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Evaluation of sexual orientation and gender identity documentation at school‐based health centers in New York City
Author(s) -
Serafino Stephanie,
Rajoria Melinda,
Gold Melanie A.,
Garbers Samantha
Publication year - 2021
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.13522
Subject(s) - documentation , sexual orientation , gender identity , medicine , data collection , medical record , family medicine , health care , psychology , social psychology , computer science , political science , statistics , mathematics , law , programming language
Rationale National organizations have called for routine collection of data on sexual orientation and gender identity (SOGI) in clinical settings to track access to and quality of care provided to sexual and gender minority patients to improve health outcomes. However, there are limited data on this implementation for among adolescent populations. Methods A secondary data analysis from seven school‐based health centers (SBHCs) in New York City explored SOGI documentation for 8888 adolescent patients in 2015 to 2018. Using Electronic Health Records, SBHC medical providers' implementation rate of patient SOGI documentation was assessed. Trends in SOGI documentation were reviewed. Results At 18‐month post‐EHR modification and training, SOGI documentation increased and was sustained at 47%. Those documented as female were significantly more likely to have SOGI documentation compared to those documented as male (36% vs 26% for SO; 36% vs 25% for GI). Conclusions This study identified incomplete data collection in SOGI documentation among adolescents receiving medical and mental health services in SBHCs.