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Achieving Health Equity for LGBTQ+ Adolescents.

Danielle Hermosillo, Heide R Cygan, Sally Lemke

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    Summary

    Continuing education improved healthcare providers' cultural competence in caring for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) adolescents. This led to increased LGBTQ+ patient numbers and documentation of sexual orientation and gender identity.

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    Area of Science:

    • Health Services Research
    • Quality Improvement
    • Adolescent Health

    Background:

    • Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) adolescents face health disparities.
    • Barriers to care include a lack of culturally competent healthcare providers.

    Purpose of the Study:

    • To enhance access to culturally competent care for LGBTQ+ adolescents.
    • To implement and evaluate a quality improvement project involving continuing education, clinic space enhancement, and a social marketing campaign.

    Main Methods:

    • A chart audit was used to assess the number of LGBTQ+ adolescent patients and the documentation rate of sexual orientation and gender identity.
    • Pretest and posttest evaluations measured changes in healthcare provider knowledge after continuing education.

    Main Results:

    • The number of LGBTQ+ patients increased, and provider knowledge improved by 4.7% post-education.
    • Sexual orientation and gender identity data were documented in 87.5% of patient visits.
    • Five physical clinic changes were completed, and a social marketing campaign was launched.

    Conclusions:

    • Continuing education is an effective strategy for increasing cultural competence in LGBTQ+ healthcare.
    • Quality improvement initiatives can successfully address healthcare disparities for LGBTQ+ youth.