Stakeholders' Recommendations to Improve Patient-centered "LGBTQ" Primary Care in Rural and Multicultural Practices

J Am Board Fam Med. 2016 Jan-Feb;29(1):156-60. doi: 10.3122/jabfm.2016.01.150205.

Abstract

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.

Keywords: Bisexuals; Gays; Health Planning Guidelines; Lesbians; Minority Health; Primary Health Care; Rural Health; Transgenders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bisexuality / psychology
  • Cultural Diversity
  • Culturally Competent Care / methods
  • Culturally Competent Care / standards*
  • Female
  • Healthcare Disparities*
  • Homosexuality / psychology
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Minority Health / standards*
  • New Mexico
  • Patient-Centered Care / methods
  • Patient-Centered Care / standards*
  • Pilot Projects
  • Qualitative Research
  • Rural Health Services / standards*
  • Sexual Behavior / psychology*
  • Social Stigma
  • Transgender Persons / psychology
  • Young Adult