research: Minority Population Experiences of Healthcare

职务名称：少数群体的医疗保健经验这个项目将分析医疗保健的经验和需求的种族多样化的性和性别认同少数群体（SGMs）患者在两个不同的医疗保健组织，揭示因素，形状SGM的决定寻求或延迟获得医疗保健。通过这样做，该项目将弥合我们对社会力量如何影响SGM获得医疗保健的知识的迫切差距，并提供理论模型，以帮助未来的学者了解组织如何影响医疗保健的使用。该项目产生的见解将通过帮助减少少数群体在利用不足和健康状况不佳的高风险中的护理障碍，解决医疗保健中的歧视和不平等等重要社会问题。与异性恋者相比，SGM在生命过程的各个阶段的健康状况都较差，这是由各种各样的措施所表明的。然而，SGM获得医疗保健的可能性要小得多。虽然解决SGM在美国利用不足的一个主要策略是创建SGM医疗保健组织，但不同的组织环境如何影响SGM医疗保健体验和使用尚未进行实证研究。该项目采用患者和供应商的访谈，以及人种学观察在纽约市的两个医疗机构：一个专门为SGMs和一个为一般人群设计。 推动该项目的问题包括：为什么不同的SGM推迟寻求医疗保健？他们如何做出有关护理的决定？在不同的卫生环境中，不同的SGM理解他们的具体需求是什么？组织因素和背景如何塑造不同SGM患者的经历和医疗决策？收集和分析三个数据源：患者视角，提供者视角和直接观察将允许在分析期间进行三角测量，这将有助于确保关于个人和组织因素如何共同影响少数人的护理经验和决策的可靠结果。

Title: Minority Population Experiences of HealthcareThis project will analyze the healthcare experiences and needs of racially diverse sexual and gender identity minorities (SGMs) patients within two different healthcare organizations to reveal factors that shape SGM decisions about seeking or delaying access to healthcare. By doing so, this project will bridge urgent gaps in our knowledge about how social forces influence SGM access to healthcare, as well as contribute a theoretical model to help future scholars understand how organizations impact healthcare use. Insight generated by this project will address the important social problems of discrimination and inequality within healthcare by helping to decrease barriers to care for minority populations at high risk of underutilization and poor health. Compared to heterosexuals, SGMs are in poorer health as indicated by a wide variety of measures and at every stage of the lifecourse?yet SGMs are significantly less likely to access healthcare. Although one primary strategy for addressing SGMs' underutilization in the U.S. has been the creation of SGM healthcare organizations, how different organizational contexts influence SGM healthcare experiences and use has yet to be empirically examined. This project uses interviews with patients and providers as well as ethnographic observation at two healthcare organizations in New York City: one specialized for SGMs and one designed for the general population. Questions driving the project include: why do diverse SGMs delay seeking healthcare? How do they make decisions about care? What do diverse SGMs understand to be their specific needs within different health settings? And (how) do organizational factors and contexts shape diverse SGM patients' experiences and healthcare decisions? Gathering and analyzing three data sources: patient perspectives, provider perspectives, and direct observation will allow for triangulation during analysis, which will help ensure robust findings about how individual and organizational factors come together to influence minority experiences of and decisions about care.