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  1. Home
  2. The Relationship Between A Hospital's Magnet Status And Lgbtq+ Inclusivity In Policies And Practices In Us Hospitals.
  1. Home
  2. The Relationship Between A Hospital's Magnet Status And Lgbtq+ Inclusivity In Policies And Practices In Us Hospitals.

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The Relationship Between a Hospital's Magnet Status and LGBTQ+ Inclusivity in Policies and Practices in US Hospitals.

Hyunmin Yu1, Stephen Bonett1, Dalmacio Dennis Flores1

  • 1School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Research in Nursing & Health
|October 23, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Magnet designation in hospitals is linked to better LGBTQ+ inclusivity. This study found Magnet hospitals score higher on LGBTQ+ policies and practices, regardless of state laws.

Keywords:
Healthcare Equality IndexLGBTQ+ policiesMagnet hospitalmultilevel modelingsexual and gender minorities

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Area of Science:

  • Healthcare Management and Policy
  • Health Equity
  • Organizational Behavior in Healthcare

Background:

  • Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) individuals frequently encounter discrimination within healthcare systems.
  • Magnet Recognition Program designation is recognized for improving patient outcomes, but its association with LGBTQ+ inclusivity is not well-established.

Purpose of the Study:

  • To investigate the relationship between Magnet hospital status and LGBTQ+ inclusivity in hospital policies and practices.
  • To determine if Magnet designation is an independent predictor of LGBTQ+ inclusivity, controlling for state-level factors.

Main Methods:

  • Analysis of data from 801 US hospitals participating in the 2021 Healthcare Equality Index (HEI).
  • Multilevel modeling was used to assess the association between Magnet status and HEI scores.
  • Adjustments were made for hospital type and state-level variables (e.g., LGBTQ+ laws, political climate, demographics, Medicaid expansion).
  • Main Results:

    • Magnet hospitals (32.1% of the sample) exhibited significantly higher HEI scores compared to non-Magnet hospitals (γ = 2.13, p = 0.022).
    • Significant variation in inclusivity scores was observed across different states (intraclass correlation = 0.22).
    • No significant interactions were found between Magnet status and state-level factors, indicating an independent effect.

    Conclusions:

    • Magnet designation is independently associated with enhanced LGBTQ+ inclusivity in hospitals, irrespective of the hospital's geographic location or state policies.
    • The Magnet Recognition Program can serve as a valuable benchmark for advancing LGBTQ+ inclusivity in healthcare.
    • Healthcare organizations should proactively assess and enhance their policies and practices to ensure equitable and inclusive care for LGBTQ+ patients.