Stakeholders' Recommendations to Improve Patient-centered "LGBTQ" Primary Care in Rural and Multicultural Practices
Miria Kano, Alma Rosa Silva-Bañuelos, Robert Sturm, Cathleen E Willging, Miria Kano, Alma Rosa Silva-Bañuelos, Robert Sturm, Cathleen E Willging
Abstract
Purpose: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
Keywords: Bisexuals; Gays; Health Planning Guidelines; Lesbians; Minority Health; Primary Health Care; Rural Health; Transgenders.
© Copyright 2016 by the American Board of Family Medicine.
Source: PubMed