التفاصيل البيبلوغرافية
| العنوان: |
Differences by Sexual Orientation in Patient-Centered Care Outcomes for Veterans Utilizing Primary Care Services at the Veterans Health Administration. |
| المؤلفون: |
Lamba S; VA Office of Health Equity, Veterans Health Administration, Washington, District of Columbia, USA., Jones KT; VA Office of Health Equity, Veterans Health Administration, Washington, District of Columbia, USA., Grozdanic T; VA Office of Health Equity, Veterans Health Administration, Washington, District of Columbia, USA., Moy E; VA Office of Health Equity, Veterans Health Administration, Washington, District of Columbia, USA. |
| المصدر: |
LGBT health [LGBT Health] 2024 Aug-Sep; Vol. 11 (6), pp. 455-464. Date of Electronic Publication: 2024 Mar 02. |
| نوع المنشور: |
Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Mary Ann Liebert, Inc. publishers Country of Publication: United States NLM ID: 101616707 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2325-8306 (Electronic) Linking ISSN: 23258292 NLM ISO Abbreviation: LGBT Health Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc. publishers, [2014]- |
| مواضيع طبية MeSH: |
Primary Health Care* , Patient-Centered Care* , Veterans*/statistics & numerical data , United States Department of Veterans Affairs* , Sexual and Gender Minorities*/statistics & numerical data, Humans ; Male ; Female ; Middle Aged ; United States ; Aged ; Adult ; Sexual Behavior ; Veterans Health Services/statistics & numerical data |
| مستخلص: |
Purpose: This study examined the differences by sexual orientation in patient-centered care outcomes (including health care experiences and health-related screening) of veterans utilizing Veterans Health Administration (VHA) primary care. Methods: VHA's adapted version of the Consumer Assessment of Healthcare Providers and Systems was used to compare the health care experience of primary care services among sexual minority (SM) and heterosexual veterans. Health care experience measures were dichotomized to "always" versus "less" and stratified by SM status. Health-related screening measures were dichotomous. Survey data were weighted using provided sample weights. Descriptive statistics were performed on sociodemographic characteristics. Logistic regression coefficients were represented as adjusted odds ratios (aORs). A total of 66,348 veterans were included in the analytic sample, of which 2.9% ( n = 1,935) identified as SM. Sexual orientation was ascertained by self-report measures by veterans. Results: SM veterans were significantly younger (56.95 years vs. 63.43 years, p < 0.001), were less likely to report that their provider showed respect for what they had to say (aOR: 0.76; 95% confidence interval [CI]: 0.61-0.95), that they were asked about difficulties taking care of their health (aOR: 0.81; 95% CI: 0.67-0.96), and their provider listened carefully to them (aOR: 0.71; 95% CI: 0.57-0.87) compared to heterosexual veterans. Conclusion: Health care experiences differed between SM and heterosexual veterans who sought VHA primary care, suggesting the need to increase provider trainings, which may improve cultural competency and promote a more welcoming and inclusive environment. |
| فهرسة مساهمة: |
Keywords: patient experience; patient-centered care; primary care; quality of care; sexual minority veterans; veterans |
| تواريخ الأحداث: |
Date Created: 20240605 Date Completed: 20240909 Latest Revision: 20240909 |
| رمز التحديث: |
20240910 |
| DOI: |
10.1089/lgbt.2023.0224 |
| PMID: |
38837356 |
| قاعدة البيانات: |
MEDLINE |
