1 Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center , Pittsburgh, Pennsylvania.
2 Division of Nephrology, Department of Medicine, University of California , San Francisco, San Francisco, California.
LGBT Health. 2017 Jun;4(3):174-180. doi: 10.1089/lgbt.2015.0148. Epub 2017 Mar 15.
Lesbian, gay, bisexual, and transgender (LGBT) populations face numerous barriers when accessing and receiving healthcare, which amplify specific LGBT health disparities. An effective strategic approach is necessary for academic health centers to meet the growing needs of LGBT populations. Although effective organizational change models have been proposed for other minority populations, the authors are not aware of any organizational change models that specifically promote LGBT inclusion and mitigate access barriers to reduce LGBT health disparities. With decades of combined experience, we identify elements and processes necessary to accelerate LGBT organizational change and reduce LGBT health disparities. This framework may assist health organizations in initiating and sustaining meaningful organizational change to improve the health and healthcare of the LGBT communities.
女同性恋、男同性恋、双性恋和跨性别者（LGBT）人群在获得和接受医疗保健方面面临着众多障碍，这些障碍加剧了特定的 LGBT 健康差距。学术医疗中心需要采取有效的战略方法来满足 LGBT 人群不断增长的需求。虽然已经为其他少数群体提出了有效的组织变革模型，但作者不知道有任何专门促进 LGBT 包容和减轻获取障碍以减少 LGBT 健康差距的组织变革模型。我们拥有数十年的综合经验，确定了加速 LGBT 组织变革和减少 LGBT 健康差距所需的要素和流程。该框架可以帮助卫生组织发起并维持有意义的组织变革，以改善 LGBT 社区的健康和医疗服务。
