Health disparities among LGBT people stem from prejudice, stigma, discrimination and social determinants of health, not genetics or other molecular problems. Different types of discrimination based on sexual orientation. Indirect discrimination occurs when an organization has a particular policy or way of working that applies to everyone, but that puts people of your sexual orientation at a disadvantage. In terms of sexual orientation, Makadon continued, it's not simply about identifying someone as gay, lesbian, bisexual, or heterosexual.
It is essential that doctors have information about the patient's gender identity, gender expression, sex at birth, medical history and current anatomy. That information can become part of the electronic record that all of a person's doctors would have access to without the need to question the patient. He also noted that the invisibility of the LGBT population is due to a combination of patients' reluctance to disclose information about sexual orientation or gender identity and the discomfort or ignorance of doctors about the importance of this information. Since there are medical problems related to sexual orientation and gender identity, it seems that it would be difficult to provide good health care to LGBT people without that information, and it is equally difficult to assess the quality of care provided to the LGBT population.
Much of medical science is based on the belief that male and female physiology only differ in terms of sex and reproductive organs, he says. One in five women say they have felt that a healthcare provider has ignored or ignored their symptoms, and 17% say that they have been treated differently because of their gender, compared to 14% and 6% of men, respectively. Similarly, clinical guidelines for patient care can ensure that doctors follow evidence-based methods for all patients. He added that, while these examples may seem obvious to those who attend the workshop, they are not obvious to most nurses or doctors because they don't learn about this type of mismatch between sexual identity and sexual behavior in medical school.
For example, 56 percent of lesbian, gay, or bisexual people and 70 percent of transgender people said they had experienced discrimination or received poor care. This occurs when you are treated differently because of your sexual orientation in one of the situations covered by the Equality Act. The results presented in this column may differ slightly (two-tenths of 1 percent), but not substantially, from other analyses of these data due to the statistical program used. The doctor, Makadon said, has to be the key person when it comes to collecting this information, but the field needs to find ways to help doctors not spend all their time collecting data and not having time to talk to their patients.
Nearly 11 percent of lesbian, gay, or bisexual people and nearly 21 percent of transgender people said that a health professional had used harsh or abusive language with them, and 4 percent of lesbian, gay, or bisexual people and nearly 8 percent of transgender people described receiving harsh or abusive physical treatment by a health professional. To illustrate the importance of all physicians, not just the primary care physician, having information about the patient's gender identity, Makadon analyzed two case studies.
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