{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:54:08Z","timestamp":1770746048511,"version":"3.49.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,11,13]],"date-time":"2021-11-13T00:00:00Z","timestamp":1636761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) community is vulnerable to health-care disparities. Many health-care organizations are working to collect sexual orientation and gender identity in their electronic health records (EHRs), with the goal of providing more inclusive care to their LGBTQ+ patients. There are significant human and technical barriers to making these efforts successful. Based on our 5-year experience at Geisinger (an integrated health system located in a rural, generally conservative area), this case report provides insights to overcome challenges in 4 critical areas: (1) enabling the EHR to collect and use information to support the health-care needs of LGBTQ+ patients, (2) building a culture of awareness and caring, empowering members of the health-care team to break down barriers of misunderstanding and mistrust, (3) developing services to support the needs of LGBTQ+ patients, and (4) partnering with local communities to become a trusted health-care provider.<\/jats:p>","DOI":"10.1093\/jamia\/ocab227","type":"journal-article","created":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T19:50:59Z","timestamp":1633549859000},"page":"372-378","source":"Crossref","is-referenced-by-count":9,"title":["Overcoming technical and cultural challenges to delivering equitable care for LGBTQ+ individuals in a rural, underserved area"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9002-293X","authenticated-orcid":false,"given":"Heather L","family":"Marney","sequence":"first","affiliation":[{"name":"Steele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA"}]},{"given":"David K","family":"Vawdrey","sequence":"additional","affiliation":[{"name":"Steele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA"},{"name":"Biomedical Informatics, Columbia University, New York, New York, USA"}]},{"given":"Leyla","family":"Warsame","sequence":"additional","affiliation":[{"name":"Steele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA"}]},{"given":"Spencer","family":"Tavares","sequence":"additional","affiliation":[{"name":"Steele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA"}]},{"given":"Andrea","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Steele Institute of Innovation, Geisinger, Danville, Pennsylvania, USA"}]},{"given":"Arthur","family":"Breese","sequence":"additional","affiliation":[{"name":"Human Resources, Geisinger, Pittston, Pennsylvania, USA"}]},{"given":"Amy","family":"Brayford","sequence":"additional","affiliation":[{"name":"Human Resources, Geisinger, Pittston, Pennsylvania, USA"}]},{"given":"Aliasgar Z","family":"Chittalia","sequence":"additional","affiliation":[{"name":"Community Medicine, Geisinger, Mountain Top, Pennsylvania, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,11,13]]},"reference":[{"key":"2022011313560946500_ocab227-B1","volume-title":"The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding","year":"2011"},{"issue":"11","key":"2022011313560946500_ocab227-B2","doi-asserted-by":"crossref","first-page":"e20050","DOI":"10.2196\/20050","article-title":"An environmental scan of sex and gender in electronic health records: analysis of public information 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