Parker Susan L, Ayala-Ramirez Montserrat, Montealegre Jane R, Scheurer Michael E
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, United States.
J Natl Cancer Inst Monogr. 2025 Jul 1;2025(69):134-138. doi: 10.1093/jncimonographs/lgaf013.
This brief report describes takeaways from the implementation of sexual orientation and gender identity (SOGI) data collection within a matrix comprehensive cancer center. Implementation of standardized and parsimonious SOGI data collection practices is a strategy recommended to improve our understanding of the cancer experiences among sexual and gender minority (SGM) populations. However, interventions are rarely sustained in routine practice without an organized program to support their implementation. We used a stakeholder-engaged approach to integrate a SOGI questionnaire in the electronic health record (EHR) at Dan L Duncan Comprehensive Cancer Center (DLDCCC)-affiliated adult oncology clinics and evaluate its feasibility, acceptability, and utilization among providers and staff. In Phase 1, we convened a Stakeholder Advisory Board (SAB) for this project comprising leadership, providers, and members of the LGBTQ+ community. Through focus groups held over a 12-month period, the SAB defined barriers and facilitators to SOGI data collection and determined strategies to support the sustained implementation of SOGI data collection in oncology clinics. In Phase 2, we assessed the acceptability and feasibility of SOGI data collection among providers and staff. Semistructured interviews showed that key stakeholders perceived SOGI data collection as highly acceptable and feasible. These stakeholders perceived that SOGI data collection may improve clinical decision-making and help provide better patient-centered care to sexual and gender minorities. Barriers at multiple ecological levels hinder routine SOGI data collection. Bundling SOGI data collection implementation with other institutional initiatives was a successful strategy for our partner institution. Implementation strategies focused on provider and staff education. SOGI data collection is highly acceptable among stakeholders in DLDCCC-affiliated adult oncology clinics.
本简要报告描述了在一家矩阵式综合癌症中心实施性取向和性别认同（SOGI）数据收集的经验教训。实施标准化且简洁的SOGI数据收集做法是一项推荐策略，有助于增进我们对性少数和性别少数（SGM）群体癌症经历的了解。然而，若没有一个有组织的项目来支持实施，干预措施在常规实践中很少能持续下去。我们采用了利益相关者参与的方法，将一份SOGI问卷整合到丹·L·邓肯综合癌症中心（DLDCCC）附属成人肿瘤诊所的电子健康记录（EHR）中，并评估其在医护人员中的可行性、可接受性和利用率。在第一阶段，我们为该项目召集了一个利益相关者咨询委员会（SAB），成员包括领导层、医护人员以及 LGBTQ+ 社区成员。通过在12个月期间举行的焦点小组讨论，SAB确定了SOGI数据收集的障碍和促进因素，并确定了支持在肿瘤诊所持续实施SOGI数据收集的策略。在第二阶段，我们评估了医护人员对SOGI数据收集的可接受性和可行性。半结构化访谈表明，关键利益相关者认为SOGI数据收集非常可接受且可行。这些利益相关者认为，SOGI数据收集可能会改善临床决策，并有助于为性少数和性别少数群体提供更好的以患者为中心的护理。多个生态层面的障碍阻碍了常规SOGI数据收集。将SOGI数据收集的实施与其他机构举措捆绑在一起，对我们的合作机构来说是一项成功的策略。实施策略侧重于对医护人员的教育。在DLDCCC附属成人肿瘤诊所的利益相关者中，SOGI数据收集非常可接受。
