将文化能力融入电子健康记录：为 LGBTQ 社区提供尊重和优质护理的经验教训。
Bringing Cultural Competency to the EHR: Lessons Learned Providing Respectful, Quality Care to the LGBTQ Community.
机构信息
Geisinger Health System, Danville, PA.
Columbia University, New York, NY.
出版信息
AMIA Annu Symp Proc. 2021 Jan 25;2020:303-310. eCollection 2020.
Abstract
The lesbian, gay, bisexual, transgender, queer (LGBTQ) community is vulnerable to healthcare disparities. Many healthcare organizations are contemplating efforts to collect sexual orientation and gender identity in the electronic health record (EHR), with a goal of providing more respectful, inclusive, high-quality care to their LGBTQ patients. There are significant human and technical barriers that must be overcome to make these efforts successful. Based on our four-year experience at Geisinger (an integrated health system located in a rural, generally conservative area), we provide insights to overcome challenges in two critical areas: 1) enabling the EHR to collect and use information to support the healthcare needs of LGBTQ patients, and 2) building a culture of awareness and caring, empowering members of the healthcare team to break down barriers of misunderstanding and mistrust.
摘要
同性恋、双性恋、跨性别、酷儿（LGBTQ）群体容易面临医疗保健方面的差异。许多医疗机构正在考虑在电子健康记录（EHR）中收集性取向和性别认同信息，目的是为他们的 LGBTQ 患者提供更尊重、包容和高质量的护理。要使这些努力取得成功，必须克服重大的人为和技术障碍。根据我们在 Geisinger（一家位于农村地区、通常较为保守的综合性健康系统）四年的经验，我们提供了克服两个关键领域挑战的见解：1）使 EHR 能够收集和使用信息来满足 LGBTQ 患者的医疗保健需求，以及 2）建立意识和关爱的文化，使医疗团队成员能够打破误解和不信任的障碍。
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