Creating Inclusive and Affirming Primary Care Environments for LGBTQIA+ Patients

The Journal for Nurse Practitioners Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI:10.1016/j.nurpra.2024.105306
Samantha Korbey, Joanne DeSanto Iennaco, LaRon E. Nelson
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Abstract

The LGBTQIA+ community has long faced disparities in health care, which have had significant health consequences compared with the cisgender, heterosexual community. Particularly in smaller, primary care settings, interventions are needed to increase the knowledge and cultural competency of providers, create welcoming and safe spaces for LGBTQIA+ patients, and encourage disclosure of sexual orientation and gender identity. This quality improvement project implemented and evaluated an adapted evidence-based model for creating a welcoming, inclusive, and affirming primary care environment for LGBTQIA+ patients in a small family practice medical center and offers a roadmap for other centers to do the same.
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为LGBTQIA+患者创造包容和肯定的初级保健环境
LGBTQIA+社区长期以来一直面临着医疗保健方面的差距,与顺性别、异性恋社区相比,这对健康造成了重大影响。特别是在规模较小的初级保健机构中,需要采取干预措施,以增加提供者的知识和文化能力,为LGBTQIA+患者创造欢迎和安全的空间,并鼓励披露性取向和性别认同。这个质量改进项目实施并评估了一个经过调整的循证模式,为一家小型家庭医疗中心的LGBTQIA+患者创造了一个欢迎、包容和肯定的初级保健环境,并为其他中心提供了一个路线图。
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