{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:11:32Z","timestamp":1788437492079,"version":"build-2803163510"},"reference-count":40,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite improvements in the social, cultural, and legal environment for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, backlash in recent years has been severe, with increases in discrimination, harassment, and stigma, including in the provision of health care and palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To document disrespectful and discriminatory health care to seriously ill LGBTQ+ patients and partners and identify behaviors that might benefit from provider training to promote respectful and competent care to this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional mixed-methods study was conducted. Surveys were completed online and took about 15 minutes to complete.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings\/Subjects:<\/jats:title>\n                    <jats:p>LGBTQ+ people with a serious illness or their spouses, partners, and widows were recruited from national and local organizations in the United States that serve LGBTQ+ communities, including health care organizations, hospice and palliative care programs, and LGBTQ+-focused programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>Open-ended questions on 11 types of discriminatory care to patients and 5 types of discriminatory care to partners due to sexual orientation or gender identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seven areas of concern that are relevant to training health care providers were identified, including provider discomfort, lack of knowledge on health concerns, asking about important relationships, asking about sexual behaviors, psychosocial concerns, institutional responsibilities for training, and relationship between training and good care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Health care organizations and professional education should promote staff training and nondiscrimination policies to ensure that all patients and families are competently treated with equity and compassion, regardless of sexual orientation and gender identity, especially in conservative regions of the United States and when caring for transgender patients and communities of color.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jpm.2025.0100","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T14:02:13Z","timestamp":1752069733000},"page":"1348-1353","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Training Health Care Providers Caring for Seriously Ill LGBTQ+ Persons and Their Partners: Project Respect"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1020-4600","authenticated-orcid":false,"given":"Gary L.","family":"Stein","sequence":"first","affiliation":[{"name":"Wurzweiler School of Social Work, Yeshiva University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Berkman","sequence":"additional","affiliation":[{"name":"Graduate School of Social Service, Fordham University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly D.","family":"Acquaviva","sequence":"additional","affiliation":[{"name":"University of Virginia School of Nursing, Charlottesville, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle Marie","family":"Javier","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Godfrey","sequence":"additional","affiliation":[{"name":"Commission on Law and Aging, American Bar Association, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shail","family":"Maingi","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, South Weymouth, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carey","family":"Candrian","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"O\u2019Mahony","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, University of Texas Medical Branch at Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Gonz\u00e1lez-Rivera","sequence":"additional","affiliation":[{"name":"Brookdale Center for Healthy Aging, Hunter College, CUNY, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imani","family":"Woody","sequence":"additional","affiliation":[{"name":"Mary\u2019s House for Older Adults, Inc., Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0680-8911","authenticated-orcid":false,"given":"William E.","family":"Rosa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; 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