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Collecting sexual orientation and gender identity data in by Alper, Joe; Feit, Monica N.; Sanders, Jon Q.

By Alper, Joe; Feit, Monica N.; Sanders, Jon Q.

In 2011, the Institute of drugs (IOM) published the document The overall healthiness of Lesbian, homosexual, Bisexual, and Transgender humans: development a starting place for higher knowing, the 1st entire compilation of what's recognized concerning the wellbeing and fitness of every of those teams at varied levels of existence. This document additionally defined an schedule for the study and knowledge assortment essential to shape a fuller knowing of this  Read more...

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Another limitation concerns denial of care from insurance coding that has to be gender-specific—if a transgender female is identified as female on an EHR, they may be denied prostate screening. To address these limitations, the Center of Excellence for Transgender Health recommends that transgender-inclusive data be collected using two questions. First, ask about the person’s current gender identity, and then ask for the person’s assigned sex at birth. Asking about current gender identity first honors the patient’s gender expression by allowing the patient to self-identify in their current gender identity.

They have since refined their search technique using concepts such as negation logic, semantic search, and other natural language processing tools to reduce a 22 percent false positive rate to three percent. Additional work is under way to further reduce the false positive rate to close to zero. An initial finding from an analysis of the identified records was that it takes an average of 30 months between the time of a patient’s first visit and when LGBT status appears in the medical record, and that patients had an average of 17 clinical encounters in which LGBT status was identified.

DISCUSSION Aaron Tax, from Services and Advocacy for GLBT Elders, asked the four speakers about their experiences in collecting sexual orientation and gender identity data for elderly persons who may be more reluctant EXISTING DATA COLLECTION PRACTICES 37 because of personal experience to divulge this information. Ehrenfeld said that his team certainly observed a generation gap in the willingness to self-identify on intake forms. Gonzalez said that Fenway Health’s approach to this problem has been to retain the ability to ask about sexual orientation and gender identity in the clinical setting rather than during registration because it is easier to put people at ease and educate them about why this information is important.

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