Stakeholders' Recommendations to Improve Patient-centered "LGBTQ" Primary Care in Rural and Multicultural Practices

Journal of the American Board of Family Medicine : JABFM
Miria KanoCathleen E Willging

Abstract

Individuals among gender/sexual minorities share experiences of stigma and discrimination, yet have distinctive health care needs influenced by ethnic/racial minority and rural realities. We collected qualitative data from lesbian/gay/bisexual/transgender (LGBT) and queer persons across the largely rural, multicultural state of New Mexico, particularly those from understudied ethnic groups, regarding factors facilitating or impeding patient-centered primary care. The themes identified formed the basis for a statewide summit on LGBT health care guidelines and strategies for decreasing treatment gaps. Three to 15 individuals, ages 18 to 75 years, volunteered for 1 of 4 town hall dialogues (n = 32), and 175 people took part in the summit. Participants acknowledged health care gaps pertinent to LGBT youth, elders, American Indians, and Latinos/Latinas, expressing specific concern for rural residents. This preliminary research emphasizes the need to improve primary care practices that treat rural and ethnic-minority LGBT people and offers patient-driven recommendations to enhance care delivery while clinic-level transformations are implemented.

Citations

Jun 26, 2007·Patient Education and Counseling·Abdul Salam Saleh Sultan
Nov 1, 2018·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Miria KanoShine Chang
Mar 15, 2019·Implementation Science : IS·Eva N WoodwardJoAnn E Kirchner
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Jun 7, 2021·Implementation Science Communications·Eva N WoodwardJoAnn E Kirchner

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