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Eliminating LGBTIQQ Health Disparities

The Associated Roles of Electronic Health Records and Institutional Culture

Bibliographic Data

ID20335487
AuthorsEdward J Callahan (0000-0002-2399-3557, Centre for Family Medicine), Shea Hazarian (University of San Francisco), Mark Yarborough (0000-0001-8188-4968), John Paul Sanchez (0000-0003-3281-5522, Yeshiva University)
Year2014
Volume44
Issues4
PagesS48-52
Publication date2014-09-01
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.371
PMID25231788
OpenAlexW2109101892
LanguageEN
Citations received4
References cited12

For all humans, sexual orientation and gender identity are essential elements of identity, informing how we plan and live our lives. The historic invisibility of sexual minorities in medicine has meant that these important aspects of their identities as patients have been ignored, with the result that these patients have been denied respect, culturally competent services, and proper treatment. Likely due to historic rejection and mistreatment, there is evidence of reluctance on the part of LGBT patients to disclose their sexual orientation (SO) or gender identity (GI) to their health care providers. There is some perception of risk in sharing SO and GI for many patients who have had bad prior experiences. Despite these risks, we argue that we can improve the quality of care provided this population only by encouraging them to self‐identify and then using that information to improve quality of care . One strategy both to prompt patient self‐identification and to store and use SO and GI data to improve care centers on the use of electronic health records. However, gathering SO and GI data in the EHR requires a workforce that knows both how to obtain and how to use that information. To develop these competencies, educational programs for health professionals must prepare students and educators to elicit and to use sexual orientation and gender identity information to improve care while simultaneously ensuring the safety of patients, trainees, and staff and faculty members as SO and GI become openly discussed and integral parts of ongoing medical discussion and care. As determination of SO and GI demographics becomes more common in health research, we will more fully understand the health risks for all the LGBTIQQ populations

Business · Electronic health record · Environmental health · Health care · Health equity · Health records · Political science · Public health · African Sexualities and LGBTQ+ Issues · Law · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Reproductive Health and Technologies

  • Practitioner narratives on health data management for sexuality and gender diverse people

    Open Access•Mark D M Davis, Jessica Grahame et al.•Health An Interdisciplinary…•2026

  • The provenance of trans/gender

    Open Access•Laura Wynholds•Archival Science•2025

  • Diversity via datafication? Digital patient records and citizenship for sexuality and gender diverse people

    Open Access•Mark D M Davis, Allegra Schermuly et al.•BioSocieties•2023

  • Flourishing Levels Among LGBTQ+ Graduate Students in Health Fields

    Open Access•K J Shapiro, N Shimoni et al.•Journal of Homosexuality•2026

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    Open Access•Caitlin Ryan, T Russell et al.•Journal of Child and Adolescent…•2010

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  • Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education

    Juno Obedin-Maliver, Elizabeth S Goldsmith et al.•JAMA•2011

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    Caitlin Ryan, David M Huebner et al.•PEDIATRICS•2009

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    Kevin L Nadal•That's so gay!•2013

  • Sexual orientation, psychological well-being, and mental health

    Michael Becker, Kai S Cortina et al.•Psychology of Sexual Orientation…•2014

  • Out on the street

    Alex S Keuroghlian, Derri Shtasel et al.•American Journal of Orthopsychiatry•2014

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    Bob Witeck•American Journal of Orthopsychiatry•2014

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Citations per year1.33
Citation span2023 - 2026 (4)
Highly citedNo

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