Leveraging Electronic Health Record Data to Identify Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Veteran Participants in the Pride in All Who Served Program.
Guneet K Jasuja, Joel I Reisman, Christina Jefferson, Robert B Hall, Raymond G Van Cleve, Teddy Bishop, Heather A Sperry, Michelle C Wilcox, A M Racila, Michelle M Hilgeman
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引用次数: 0
Abstract
Background: Pride in All Who Served (PRIDE) is an intervention in the Veterans Health Administration (VHA) focused on enhancing Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) veterans' access to affirmative care services, social support, and engagement with VHA. Evaluation of PRIDE to date has focused on self-report data, missing critical opportunities to examine the impact of this program on health outcomes and utilization indicators detectable in the electronic health record (EHR).
Objective: This study is the first to: (1) comprehensively identify a sample of LGBTQ+ veterans who attended PRIDE; and (2) describe the sample demographics, health conditions, and health care utilization.
Research design: A retrospective cross-sectional study was conducted using EHR data and staff-reported PRIDE information (eg, site name, facilitator names, dates of delivery). PRIDE-related keywords and chart reviews were used to validate participation and determine the final sample.
Subjects: We identified 588 PRIDE participants at 34 VHA sites from 2016 to 2022.
Measures: Demographics (eg, age), health conditions (eg, depression), and health care utilization (eg, mental/behavioral health care visits).
Results: Nearly half of the PRIDE participants (47%) were women, 75% were transgender and gender diverse, and 37% identified as lesbian or gay. A high proportion of the sample had stress-related health conditions, including depression (63%), hypertension (22%), and posttraumatic stress disorder (48%).
Conclusions: PRIDE serves a disproportionate number of women and transgender and gender diverse veterans compared with general VHA users. In the absence of standardized EHR fields, time-intensive methods are required to leverage EHRs to evaluate programs addressing health equity for LGBTQ+ people.
期刊介绍：
Rated as one of the top ten journals in healthcare administration, Medical Care is devoted to all aspects of the administration and delivery of healthcare. This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of healthcare. This timely journal reports on the findings of original investigations into issues related to the research, planning, organization, financing, provision, and evaluation of health services.
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