Division of Prevention Science, Department of Medicine, University of California San Francisco, 550 16th Street, Box 0886, San Francisco, CA, 94158, USA.
Department of Medicine, University of Chicago, Chicago, IL, USA.
J Gen Intern Med. 2017 Dec;32(12):1390-1395. doi: 10.1007/s11606-017-4138-3. Epub 2017 Aug 10.
As clinicians, educators, and researchers, our ability to provide the best possible care to our patients who are sexual and gender minority (SGM) people of color is increasingly challenged. Relative to the general population, SGM patients often have worse health outcomes, and among SGM patients, racial and ethnic minorities are particularly vulnerable. Healthcare policies proposed by the current administration, along with an increasingly hostile and dangerous social climate, have the potential to seriously harm SGM patients of color. In this paper, we discuss these key policy issues impacting the health of SGM patients of color. We then suggest questions for clinicians to consider to help them decide which advocacy activities are right for them, recommending self-examination, skills development, and political action. We end by outlining concrete, actionable steps to advocate for SGM patients of color in patient care, healthcare organizations, medical education, research, and public policy.
作为临床医生、教育者和研究人员，我们为性少数群体（SGM）有色人种患者提供最佳护理的能力正面临越来越大的挑战。与一般人群相比，SGM 患者的健康状况往往更差，而在 SGM 患者中，少数族裔尤其脆弱。当前政府提出的医疗保健政策，以及日益敌对和危险的社会氛围，有可能严重伤害 SGM 有色人种患者。在本文中，我们讨论了这些影响 SGM 有色人种患者健康的关键政策问题。然后，我们提出了一些临床医生应该考虑的问题，以帮助他们决定哪种倡导活动适合他们，建议进行自我检查、技能发展和政治行动。最后，我们概述了在患者护理、医疗机构、医学教育、研究和公共政策方面为 SGM 有色人种患者进行倡导的具体、可操作的步骤。
