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- Title
Palliative Care Professionals' Perceptions of Communication With Sexual and Gender Minority Patients.
- Authors
Valenti, Korijna; Bybee, Sara; Nwakasi, Candidus; Kano, Miria; Coats, Heather
- Abstract
Purpose: For sexual and gender minority (SGM) individuals who identify as lesbian, gay, bisexual, transgender, queer, or any other sexual orientation or gender identity (LGBTQ+), the quality of palliative care can depend upon how clinicians view and communicate with this historically minoritized group. Prior literature has demonstrated that SGM patients access care at lower rates, and palliative care clinicians have suggested that SGM patients are more likely to experience discrimination than heterosexual patients. This study examined palliative care clinicians' perspectives and experiences regarding patient communication, care settings, the built environment, and inclusive care for SGM older adults with serious illness. Methods: The health disparities research framework informed a descriptive qualitative analysis of interview data with palliative care professionals (N = 20) across diverse healthcare settings within Colorado regarding their experiences and beliefs about communication and the care of SGM patients. Results: Three main themes emerged: (1) Limited sexual orientation and gender identity (SOGI) data collection; (2) Organizational and environmental inclusivity, and the "neutral" space viewed as safe; (3) Missing training platforms regarding SGM patients and a lack of opportunity to identify and discuss SGM patient needs. Conclusion: Study findings illuminated the following barriers to providing SGM-inclusive care: perspectives around (1) limitations and preferences regarding collection of SOGI data, (2) organizational and environmental inclusivity, and (3) education and training regarding cultural humility and communication with SGM patients. Findings indicate the need for multidimensional research to better understand and address SGM health disparities and promote equitable care.
- Subjects
COLORADO; ELDER care; SEXUAL orientation; WORLD Wide Web; PALLIATIVE treatment; MEDICAL personnel; RESEARCH funding; TRANSPHOBIA; MEDICAL quality control; QUALITATIVE research; GENDER identity; ECOLOGY; TASK performance; MEDICAL care; LGBTQ+ people; STATISTICAL sampling; INTERVIEWING; RESEARCH evaluation; CATASTROPHIC illness; JUDGMENT sampling; THEMATIC analysis; EMAIL; INFORMATION needs; ATTITUDES of medical personnel; COMMUNICATION; CONTENT mining; RESEARCH methodology; PATIENT-professional relations; SEXUAL minorities; HEALTH facilities; MEDICAL needs assessment; HEALTH equity; DATA analysis software; APPLICATION software; PSYCHOSOCIAL factors; BUILT environment
- Publication
American Journal of Hospice & Palliative Medicine, 2024, Vol 41, Issue 7, p771
- ISSN
1049-9091
- Publication type
Article
- DOI
10.1177/10499091231212666