With the final day of June, LGBTQ Pride Month comes to a close for 2016. The Wiley Blackwell Team hopes to serve the LGBTQ Community by continuing the much needed discussion. As a reminder, all of the curated research collections for Pride Month will be freely available through July 31.
With the final day of June, LGBTQ Pride Month comes to a close for 2016. Just last year, same-sex marriage was federally legalized in the United States. In sharp contrast, this year’s pride month was shadowed by the devastation of the Orlando shootings. We were all painfully reminded that despite great strides made by the LGBTQ community, hate and inequality still run rampant. Through this grim reality, the outpour of love and support that emerged from such a violent act of hate is a testament of hope and strength.
Thanks for visiting us each week this month to continue the necessary discussion on LGBTQ rights and issues. As a reminder, all of the curated research collections for Pride Month will be freely available through July 31.
The Institute of Medicine (IOM) in its report, The Health of Lesbian, Gay, Bisexual and Transgendered People: Building a Foundation for Better Understanding, recommends that data on sexual orientation and gender identify be collected and included among other demographic information routinely stored in patients’ electronic health records. The intent of the IOM recommendation is to improve clinical care and to facilitate research that can address health inequalities among LGBT persons. The reality is that many LGBT persons remain reluctant to disclose their sexual orientation or gender identity, or have that information documented in the electronic health record – even when sexual orientation or gender identity is material to a medical diagnosis or treatment. This reluctance should be contextualized within the backdrop of a health care system where many lesbian, gay, bisexual, and transgendered persons have had negative, invalidating or discriminatory experiences when attempting to access health care, during their care or treatment, or during the care and treatment of a same-sex partner. As the Institute of Medicine observed, it is necessary to create a care environment in which individuals who have historically been stigmatized and discriminated against feel safe providing this information. What steps can health care organizations take to demonstrate trustworthiness with respect to the collection and use of information related to sexual orientation or gender identify? Should clinicians’ elicit this information as a routine part of clinical care?
Mary Beth Foglia PhD MA
Department of Bioethics and Humanities, School of Medicine