Patient sexual orientation and gender identity disclosure
Autor: | Abigail Jamieson, Kate Nambiar, Sophie Arthur, Carrie Llewellyn, Harry Cross |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Students Medical 020205 medical informatics Sexual Behavior education Population MEDLINE Disclosure 02 engineering and technology Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Health care Transgender 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Curriculum education.field_of_study business.industry Gender Identity General Medicine L1 R1 Focus group Review and Exam Preparation Family medicine Sexual orientation Female Lesbian business Psychology |
Zdroj: | The Clinical Teacher. 17:669-673 |
ISSN: | 1743-498X 1743-4971 |
Popis: | Background\ud In the UK , 2.3% of men and 1.6% of women identify as lesbian, gay or bisexual (LGB ). Of the UK population, 1% are estimated to identify as transgender (T). Of the LGB population, 46% do not disclose their sexual orientation to health care professionals (HCP s) and 18% of transgender patients avoid health care altogether. Non‐disclosure of sexual orientation and/or gender identity contributes to worse health outcomes for LGBT patients.\ud \ud Objectives\ud This study aimed to explore medical students’ perceptions of the barriers to health care for LGBT patients and the importance of patient disclosure of sexual orientation or gender identity.\ud \ud Methods\ud Focus groups included medical students across five year‐groups from a medical school in the South East of England. Discussions followed a pre‐approved topic guide with a primary and co‐facilitator present. Focus groups were audio‐recorded, transcribed verbatim and the data underwent framework analysis.\ud \ud Results\ud Forty‐five undergraduate medical students participated (40% of whom were non‐heterosexual). Most participants believed that the incorrect use of pronouns and discrimination would be a cause for non‐disclosure of gender identity and sexual orientation to HCP s. Several participants thought it was more important to know a patient's gender identity than sexual orientation. Many participants felt that collecting sexual orientation information on healthcare registration forms is acceptable.\ud \ud Discussion\ud More education regarding LGBT health needs and ways to encourage patient disclosure of sexual orientation or gender identity should be included in the undergraduate medical school curricula to increase the competency of future doctors when interacting with LGBT patients. |
Databáze: | OpenAIRE |
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