ArticleAnnals of family medicine2020
Transforming Primary Care for Lesbian, Gay, Bisexual, and Transgender People: A Collaborative Quality Improvement Initiative.
Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Transgender and gender diverse persons' sexually transmitted infection testing: a mixed methods study to understand primary care providers' training gaps and desires to promote sexual health equity.BMC health services research · 2026Article
- Evaluating primary health care utilization among lesbian, gay, and bisexual individuals in Canada with a view to inform more equitable health measures.BMC public health · 2026Article
- Affirming care at the margins: Community health clinics and health equity for transgender people of color.International journal of transgender health · 2026Article
- "It's a Big Ordeal": A Mixed Methods Study of the Experiences of non-HIV STI Testing Among Trans and Gender Diverse People.International journal of sexual health : official journal of the World Association for Sexual Health · 2025Article
- A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities.BMJ quality & safety · 2025Review
- Missing piece: the imperative of gender-disaggregated data in unraveling health inequity.BMJ global health · 2025Article
- Knowledge and Attitudes of Obstetrics and Gynecology and Family Medicine Residents Regarding Transgender and Gender-Diverse Health: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Understanding the Association Between Medical Mistrust and Unmet Medical Care Need in Gender and Sexually Diverse People of Color Assigned Female at Birth.LGBT health · 2025Article
- LGBTQ+ Supportive and Inclusive Care Practices: Survey Data From the T1D Exchange Quality Improvement Collaborative.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Utilizing community engagement to define research and clinical priorities for gender-affirming hormone therapy.International journal of transgender health · 2025Article
- Breaking challenges: queer perspectives on solutions to establish inclusive sexual-reproductive healthcare in Gauteng Province, South Africa.Frontiers in sociology · 2024Article
- From quality improvement to equality improvement projects: A scoping review and framework.iScience · 2023Article
- Facilitators and barriers to providing affirming care for transgender patients in primary care practices in Arkansas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Systems of Care Implications in Hawai'i: Sexual and Gender Minorities.Hawai'i journal of health & social welfare · 2022Article
- Article
- Evaluating for health equity among a cluster of health departments implementing PrEP services.Evaluation and program planning · 2022Article
- Article
- Assessing readiness factors for implementation of LGBTQ+ affirmative primary care initiatives: Practice implications from a mixed-method study.Frontiers in health services · 2022Article
- Rectal specimen self-collection for chlamydia and gonorrhea screening: a cross-sectional feasibility study at a community health center.Pilot and feasibility studies · 2021Article
- Optimizing gender-affirming medical care through anatomical inventories, clinical decision support, and population health management in electronic health record systems.Journal of the American Medical Informatics Association : JAMIA · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLesbian, gay, bisexual, and transgender (LGBT) people experience multiple disparities in access to care and health outcomes. We developed a quality improvement initiative, Transforming Primary Care for LGBT People, to enhance the capacity of federally qualified health centers (FQHCs) to provide culturally affirming care for this population.
methodsThe 1-year intervention blended the models of Practice Improvement Collaboratives and Project ECHO (Extension for Community Health Outcomes) to facilitate learning and translate knowledge into action. FQHC teams received coaching in creating LGBT-inclusive environments, collecting sexual orientation and gender identity (SOGI) data, taking risk-based sexual histories, and screening LGBT people for syphilis, chlamydia and gonorrhea, and HIV. We used a preintervention-postintervention evaluation design.
resultsWe selected 10 FQHCs serving 441,387 patients in 123 clinical sites in 9 states. The intervention spread from 10 clinicians in 10 clinical sites to 431 clinicians in 79 clinical sites. FQHCs reported increases in culturally affirming practices, including collecting patient pronoun information (42.9% increase) and identifying LGBT patient liaisons (300.0% increase). Postintervention, among 9 FQHCs reporting SOGI data from electronic health records, SOGI documentation increased from 13.5% to 50.8% of patients (276.3% increase). Among 8 FQHCs reporting number of LGBT patients, screening of LGBT patients increased from 22.3% (95% CI, 4.9%-40.0%) to 34.6% (95% CI, 19.4%-48.6%) for syphilis (86.5% increase); from 25.3% (95% CI, 7.6%-43.1%) to 44.1% (95% CI, 30.2%-58.1%) for chlamydia and gonorrhea (109.0% increase); and from 14.8% (95% CI, 3.2%-26.5%) to 30.5% (95% CI, 26.7%-34.3%) for HIV (132.4% increase).
conclusionsFQHCs participating in this initiative reported improved capacity to provide culturally affirming care and targeted screening for LGBT patients.
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