C.G. Streed Jr is assistant professor of medicine, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, and research lead, Center for Transgender Medicine & Surgery, Boston Medical Center, Boston, Massachusetts; ORCID: http://orcid.org/0000-0003-3075-253X .
M.R. Lunn is assistant professor of medicine, Division of Nephrology, Department of Medicine, Stanford University School of Medicine, and co-director, The PRIDE Study/PRIDEnet, Stanford University School of Medicine, Stanford, California; ORCID: http://orcid.org/0000-0002-0068-0814 .
Acad Med. 2021 Jun 1;96(6):822-827. doi: 10.1097/ACM.0000000000003703.
While sociopolitical advances have improved the rights of sexual and gender minorities (i.e., lesbian, gay, bisexual, transgender, queer [LGBTQ+] persons), they continue to face a health system that discriminates against them and does not provide competent, comprehensive care. Despite calls for advancing research, there remains limited sexual and gender minority health research funding, mentorship, and institutional support. Academic medical centers are best suited to systematically tackle disparities and improve care for all sexual and gender minority people through their tripartite missions of patient care, education, and research. In this article, the authors outline discrimination experienced by LGBTQ+ persons and highlight the unique disparities they experience across access and outcomes. The authors posit that by systematically improving clinical care of, incorporating education and training about, and research with LGBTQ+ people into their core missions, academic medical centers can dramatically change the health care landscape. Academic medical centers can eliminate health disparities, expand necessary research endeavors about sexual and gender minorities, and prepare the health care workforce to address the unique needs of these overlooked populations.
虽然社会政治的进步改善了性少数群体和性别少数群体（即女同性恋、男同性恋、双性恋、跨性别、酷儿[LGBTQ+]群体）的权利，但他们仍然面临一个歧视他们的卫生系统，无法提供有能力、全面的护理。尽管人们呼吁推进研究，但性少数群体健康研究的资金、指导和机构支持仍然有限。学术医疗中心最适合通过其患者护理、教育和研究的三重使命，系统地解决差异问题，并改善所有性少数群体人群的护理。在本文中，作者概述了 LGBTQ+人群所经历的歧视，并强调了他们在获得医疗保健和结果方面所经历的独特差异。作者认为，通过将 LGBTQ+人群的临床护理、教育和培训以及研究纳入其核心使命，学术医疗中心可以极大地改变医疗保健的格局。学术医疗中心可以消除健康差异，扩大对性少数群体和性别少数群体的必要研究努力，并为医疗保健工作者做好准备，以满足这些被忽视人群的独特需求。
