A Framework for Enhancing Access to Equitable Home Care for 2SLGBTQ+ Communities

International Journal of Environmental Research and Public Health

卷:17

Melissa St. Pierre¹  JudithA. MacDonnell²  Shari Brotman³  Andrea Daley⁴ 

[1] Knowledge Mobilization, Supply Chain Advancement Network in Health, Odette School of Business, University of Windsor, Windsor, ON N9B 3P4, Canada;

[2] School of Nursing, York University, 422 Health, Nursing & Environment Studies, Bldg, 4700 Keele Street, Toronto, ON M3J 1P3, Canada;

[3] School of Social Work, McGill University Montreal, Montreal, QC H3A 2A7, Canada;

[4] School of Social Work, Renison University College (at University of Waterloo), Waterloo, ON N2L 3G4, Canada;

关键词: lesbian;    gay;    bisexual;    transgender health;    queer and trans health;    two-spirit health;   

DOI  :  10.3390/ijerph17207533

来源: DOAJ

【 摘 要 】

Canadian, US, and UK public health and clinical research has identified barriers to health service access for Two-Spirit, lesbian, gay, bisexual, transgender, queer, non-binary, and intersex (2SLGBTQ+) communities. While offering important insight into the health service experiences of 2SLGBTQ+ communities, this body of research only recently, and still only minimally, reports on home care access experiences. Drawing on key findings from the 2SLGBTQ+ Home Care Access Project, a mixed-methods, Ontario-wide study, this paper animates an Access and Equity Framework, using participant stories and perspectives to underscore the relevance and effectiveness of the Framework as a tool to support systematic organizational assessment, evaluation, and implementation of access and equity strategies. Home care organizations can use this tool to assess their programs and services along a continuum of intentionally inviting, unintentionally inviting, unintentionally disinviting, and intentionally disinviting care for 2SLGBTQ+ people. To support this process, the framework includes six indicators of access to care: community engagement, leadership, environment, policies and processes, education and training, and programs and services.

【 授权许可】

Unknown