Khalili Joshua, Leung Lucinda B, Diamant Allison L
At the time of the study, Joshua Khalili was a medical student at the David Geffen School of Medicine, University of California, Los Angeles. Lucinda B. Leung was a resident in the Department of Medicine, David Geffen School of Medicine. Allison L. Diamant was with the Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine.
Am J Public Health. 2015 Jun;105(6):1114-9. doi: 10.2105/AJPH.2014.302448. Epub 2015 Apr 16.
We assessed the existence of procedures and policies for identifying lesbian, gay, bisexual, and transgender (LGBT)-competent physicians at US academic faculty practices, and sought to identify physician training programs that enhance LGBT competency.
We invited all 138 Liaison Committee on Medical Education-accredited US academic faculty practices to participate in a survey in 2012. We systematically assessed their procedures and policies to identify LGBT-competent physicians and their LGBT-competency training. We also assessed geographic region, funding source, and an LGBT health center in the same state. We performed univariate, bivariate, and multivariate logistic regression analyses.
The response rate was 50%. Few participants had existing procedures (9%) or policies (4%) to identify LGBT-competent physicians. Procedures included online directories with self-identified LGBT-competent physicians available to the public. Sixteen percent of participants reported having comprehensive LGBT-competency training, and 52% reported having no training. Of note, 80% of participants indicated interest to do more to address these issues.
There exist both need and interest for US academic faculty practices to develop procedures, policies, and programs that improve access to LGBT-competent physicians and to train physicians to become LGBT-competent.
我们评估了美国学术机构教职员工医疗实践中用于识别具备为女同性恋、男同性恋、双性恋和跨性别者（LGBT）提供医疗服务能力的医生的程序和政策的存在情况，并试图确定能够提高LGBT医疗服务能力的医生培训项目。
2012年，我们邀请了所有138家经医学教育联络委员会认证的美国学术机构教职员工医疗实践机构参与一项调查。我们系统地评估了他们识别具备LGBT医疗服务能力的医生的程序和政策以及他们的LGBT医疗服务能力培训情况。我们还评估了地理区域、资金来源以及同一州内的LGBT健康中心。我们进行了单变量、双变量和多变量逻辑回归分析。
回复率为50%。很少有参与者有识别具备LGBT医疗服务能力的医生的现有程序（9%）或政策（4%）。程序包括向公众提供自我认定具备LGBT医疗服务能力的医生的在线名录。16%的参与者报告有全面的LGBT医疗服务能力培训，52%的参与者报告没有接受过培训。值得注意的是，80%的参与者表示有兴趣采取更多措施来解决这些问题。
美国学术机构教职员工医疗实践既有需求也有兴趣制定程序、政策和项目，以改善获得具备LGBT医疗服务能力的医生的途径，并培训医生成为具备LGBT医疗服务能力的人。
