支持性和包容性LGBTQ+护理实践:来自T1D交易所的调查数据 质量改善 协作合作
Jaquelin Flores Garcia1, Shideh Majidi2, Ann Mungmode3
1Children's Hospital of Los Angeles, Los Angeles, CA.
概括
大多数内分泌中心为1型糖尿病患者记录性别认同和代名词,但性取向的记录较少. 改善性取向和性别认同数据收集对于患有糖尿病的LGBTQ+个人至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 1型糖尿病的管理对LGBTQ+个体提出了独特的挑战.
- 卫生资源和服务管理局授权收集性取向和性别认同 (SOGI) 数据.
- 了解SOGI的记录实践对于提供包容性护理至关重要.
研究的目的:
- 评估T1D交换质量改进协作中的SOGI数据文档的当前状态.
- 评估内分泌中心的LGBTQ+支持性和包容性护理实践.
主要方法:
- 对33个儿科和21个成人内分泌中心进行了调查.
- 该调查查询了SOGI的电子健康记录文件,包括性别认同,代词,性取向和出生时分配的性别 (SAAB).
- 费舍尔精确测试分析了儿童和成人中心的反应频率和差异.
主要成果:
- 64%的儿科中心和50%的成人中心有SOGI文档策略.
- 与成人中心相比,儿童中心的性别认同 (P=0.04) 和代名词 (P=0.02) 记录率较高.
- 对性取向的记录在各中心不那么一致.
结论:
- 虽然性别认同和代词文档正在改善,但性取向文档需要加强.
- 需要进一步的研究来优化SOGI的文档及其对LGBTQ+1型糖尿病患者的影响.
- 包括性SOGI数据收集对于公平的糖尿病护理至关重要.
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