McClain Zachary, Hawkins Linda A, Yehia Baligh R
a Craig-Dalsimer Division of Adolescent Medicine , The Children's Hospital of Philadelphia , Philadelphia , Pennsylvania , USA.
b Penn Medicine Program for LGBT Health , University of Pennsylvania , Philadelphia , Pennsylvania , USA.
J Homosex. 2016;63(3):387-93. doi: 10.1080/00918369.2016.1124694.
Health outcomes are affected by patient, provider, and environmental factors. Previous studies have evaluated patient-level factors; few focusing on environment. Safe clinical spaces are important for lesbian, gay, bisexual, and transgender (LGBT) communities. This study evaluates current models of LGBT health care delivery, identifies strengths and weaknesses, and makes recommendations for LGBT spaces. Models are divided into LGBT-specific and LGBT-embedded care delivery. Advantages to both models exist, and they provide LGBT patients different options of healthcare. Yet certain commonalities must be met: a clean and confidential system. Once met, LGBT-competent environments and providers can advocate for appropriate care for LGBT communities, creating environments where they would want to seek care.
健康结果受到患者、医疗服务提供者和环境因素的影响。以往的研究评估了患者层面的因素；很少有研究关注环境因素。安全的临床空间对女同性恋、男同性恋、双性恋和跨性别（LGBT）群体很重要。本研究评估了当前LGBT医疗服务模式，识别其优势和劣势，并对LGBT空间提出建议。这些模式分为特定于LGBT的和融入LGBT元素的医疗服务。两种模式都有优点，它们为LGBT患者提供了不同的医疗选择。然而，必须满足某些共同要求：一个干净且保密的系统。一旦满足这些要求，具备LGBT医疗服务能力的环境和提供者就能为LGBT群体争取适当的医疗服务，营造出他们愿意寻求医疗服务的环境。
