Evidence map›Paper›PMID 34791308›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Overcoming technical and cultural challenges to delivering equitable care for LGBTQ+ individuals in a rural, underserved area.

Heather L Marney, David K Vawdrey, Leyla Warsame, Spencer Tavares, Andrea Shapiro, Arthur Breese, Amy Brayford, Aliasgar Z Chittalia

Abstract readCase Reports
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Analyzing Patient-Provided Responses to Improve Collection of Health Equity Data Elements.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Heather L MarneySteele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA.ORCID 0000-0001-9002-293X
David K VawdreySteele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA.
Leyla WarsameSteele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA.
Spencer TavaresSteele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA.
Andrea ShapiroSteele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA.
Arthur BreeseHuman Resources, Geisinger, Pittston, Pennsylvania, USA.
Amy BrayfordHuman Resources, Geisinger, Pittston, Pennsylvania, USA.
Aliasgar Z ChittaliaCommunity Medicine, Geisinger, Mountain Top, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) community is vulnerable to health-care disparities. Many health-care organizations are working to collect sexual orientation and gender identity in their electronic health records (EHRs), with the goal of providing more inclusive care to their LGBTQ+ patients. There are significant human and technical barriers to making these efforts successful. Based on our 5-year experience at Geisinger (an integrated health system located in a rural, generally conservative area), this case report provides insights to overcome challenges in 4 critical areas: (1) enabling the EHR to collect and use information to support the health-care needs of LGBTQ+ patients, (2) building a culture of awareness and caring, empowering members of the health-care team to break down barriers of misunderstanding and mistrust, (3) developing services to support the needs of LGBTQ+ patients, and (4) partnering with local communities to become a trusted health-care provider.

Indexed as

Sexual and Gender MinoritiesTransgender PersonsFemaleGender IdentityHealthcare DisparitiesHumansMaleMedically Underserved AreaSexual Behaviorcultural competencyelectronic health recordsgender identityhealth-care disparitiessexual and gender minorities

Identifiers

PMID34791308
PMCPMC8757301

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.