Palliative care needs, concerns, and affirmative strategies for the LGBTQ population

被引:17
作者
Javier, Noelle Marie [1 ]
机构
[1] Icahn Sch Med Mt Sinai, One Levy Pl 1070, New York, NY 10029 USA
来源
PALLIATIVE CARE & SOCIAL PRACTICE | 2021年 / 15卷
关键词
advance directives; bisexual; gay; health disparities; lesbian; LGBTQ; life-limiting illness; palliative care; queer; questioning; sexual and gender minorities; transgender; OF-LIFE CARE; MENTAL-HEALTH; OLDER-ADULTS; SEXUAL ORIENTATION; MINORITY STRESS; TRANSGENDER HEALTH; GAY; END; RESILIENCE; DISPARITIES;
D O I
10.1177/26323524211039234
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning population, also known as sexual and gender minorities, are an incredibly marginalized and vulnerable population that have been disproportionately affected by the provision, delivery, and optimal access to high-quality medical care including palliative, hospice, and end-of-life care. The long-standing and unique experiences shaped by positive and negative historical events have led to a better understanding of significant barriers and gaps in equitable healthcare for this population. The intersection of both internal and external stressors as well as minority identities in the context of discriminatory political and societal infrastructures have resulted in variable health outcomes that continues to be plagued by economic barriers, oppressive legislative policies, and undesirable societal practices. It could not be more urgent and timely to call upon the government and healthcare systems at large to execute reforms in policies and regulations, engage in cultural competency training, and promote cultural shifts in beliefs, attitudes, and practices that will ultimately recognize, prioritize, and address the needs of this population. After all, health care access is a universal right regardless of personal, social, political, and economic determinants of comprehensive medical care.
引用
收藏
页数:17
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