在青少年和儿科初级保健诊所之间比较性取向和性别身份文件
Jessica J Pourian1, Daniel T Coghlin1, Phinnara Has2
1Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI.
Rhode Island medical journal (2013)
|August 29, 2023
概括
青少年诊所记录性取向和性别认同 (SOGI) 信息比初级保健更好. 然而,SOGI针对 cisgender 患者的文档需要改进,强调需要提供者教育.
科学领域:
- 医疗信息学 医疗信息学
- 青少年健康 青少年健康
- 公共卫生 公共卫生
背景情况:
- 性取向和性别认同 (SOGI) 的不完整记录是医疗保健中一个公认的问题.
- 优化SOGI文档对于为多样化的患者群体提供肯定和全面的护理至关重要.
研究的目的:
- 为了比较一个青少年医学诊所和一个儿科初级保健诊所之间的SOGI文档率.
- 在不同临床环境和患者人口统计学中识别SOGI文档中的差异.
主要方法:
- 一项回顾性观察性研究分析了10-26岁患者的电子病历 (EMR) 数据.
- 从2019年至2021年期间,从一级医院的初级保健和青少年医学诊所收集了数据.
- 使用Python和Stata/MP 16.1.1.进行了统计分析.
主要成果:
- 青少年诊所的患者比初级保健患者有五倍的可能性拥有完整的SOGI文档.
- 与 cisgender 年轻人相比,性别多元化的年轻人记录性取向的可能性是六倍以上.
- 在SOGI文件中仍然存在显著的差距,特别是在 cisgender 个体.
结论:
- 与初级保健提供者相比,青少年药物提供者表现出更高的SOGI文档率.
- 改善SOGI对 cisgender患者的文档需要在所有临床环境中进行有针对性的干预.
- 加强提供者对SOGI文档的重要性和方法的教育是必不可少的.
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