Fitzgerald Beret, Terndrup Christopher, Streed Carl G, Lee Rita S, Patel Viraj V, Nall Ryan
University of Colorado School of Medicine, Aurora, CO, USA.
Vanderbilt University Medical Center, Nashville, TN, USA.
J Gen Intern Med. 2024 Feb;39(2):323-330. doi: 10.1007/s11606-023-08400-3. Epub 2023 Oct 6.
Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ +) individuals experience bias in healthcare with 1 in 6 LGBTQ + adults avoiding healthcare due to anticipated discrimination and overall report poorer health status compared to heterosexual and cisgendered peers. The Society of General Internal Medicine (SGIM) is a leading organization representing academic physicians and recognizes that significant physical and mental health inequities exist among LGBTQ + communities. As such, SGIM sees its role in improving LGBTQ + patient health through structural change, starting at the national policy level all the way to encouraging change in individual provider bias and personal actions. SGIM endorses a series of recommendations for policy priorities, research and data collection standards, and institutional policy changes as well as community engagement and individual practices to reduce bias and improve the well-being and health of LGBTQ + patients.
女同性恋、男同性恋、双性恋、跨性别者、酷儿及其他性取向和性别少数群体(LGBTQ +)在医疗保健中遭遇偏见,每6名LGBTQ +成年人中就有1人因预期会受到歧视而避免就医,总体而言,与异性恋和顺性别同龄人相比,他们的健康状况更差。普通内科医学协会(SGIM)是代表学术医生的领先组织,认识到LGBTQ +群体中存在重大的身心健康不平等现象。因此,SGIM认为其在通过结构变革改善LGBTQ +患者健康方面的作用,从国家政策层面开始,一直到鼓励改变个体医疗服务提供者的偏见和个人行为。SGIM认可一系列关于政策优先事项、研究和数据收集标准、机构政策变革以及社区参与和个人实践的建议,以减少偏见,改善LGBTQ +患者的福祉和健康。