Journal of General and Family Medicine最新文献

{"title":"Drug-induced liver injury associated with exposure to Hangeshashinto","authors":"Kimitoshi Kubo MD, PhD,&nbsp;Issei Ashida MD,&nbsp;Noriko Kimura MD, PhD","doi":"10.1002/jgf2.70018","DOIUrl":"https://doi.org/10.1002/jgf2.70018","url":null,"abstract":"<p>While Kampo medicines are deemed relatively safe and associated with few adverse effects, primary care physicians are well advised to be aware of the risk of drug-induced liver injury in patients prescribed Kampo medicines containing Scutellariae radix, such as Hangeshashinto, in clinical practice and to closely monitor their clinical course.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"370-371"},"PeriodicalIF":1.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoiding early diagnosis","authors":"Takao Wakabayashi M.D., Ph.D.,&nbsp;Goh Keng Wee M.D.,&nbsp;Mikinosuke Ishibashi M.D.,&nbsp;Yoshiki Akiyama M.D.,&nbsp;Naoki Kanda M.D.,&nbsp;Tomoyuki Watanabe M.D., Ph.D.","doi":"10.1002/jgf2.70015","DOIUrl":"https://doi.org/10.1002/jgf2.70015","url":null,"abstract":"&lt;p&gt;A previously healthy 27-year-old woman was referred from a nearby clinic for the treatment of pneumonia.&lt;/p&gt;&lt;p&gt;\u0000 &lt;i&gt;The patient was referred with a diagnosis of community-acquired pneumonia (CAP). Hospitalization for CAP is generally indicated when the oxygen saturation on room air falls to ≤93%, or when severity scores such as a Pneumonia Severity Index score of ≥III or a CURB-65 score of ≥1 are present.&lt;/i&gt;\u0000 &lt;/p&gt;&lt;p&gt;Five days prior to referral, the patient visited her primary care physician with complaints of high fever, nasal discharge, and pharyngitis. Although a rapid influenza test was negative, baloxavir marboxil was administered based on the local outbreak situation. However, her fever persisted, and she revisited the clinic 1 day before referral. Blood tests and chest computed tomography (CT) were performed, leading to a diagnosis of pneumonia. She received an outpatient dose of 2 g of ceftriaxone and was prescribed levofloxacin at 500 mg/day. The next day, marked inflammatory markers were revealed in blood tests, prompting her referral.&lt;/p&gt;&lt;p&gt;Administering antibiotics without obtaining various cultures for infections such as pneumonia is not recommended. Additionally, initiating treatment with fluoroquinolones, such as levofloxacin, at the first visit is also discouraged. This is because fluoroquinolones have some efficacy against mycobacteria, including tuberculosis, which can delay the diagnosis of these conditions.&lt;/p&gt;&lt;p&gt;The patient reported intermittent high-grade fevers, sore throat, pleuritic chest pain, and fatigue. They reported no rash, cough, vomiting, constipation, diarrhea, genitourinary symptoms, or weakness. They had previously had sinusitis. She did not take prescription medications, smoke, drink alcohol, or use drugs. She was not sexually active. She had no recent exposures to sick contacts, hot springs, travel history, undercooked meats, or bites from insects or animals.&lt;/p&gt;&lt;p&gt;This review of systems highlights multisystem involvement and eliminates several potentially relevant exposures. The presence of fevers and fatigue points toward infectious, inflammatory, or malignant processes.&lt;/p&gt;&lt;p&gt;On physical examination, her consciousness was alert, the patient was febrile; her axillary temperature was 38.0°C, the heart rate was 110 beats per minute, the blood pressure was 99/50 mm Hg, the respiratory rate was 20 per minute, and the oxygen saturation was 97% while the patient was breathing ambient air. The body-mass index (BMI; the weight in kilograms divided by the square of the height in meters) was 19.9. Cardiopulmonary examinations revealed that holo crackles were auscultated in the right lower lung field, and a systolic murmur (Levine grade 3/6) was heard at the apex. No signs of arthritis or skin abnormalities were shown. The patient's mood, attention, and affect were appropriate.&lt;/p&gt;&lt;p&gt;If this case is confirmed to be pneumonia, hospitalization is indicated. While both the PSI and CURB-65 scores ","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"292-296"},"PeriodicalIF":1.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of idiopathic mesenteric phlebosclerosis: Insight into pathogenesis of associated vascular calcification","authors":"Kimitoshi Kubo MD, PhD,&nbsp;Noriko Kimura MD, PhD","doi":"10.1002/jgf2.70025","DOIUrl":"https://doi.org/10.1002/jgf2.70025","url":null,"abstract":"<p>A 75-year-old woman had been taking a geniposide-containing herbal medicine for 7 years and was admitted to our hospital for nausea, abdominal pain, and distention. CT revealed colonic wall thickening, whereas CS revealed a dark-purple edematous mucosa. Furthermore, biopsy specimens revealed small vein hyalinization. Thus, she was diagnosed with idiopathic mesenteric phlebosclerosis (IMP) and underwent surgery. von Kossa staining revealed granules in the mucosal, submucosal, muscular, and subserosal layers, with mesenteric veins demonstrating calcium deposition. Taken together, calcium ion deposition was likely to have accounted for vascular wall calcification in IMP. The patient's course was uneventful for 3 months after surgery.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 5","pages":"475-478"},"PeriodicalIF":2.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The educational effects of telemedicine training using role-playing for general practice/family medicine residents: A qualitative study","authors":"Koki Nakamura MD, PhD,&nbsp;Tomoo Hidaka MD, PhD,&nbsp;Yoshihiro Toyoda MD,&nbsp;Mei Endo MD,&nbsp;Satoshi Kanke MD, PhD","doi":"10.1002/jgf2.70020","DOIUrl":"https://doi.org/10.1002/jgf2.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite the increasing demand for telemedicine, there have been few reports on telemedicine training for general practice/family medicine residents. This study aimed to qualitatively examine the educational effects of remote medical training for residents using role-play.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study targeted first- and second-year residents enrolled in the General Medicine/Family Medicine Residency Program at Fukushima Medical University in 2023. The residents watched educational videos on telemedicine and engaged in role-playing training based on multiple scenarios. Subsequently, interviews were conducted with the residents, and the verbatim transcripts of the audio data were thematically analyzed using open coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight residents participated in the study, with each undergoing 3–4 interviews. The identified codes were inductively summarized, and nine categories were generated: verbal cues to enhance the quality of history taking, nonverbal communication to connect with patients, addressing risks inherent in the convenience of telemedicine, co-creating a clinical environment with patients, anticipating issues different from those encountered in face-to-face consultation rooms, considering and supporting the elderly and those who are digitally disadvantaged, improving access restrictions due to busyness and resistance to telemedicine, understanding the living environment in connection with patient families and home care nurses, and awareness of the wide-ranging applications of telemedicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results of telemedicine training via role-play suggest various educational effects. This study provides crucial findings for considering educational methods for GM/FM residents to respond to the increasing demand for telemedicine in primary health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"334-345"},"PeriodicalIF":1.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicine-based diagnosis and management of ocular chemical injury in a remote setting: A case report","authors":"Eisuke Shimizu MD, PhD,&nbsp;Hiroki Nishimura MSc, CO,&nbsp;Rohan Jeetendra Khemlani MD,&nbsp;Shintaro Nakayama MSc,&nbsp;Keitaro Suzuki MD,&nbsp;Katsuya Sato MD","doi":"10.1002/jgf2.70017","DOIUrl":"https://doi.org/10.1002/jgf2.70017","url":null,"abstract":"<p>Ocular chemical injuries require immediate diagnosis and treatment, posing challenges in remote regions. We report a case of mild chemical injury caused by an alkali chemical injury, successfully diagnosed and managed using telemedicine. A primary care physician utilized a smartphone-based anterior segment imaging system (Smart Eye Camera), allowing an ophthalmologist to remotely evaluate and classify the injury as Roper-Hall grade. Conservative treatment with irrigation and topical medications led to symptom resolution within 1 week. This case highlights the effectiveness of teleophthalmology, suggesting its significant potential for improving ocular care accessibility and timely intervention in medically underserved rural areas.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"359-362"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary care experiences of family caregivers using the same medical facility as their care recipient or a different facility","authors":"Gen Nakayama MD, PhD,&nbsp;Shoichi Masumoto MD, MPH, PhD,&nbsp;Junji Haruta MD, PhD,&nbsp;Tetsuhiro Maeno MD, PhD","doi":"10.1002/jgf2.70000","DOIUrl":"https://doi.org/10.1002/jgf2.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Family caregivers and care recipients do not always have the same usual source of care, which may create barriers to providing optimal care for caregivers. This study aimed to compare family caregivers' primary care experiences based on whether they used the same medical facility as their care recipient or a different facility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used cross-sectional data from a survey conducted in Japan in 2020. Participants were family caregivers aged 40–74 years who cared for community-dwelling adults with chronic conditions. Caregivers' primary care experiences were assessed using the Japanese version of the Primary Care Assessment Tool Short Form (JPCAT-SF). Multivariable linear regression analyses were conducted to evaluate differences in JPCAT-SF scores between caregivers who used the same medical facility as their care recipient and those who used a different facility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 406 family caregivers analyzed, 216 (53.2%) used a different medical facility from their care recipient. After adjusting for possible confounders, JPCAT-SF total scores were significantly lower among family caregivers using a different facility compared with those using the same facility (adjusted mean difference −5.73, 95% confidence interval: −8.93 to −2.54). The JPCAT-SF subscale scores for longitudinality, comprehensiveness (services available), and community orientation were significantly lower in the different facility group than the same facility group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Family caregivers who used a different medical facility from their care recipient reported more negative primary care experiences than caregivers using the same facility. Greater efforts may be needed to provide patient-centered, family-oriented primary care for these caregivers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"297-304"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidermolysis bullosa for primary care providers: A practical review","authors":"Kennedy Sparling BS,&nbsp;Judith O'Haver PhD, RN, CPNP-PC,&nbsp;Muayad Shahin BA,&nbsp;Amanda Damon APRN,&nbsp;Nichole Halliburton MSN, APRN, CNP,&nbsp;Kellie Badger BS, RN,&nbsp;Mariam Iqneibi MD,&nbsp;Beth Moeves APRN,&nbsp;Harper N. Price MD,&nbsp;Emily S. Gorell DO, MS","doi":"10.1002/jgf2.70014","DOIUrl":"https://doi.org/10.1002/jgf2.70014","url":null,"abstract":"<p>Epidermolysis bullosa (EB) is a group of genetic skin diseases, which manifest as fragile skin and blistering in addition to many extracutaneous conditions. Pediatricians and primary care providers play an integral role in managing these patients with multifaceted care needs. There are many resources to navigate treating the various manifestations of EB and to assist with the partnership between pediatricians, dermatologists, and other specialists. There are also newly approved therapies for treating some forms of EB. As patients may only attend the multidisciplinary clinic for the management of their condition at designated intervals, the primary care provider becomes the first point of contact in many acute or healthcare maintenance visits. Using the resources and tips discussed herein, the pediatrician can work with the rest of the medical team to best optimize the clinical outcomes of patients with EB.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"279-291"},"PeriodicalIF":1.8,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between preexisting long-term care needs and in-hospital mortality and long-term outcomes in older inpatients with pneumonia: A retrospective cohort study","authors":"Jumpei Taniguchi MD,&nbsp;Hayato Yamana MD, PhD,&nbsp;Yuichiro Matsuo MD,&nbsp;Yusuke Sasabuchi MD, PhD,&nbsp;Hiroki Matsui PhD,&nbsp;Takahide Kohro MD, PhD,&nbsp;Hideo Yasunaga MD, PhD","doi":"10.1002/jgf2.70016","DOIUrl":"https://doi.org/10.1002/jgf2.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Limited evidence exists regarding the impact of baseline functional and cognitive impairments on the outcomes of patients with pneumonia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used medical and long-term care administrative databases in a prefecture in Japan that contained care need levels assessed using the national standardized certification system. We identified patients aged ≥65 years who were hospitalized for pneumonia between June 2014 and October 2018. The impairments were classified into four categories based on estimated total daily care time: no care needs, support levels 1–2, care needs level 1 (estimated care time of 25–49 min), care needs level 2–3 (50–89 min), and care needs level 4–5 (≥90 min). The primary outcome was the in-hospital mortality rate. Secondary outcomes were death and care needs at 6 months and 1 year after admission. We evaluated the outcomes based on care need levels and conducted multivariate analyses adjusting for potential confounders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 15,537 patients (mean age 83.9 years) were included. The in-hospital mortality rates for patients with no care needs, support levels 1–2 and care needs level 1, care needs levels 2–3, and care needs levels 4–5 were 10.5%, 15.9%, 21.1%, and 24.7%, respectively. The proportions of patients who died or experienced worsening care needs at 6 months were 43.6%, 60.4%, 60.0%, and 50.2%, respectively. Multivariable analyses demonstrated independent associations of preexisting care needs with both in-hospital mortality and long-term outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Preexisting long-term care needs are associated with short- and long-term outcomes in older inpatients with pneumonia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"326-333"},"PeriodicalIF":1.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing decision-making capacity assessments in primary care: A practical guide for family physicians","authors":"Victor Ajluni MD","doi":"10.1002/jgf2.70013","DOIUrl":"https://doi.org/10.1002/jgf2.70013","url":null,"abstract":"<p>Family physicians play a crucial role in assessing decision-making capacity, yet face challenges because of time constraints and lack of training. This article presents a structured framework to guide these assessments, ensuring ethical and efficient evaluations. By applying key principles—clarifying the decision at hand, assessing understanding, appreciation, reasoning, and expression—physicians can navigate complex cases while balancing patient autonomy with appropriate medical care.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"379-380"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare professionals' experiences related LGBTQ+ patients and colleagues at their workplace: Descriptive research in Japan","authors":"Junki Mizumoto MD, PhD,&nbsp;Eriko Kono MD,&nbsp;Eriko Yoshida MD, PhD","doi":"10.1002/jgf2.70012","DOIUrl":"https://doi.org/10.1002/jgf2.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>LGBTQ+ patients often face discrimination in a healthcare setting, and LGBTQ+ healthcare professionals experience disproportionately high levels of workplace stress. The purpose of this research is (i) to explore healthcare professionals' experiences about LGBTQ+ patients and colleagues and (ii) evaluate LGBTQ+ healthcare professionals' experiences, challenges, and concerns in their workplace.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Sexual Orientation, Gender Identity, and Gender Expression (SOGIE) Project of the Japan Federation of Democratic Medical Institutions (MIN-IREN) developed and distributed a questionnaire to assess staff experiences related to SOGI at their workplace.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 6216 professionals participated. Of these, 443 (7.1%) reported witnessing or hearing about discrimination against LGBTQ+ patients, and 330 (5.3%) reported similar incidents involving LGBTQ+ colleagues. The most common source of knowledge was mass media. Approximately half of the participants described their workplace as welcoming to LGBTQ+ patients and colleagues. While 705 (11.3%) participants openly identified as allies, 2129 (34.3%) considered themselves allies at heart without expressing it. Some initiatives were identified to be prioritized. Among 133 (2.1%) participants identifying themselves as LGBTQ+, 41 participants reported disclosing their SOGI to some members in their workplaces. The most common workplace difficulty was the assumption of heterosexuality in all events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Discrimination against the LGBTQ+ population in healthcare settings is prevalent. Many healthcare professionals who hold allyship at heart face some barriers to express it. LGBTQ+ healthcare professionals face various difficulties at their workplaces. Collaboration with LGBTQ+ healthcare professionals is needed to foster inclusivity and support a more affirming healthcare environment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 4","pages":"312-325"},"PeriodicalIF":1.8,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}