Improving Shared Decision Making with LGBT Racial and Ethnic Minority Patients

Chin, Marshall H.; López, Fanny; Nathan, Aviva G.; Cook, Sandy

doi:10.1007/s11606-016-3607-4

Cited by 25 publications

(22 citation statements)

References 6 publications

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“…Intersectionality recognizes that people have overlapping identities and experiences that do not exist independently, but are interconnected to create a unique convergence of identity [ 5 ]. For example, LGBT patients who also identify as racial and ethnic minorities have an even higher risk of poor health outcomes [ 6 ]. Similarly, minorities with disabilities experience additional disparities, prejudice, discrimination, economic barriers, and difficulties accessing care, resulting in a “double burden” [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities

Torres-Ruiz

Robinson-Ector

Attinson

et al. 2018

IJERPH

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In 2010, Patient-Centered Outcomes Research Institute (PCORI) was authorized by Congress to improve the quality and relevance of evidence available to help patients, caregivers, employers, insurers, and policy makers make better-informed health decisions. We conducted a qualitative analysis of behavioral health trials in the PCORI Addressing Disparities portfolio to examine cultural tailoring strategies across the following priority populations: racial and ethnic minorities, rural populations, people with low-income or low socioeconomic status, individuals with disabilities, people with low health literacy, and lesbian, gay, bisexual, and transgender (LGBT) communities. The Common Strategies for Enhancing Cultural Appropriateness model was used to examine cultural tailoring strategies within trials. We hypothesized increased intersectionality within a patient population at risk for disparities would correlate with the dosage and type of cultural tailoring strategies applied. Thirty-three behavioral health trials applied cultural tailoring strategies and a majority of trials (n = 30) used three or more strategies. Trends in cultural tailoring were associated with certain racial and ethnic groups; however, increased use of tailoring was not associated with the number of priority populations included in a trial. The PCORI Addressing Disparities portfolio demonstrates how a range of cultural tailoring strategies are used, within comparative clinical effectiveness research trials, to address the needs and intersectionality of patients to reduce health and healthcare disparities.

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Section: Introductionmentioning

confidence: 99%

A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities

Torres-Ruiz

Robinson-Ector

Attinson

et al. 2018

IJERPH

View full text Add to dashboard Cite

show abstract

“…Care of AAPI SGM can be improved through better cultural competency training of clinicians and redesigning clinics and systems to provide personalized care to patients. 37,68 AAPI SGM remain at high risk for health disparities, but SDM offers a promising solution. We can improve SDM with AAPI SGM and, ultimately, health outcomes if we are aware of the richness and complexity of each individual patient, and make concerted efforts to address the personal and structural barriers impeding the best possible care.…”

Section: Resultsmentioning

confidence: 99%

“…We can improve SDM with AAPI SGM and, ultimately, health outcomes if we are aware of the richness and complexity of each individual patient, and make concerted efforts to address the personal and structural barriers impeding the best possible care. [68][69][70] …”

Section: Resultsmentioning

confidence: 99%

Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap

Tan

López

et al. 2016

LGBT Health

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Shared decision making (SDM) is a model of patient-provider communication. Little is known about the role of SDM in health disparities among Asian American and Pacific Islander (AAPI) sexual and gender minorities (SGM). We illustrate how issues at the intersection of AAPI and SGM identities affect SDM processes and health outcomes. We discuss experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination. Recommendations for clinical practice, research, policy, community development, and education are offered.

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“…2,3 Little is known about the SDM process between patients who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ), and their healthcare providers; moreover, there is sparse literature on communication and SDM for patient populations at the intersection of race/ethnicity and LGBTQ status. 4,5 Intersectionality provides a framework to understand the intersection of multiple social identities at the individual and socialstructural levels. 6 An approach that acknowledges the intersectional nature of different social identities is critical to successful SDM for Latino LGBTQ patients.…”

Section: Introductionmentioning

confidence: 99%

Addressing Barriers to Shared Decision Making Among Latino LGBTQ Patients and Healthcare Providers in Clinical Settings

et al. 2016

Self Cite

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Effective shared decision making (SDM) between patients and healthcare providers has been positively associated with health outcomes. However, little is known about the SDM process between Latino patients who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ), and their healthcare providers. Our review of the literature identified unique aspects of Latino LGBTQ persons' culture, health beliefs, and experiences that may affect their ability to engage in SDM with their healthcare providers. Further research needs to examine Latino LGBTQ patient-provider experiences with SDM and develop tools that can better facilitate SDM in this patient population.

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Improving Shared Decision Making with LGBT Racial and Ethnic Minority Patients

Cited by 25 publications

References 6 publications

A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities

A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities

Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap

Addressing Barriers to Shared Decision Making Among Latino LGBTQ Patients and Healthcare Providers in Clinical Settings

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