Identity-conscious services for diverse patients: A descriptive analysis of lesbian, gay, bisexual, and transgender-focused federally qualified community health centers

Hudson, Kimberly D.

doi:10.1080/10538720.2018.1478353

Cited by 6 publications

(20 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Synonymous or similar terms used in the literature search included primary health care center, primary health center, community mental health center, and FQHC. 2,8,12,13,26,40,41 No date restriction was applied to the search, and all literature sources were required to be in English, be peerreviewed, and have an abstract. A total of 6328 articles were identified up to May 2020.…”

Section: Step #3: Identifying the Use Of Chc In The Literaturementioning

confidence: 99%

“…11,28,36 Community mental health centers appeared to share some of the same attributes as CHCs in the literature, such as accessibility and having a defined population. 41,45 However, where most CHCs included care for individuals with a range of health concerns that encompassed mental health, 8,34,46 community mental health centers tended to focus solely on the more severe and chronic forms of mental health conditions (eg, schizophrenia, bipolar depression, etc.) independent of other health issues.…”

Section: Uses Of the Concept Chcmentioning

confidence: 99%

“…41,45,47 The concept of CHC and its synonyms have been used to reflect delivery of a range of healthcare services, from individual medical-focused care to broader models of integrated and comprehensive healthcare delivery. 7,8,26,27 For instance, Cox et al 48 seemed to use primary health center synonymously with CHC but defined primary health care as being "provision of first contact care" 48 (p. 948). In other situations, CHC was a term applied to regional hospital systems.…”

Section: Uses Of the Concept Chcmentioning

confidence: 99%

“…1,10,17,42,50,56,[61][62][63] In the United States, the primary mandate of FQHCs is to provide access to care for individuals with financial barriers. 1,2,8,22,42,49,50,[64][65][66] The second context for accessibility was of a temporal nature that accounted for ability of clients to schedule appointments with providers in a timely manner, and included factors such as hours of operation, scheduling, and waiting times. 16,17,22,55,61 The third context was of a resource nature, namely the availability of appropriate care providers, services, and resources to meet specific client needs.…”

Section: Step #4: Defining Attributes Of Chcsmentioning

confidence: 99%

“…[4][5][6] Since the 1970s, CHCs or variations of this concept are used in many countries to offer healthcare services in a variety of settings and contexts that include a range of population foci and geographical parameters. [7][8][9][10][11] The literature reflects a broad range of services that CHCs can offer, and CHCs and similar entities are described in the literature from different philosophical perspectives in terms of models for delivery of healthcare services. However, there is no common definition for the concept of CHC and many other terms are used synonymously with CHC, such as primary health center, primary care centers, and primary care clinics.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Concept Analysis and Proposed Definition of Community Health Center

Nagel

Keeping‐Burke

Shamputa

2021

J Prim Care Community Health

View full text Add to dashboard Cite

Background: Community health centers (CHCs) have been used for delivery of health services since the 1920s and originally were intended to provide care to underserved populations. CHCs have become an integral part of healthcare systems in many countries; however, the term CHC is used synonymously with other concepts and there is no clear definition for CHC. The purpose of our concept analysis was to determine how CHCs are described in the literature and to develop a concept definition for CHC. Methods: Informed by the 8-step process described by Walker and Avant, we searched for literature spanning disciplines within health, business, and policy. We used a systematic review process to identify a range of peer-reviewed articles that help illustrate the attributes, antecedents, and consequences of CHCs. A total of 102 articles from 7 databases were included in our concept analysis. Results: We distinguished 6 attributes of a CHC: primary care; accessibility; preventative care; defined population; health promotion; and comprehensive and integrated care. About 4 antecedents fundamental to a CHC included: secure funding; vision and support; adequate human resources; and governance structure. Consequences of CHCs are improved health outcomes, efficiency, and cost-effective provision of healthcare services. Conclusions: Our concept analysis revealed core characteristics of CHCs that assisted us in synthesizing a concept definition for CHC. These characteristics and our proposed definition will help provide clarity on the concept of CHC to benefit evaluation, research, and policy development of CHCs.

show abstract

Section: Step #3: Identifying the Use Of Chc In The Literaturementioning

confidence: 99%

Section: Uses Of the Concept Chcmentioning

confidence: 99%

Section: Uses Of the Concept Chcmentioning

confidence: 99%

Section: Step #4: Defining Attributes Of Chcsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Concept Analysis and Proposed Definition of Community Health Center

Nagel

Keeping‐Burke

Shamputa

2021

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

Lack of Informed and Affirming Healthcare for Sexual Minority Men: A Call for Patient-Centered Care

Hascher,

Jaiswal,

LoSchiavo

et al. 2024

J GEN INTERN MED

View full text Add to dashboard Cite

Background Sexual minority men (SMM) face severe health inequities alongside negative experiences that drive avoidance of medical care. Understanding how SMM experience healthcare is paramount to improving this population’s health. Patient-centered care, which emphasizes mutual respect and collaboration between patients and providers, may alleviate the disparaging effects of the homophobia that SMM face in healthcare settings. Objective To explore how SMM perceive their experiences with healthcare providers and how care can most effectively meet their needs. Design Semi-structured qualitative interviews focused on healthcare experiences, pre-exposure prophylaxis (PrEP), and HIV-related beliefs were conducted between July and November 2018. Participants The study included a sample of 43 young adult SMM (ages 25–27), representing diverse socioeconomic, racial, and ethnic backgrounds, in New York City. Approach Researchers utilized a multiphase, systematic coding method to identify salient themes in the interview transcripts. Key Results Analyses revealed three main themes: (1) SMM perceived that their clinicians often lack adequate skills and knowledge required to provide care that considers participants’ identities and behaviors; (2) SMM desired patient-centered care as a way to regain agency and actively participate in making decisions about their health; and (3) SMM felt that patient-centered care was more common with providers who were LGBTQ-affirming, including many who felt that this was especially true for LGBTQ-identified providers. Conclusions SMM expressed a clear and strong desire for patient-centered approaches to care, often informed by experiences with healthcare providers who were unable to adequately meet their needs. However, widespread adoption of patient-centered care will require improving education and training for clinicians, with a focus on LGBTQ-specific clinical care and cultural humility. Through centering patients’ preferences and experiences in the construction of care, patient-centered care can reduce health inequities among SMM and empower healthcare utilization in a population burdened by historic and ongoing stigmatization.

show abstract