Evaluating Best Practices in LGBTQIA+ Healthcare: A Vermont Diversity Health Project Initiative
Lindholm, Anne Chin, Cassandra Gleason, Lindsey Salcedo, Camila Geaghan-Breiner, Julia Kim, Marie Bonesteel, Sasha
Lindholm, Anne
Chin, Cassandra
Gleason, Lindsey
Salcedo, Camila
Geaghan-Breiner, Julia
Kim, Marie
Bonesteel, Sasha
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Background: The Vermont Diversity Health Project (VDHP) seeks to improve care for 2STLGBTQIA+ individuals by maintaining a database of affirming healthcare providers. However, the database lacks standardized criteria for provider inclusion. In partnership with the Pride Center of Vermont, we explored best practices in 2STLGBTQIA+ healthcare and assessed whether self-identified providers on the VDHP database meet these standards. Our research question asks: Do these providers deliver care aligned with established best practices for 2STLGBTQIA+ patients? Methods: We consulted experts and reviewed literature to identify best practices for 2STLGBTQIA+ healthcare. Using the World Professional Association for Transgender Health Standards of Care 8 (SOC 8) as a framework, we developed a 31-question REDCap survey to evaluate provider adherence to these standards. The survey was distributed to 240 providers listed in the VDHP database. Results: The survey received 77 responses (32% response rate). Of respondents, 64.9% identified as part of the 2STLGBTQIA+ community, 62.3% worked in mental health, and 71% practiced in private settings. Most providers (88%) reported offering gender-affirming care, while 66% used electronic health records (EHRs) that included patient pronouns. Pronoun disclosure practices varied: 36% always mentioned their pronouns to patients, while 22% rarely did. Gender-inclusive restrooms were available in 81% of clinical spaces. Conclusions: Some SOC 8 metrics are not consistently met by self-identified providers, potentially impacting patient care. Future work should include a broader range of providers and incorporate patient input. This research could inform the development of a standardized survey to guide provider selection for the VDHP database.
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2025-01-29
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Pride Center of Vermont