{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:01:39Z","timestamp":1792800099700,"version":"4.5.0"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"unspecified","delay-in-days":114,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951524001913_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Recent increases in homophobic and transphobic harassment, hate crimes, anti-lesbian, gay, bisexual, transgender, gender nonconforming, and queer (LGBTQ+) legislation, and discrimination in healthcare toward LGBTQ+ persons require urgent attention.<\/jats:p>\n                    <jats:p>This study describes seriously ill LGBTQ+ patients\u2019 and partners\u2019 experiences of discriminatory care delivered by healthcare providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524001913_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative data from a mixed-methods study using an online survey were analyzed using a grounded theory approach. Seriously ill LGBTQ+ persons, their spouses\/partners and widows were recruited from a wide range of organizations serving the LGBTQ+ community. Respondents were asked to describe instances where they felt they received poor care from a healthcare provider because they were LGBTQ+.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524001913_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six main themes emerged: (1) disrespectful care; (2) inadequate care; (3) abusive care; (4) discriminatory care toward persons who identify as transgender; (5) discriminatory behaviors toward partners; and (6) intersectional discrimination. The findings provide evidence that some LGBTQ+ patients receive poor care at a vulnerable time in their lives. Transgender patients experience unique forms of discrimination that disregard or belittle their identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524001913_sec4d\">\n                    <jats:title>Significance of Results<\/jats:title>\n                    <jats:p>Professional associations, accrediting bodies, and healthcare organizations should set standards for nondiscriminatory, respectful, competent, safe and affirming care for LGBTQ+ patients. Healthcare organizations should implement mechanisms for identifying problems and ensuring nondiscrimination in services and employment; safety for patients and staff; strategies for outreach and marketing to the LGBTQ+ community, and ongoing staff training to ensure high quality care for LGBTQ+ patients, partners, families, and friends. Policy actions are needed to combat discrimination and disparities in healthcare, including passage of the Equality Act by Congress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951524001913","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:02:26Z","timestamp":1745553746000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["Discriminatory health care reported by seriously ill LGBTQ+ persons and partners: Project Respect"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1776-3931","authenticated-orcid":false,"given":"Cathy","family":"Berkman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary L.","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0680-8911","authenticated-orcid":false,"given":"William E.","family":"Rosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2906-7762","authenticated-orcid":false,"given":"Kimberly D.","family":"Acquaviva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9113-7363","authenticated-orcid":false,"given":"David","family":"Godfrey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imani","family":"Woody","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8230-4088","authenticated-orcid":false,"given":"Shail","family":"Maingi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7356-3998","authenticated-orcid":false,"given":"christian","family":"gonz\u00e1lez-rivera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2454-506X","authenticated-orcid":false,"given":"Carey","family":"Candrian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"O\u2019Mahony","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3498-7627","authenticated-orcid":false,"given":"Noelle Marie","family":"Javier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"S1478951524001913_ref1","doi-asserted-by":"publisher","DOI":"10.7312\/acqu20642"},{"key":"S1478951524001913_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951523001104"},{"key":"S1478951524001913_ref8","unstructured":"DePillis, L (2024) For L.G.B.T.Q. people, moving to friendlier states comes with a cost. 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Clayton County, GA. 590 U.S. 644 (2020) https:\/\/www.supremecourt.gov\/opinions\/19pdf\/17-1618_hfci.pdf."},{"key":"S1478951524001913_ref2","unstructured":"ADL (2023) Year in review: Anti-LGBTQ+ hate & extremism incidents, 2022-2023. https:\/\/www.adl.org\/resources\/report\/year-review-anti-lgbtq-hate-extremism-incidents-2022-2023 (accessed 23 June 2023 )."}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951524001913","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:02:35Z","timestamp":1745553755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951524001913\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":26,"alternative-id":["S1478951524001913"],"URL":"https:\/\/doi.org\/10.1017\/s1478951524001913","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e101"}}