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Are pediatric surgery clinics LGBTQ+ inclusive?
William G Wong1, Pierce Curran2, Paige Koetter2
1Department of Pediatric Surgery, PennState Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, USA.
Journal of Pediatric Surgery
|October 21, 2021
Summary
Patient intake forms in pediatric surgery are rarely LGBTQ+ inclusive. Most forms lack questions on preferred name, pronouns, and gender identity, indicating a need for better education on inclusive care for LGBTQ+ individuals.
Area of Science:
- Pediatric Surgery
- Healthcare Inclusivity
- LGBTQ+ Health
Background:
- Inclusive environments are crucial for equitable healthcare delivery.
- Assessing patient intake forms for LGBTQ+ inclusivity is essential in pediatric surgery.
Purpose of the Study:
- To evaluate the extent to which patient intake forms in North American pediatric surgery departments are inclusive of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals.
Main Methods:
- A cross-sectional study surveyed North American pediatric surgery departments.
- A novel 6-criterion scoring system assessed intake forms for LGBTQ+ inclusivity (preferred name, pronouns, language, gender identity, sex assigned at birth, guardianship).
- Institutions without forms were queried about their practices regarding inclusive intake questions.
Main Results:
- Only 10 of 125 responding programs provided intake forms, with a median inclusivity score of 2/6.
- Inclusive guardianship was the most frequently asked question, while no forms included questions about pronouns.
- Among institutions without forms, 30.5% reported asking inclusive questions, with varied institutional attitudes.
Conclusions:
- Pediatric surgery departments in North America demonstrate limited consistent use of LGBTQ+ inclusive intake questions.
- The study highlights a significant need for LGBTQ+ education within healthcare settings, addressing varied institutional perspectives on inclusive questioning.
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