Provider Practices and Perspectives regarding Collection and Documentation of Gender Identity
| Autor: | Shannon N Ogden, Peter F. Cronholm, Lauren E Nadler, Kathryn L Scheffey, Melissa E. Dichter |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Social Psychology Health Personnel Sexual Behavior 050109 social psychology Disclosure Documentation Article Grounded theory Education Gender Studies Sexual and Gender Minorities 03 medical and health sciences Nursing parasitic diseases Electronic Health Records Humans 0501 psychology and cognitive sciences Practice Patterns Physicians' General Psychology Protocol (science) 030505 public health Gender identity 05 social sciences Gender Identity social sciences General Medicine Health equity Sexual orientation Female Thematic analysis 0305 other medical science Psychology human activities Qualitative research |
| Zdroj: | J Homosex |
| ISSN: | 1540-3602 0091-8369 |
| DOI: | 10.1080/00918369.2019.1667162 |
| Popis: | Recent recommendations to include patient sexual orientation (SO) and gender identity (GI) in the electronic health record (EHR) aim to improve clinical care and address health disparities among sexual and gender minority patients. Collection and documentation of GI may be complex due to multiple clinically relevant components. This study explored provider practices in collecting and documenting GI across multiple specialties. Qualitative interviews with 25 healthcare providers were transcribed verbatim, and thematic analysis and principles of grounded theory were used to analyze the data. Without a protocol and absent dedicated locations in the EHR for collecting and documenting patient GI, provider practices were inconsistent and highlighted challenges for communication across clinical staff. Providers noted that patients' disclosure of GI was typically unprompted, or was presumed through disclosure of gender affirming treatments. Findings indicate the need for provider training and appropriate EHR fields to support GI collection and documentation. |
| Databáze: | OpenAIRE |
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