This guide is designed to help your health center successfully collect SO/GI data, no matter where you are in the process. For those just beginning, the guide can be used from start to finish. If you have already created a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis.
Learning Resources — Publications
The National LGBT Health Education Center started conducting direct training and technical assistance with Federally Qualified Health Centers in 2014. This service was made possible by the expansion of our National Cooperative Agreement with the Health Resources and Services Administration to include technical assistance work. Since 2014, seventeen health centers in six states (Connecticut, Louisiana, Massachusetts, Mississippi, New York, and Texas) have participated in the assessment process.
This PrEP Action Kit includes clinical resources to help providers incorporate PrEP into their practices. Including helpful resources such as tips on taking a comprehensive sexual history, frequently asked questions about PrEP and a pocket card about PrEP prescribing and monitoring, this action kit is an essential resource for all providers treating LGBT patients or patients at risk of HIV infection.
Lesbian, gay, bisexual, and transgender (LGBT) people come from all walks of life and experience many of the same health problems as non-LGBT people. This means that every organizational policy and procedure may impact the experience of LGBT people. To create an LGBT-affirming and inclusive environment, it is important to examine policies and procedures. This publication reviews some common updates to organizational forms and polices to create an affirming and inclusive environment for LGBT patients, and reviews strategies to modify procedures, behavior, and language to be inclusive of all patients.
All members of a health care organization—front-line staff members, clinicians, and administrators—play a crucial role in offering an inclusive, affirming experience for all people, including those with non-binary gender identities. Everyone, no matter their gender identity or expression, appreciates friendly, courteous, and effective care. In addition, non-binary people, who have gender identities other than male or female, have unique needs when interacting with the health care system. Non-binary people face numerous health disparities as well as stigma, discrimination, and a lack of access to quality care. However, you do not need to specialize in non-binary health care to give your non-binary patients an affirming experience.
This pamphlet on sexual orientation and gender identity (SOGI) questions can be handed out to patients in waiting rooms or exam rooms. The pamphlet explains: why your organization is asking about SOGI, what each SOGI term means, and how the information will be kept confidential. The pamphlet comes in several languages.
This tool provides recommended questions for asking patients their sexual orientation and gender identity in electronic health records as well as some key terms and their definitions, all translated into Spanish.
Building Patient-Centered Medical Homes for Lesbian, Gay, Bisexual, and Transgender Patients and Families
While expanding access to health insurance coverage through the Affordable Care Act has been vital to millions of previously uninsured Americans, moving U.S. health care away from fee-for-service, volume-driven payments to payments based on value and outcomes will be a much more challenging transformation. For health centers and other health care providers, one commonly used model for practice transformation is the patient-centered medical home (PCMH). The PCMH model transforms how primary care is coordinated and delivered by emphasizing comprehensive, team-based care that places the patient at the center. When implemented successfully, the PCMH model leads to higher quality care at a lower cost, improving both the patients’ and providers’ experience of care.
Lesbian, gay, bisexual, and transgender individuals continue to face stigma and discrimination even though social acceptance is improving. This stigma and discrimination can result in negative experiences that combine with lack of access to culturally-affirming and informed health professionals to result in multiple health disparities for LGBT populations. Therefore, there is an urgent need to provide inclusive, high-quality health services to LGBT people so they can achieve the highest possible level of health. This document reviews LGBT concepts and demographics, discusses health disparities affecting LGBT groups, and outlines steps that clinicians, health centers, and other health care organizations can take to provide patient-centered care for LGBT people.
- Filed under
- Introduction to LGBT Health
A growing number of LGBT people are starting families. The 2010 US Census reported that approximately 19% of same-sex couples are currently raising children, and a 2013 Pew Research national survey found that 51% of LGBT adults of any age have children or would like to have children in the future. As an increasing number LGBT individuals and couples seek to have children, many will turn to their health care providers for resources and guidance. This brief walks through the various pathways to parenthood for LGBT people, as well as unique issues these couples and individuals may face as they consider their options. The pathways explored in the brief include adoption and foster parenting, donor insemination and in vitro fertilization (IVF), and surrogacy. Also discussed are ways in which health care organizations can support LGBT parents. The brief can be used as a guide to tailor conversations about parenting desires with lesbian, gay, bisexual, and transgender patients.
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- Reproductive Health