TY - JOUR T1 - Stakeholders' Recommendations to Improve Patient-centered “LGBTQ” Primary Care in Rural and Multicultural Practices JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - 156 LP - 160 DO - 10.3122/jabfm.2016.01.150205 VL - 29 IS - 1 AU - Miria Kano AU - Alma Rosa Silva-Bañuelos AU - Robert Sturm AU - Cathleen E. Willging Y1 - 2016/01/01 UR - http://www.jabfm.org/content/29/1/156.abstract N2 - Purpose: Individuals among gender/sexual minorities share experiences of stigma and discrimination, yet have distinctive health care needs influenced by ethnic/racial minority and rural realities.Methods: We collected qualitative data from lesbian/gay/bisexual/transgender (LGBT) and queer persons across the largely rural, multicultural state of New Mexico, particularly those from understudied ethnic groups, regarding factors facilitating or impeding patient-centered primary care. The themes identified formed the basis for a statewide summit on LGBT health care guidelines and strategies for decreasing treatment gaps.Results: Three to 15 individuals, ages 18 to 75 years, volunteered for 1 of 4 town hall dialogues (n = 32), and 175 people took part in the summit. Participants acknowledged health care gaps pertinent to LGBT youth, elders, American Indians, and Latinos/Latinas, expressing specific concern for rural residents.Conclusions: This preliminary research emphasizes the need to improve primary care practices that treat rural and ethnic-minority LGBT people and offers patient-driven recommendations to enhance care delivery while clinic-level transformations are implemented. ER -