Original Research: Physician–Patient Relationships Among the Lesbian and Gay Community
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Objective: To document the concerns, perceptions, and experiences gays and lesbians bring to the physician–patient relationship, including their perspectives related to disclosure of sexual orientation. Design: Completion of a 64-item survey instrument. Setting: Participants were recruited through community-based health care and social service organizations serving the lesbian and gay community. Subjects: 575 lesbians and gay men, primarily from the New York metropolitan area. Measurements: Responses to questionnaire consisting of 64 scaled, multiple choice, and open-ended questions. Results: Most (87%) reported that their primary health care provider gives them the same quality of care as heterosexual patients, treats them with respect equal to heterosexual patients (87%), and is sensitive to gay and lesbian concerns (71%). Although 70% disclosed their sexual orientation to their provider, only 29% were asked their sexual orientation by their provider. Among reasons for nondisclosure, 47% were concerned about bad reaction or treatment. A sizable minority (17%) avoided or delayed seeking health care because of reasons having to do with their sexual orientation. Conclusions: The data demonstrate significant problem areas in physician-initiated communication about sexual orientation; in concerns about antigay discrimination in health care, insurance, and employment; and in avoidance of health services. It is hypothesized that these results represent a baseline for the most favorable health care environments for gays and lesbians. This study also highlights the importance of training medical students and clinicians to communicate better with patients, conduct in-depth sexual and family histories, and consider issues related to sexual orientation and homophobia, including identifying and confronting personal and institutional bias.
- Schatz B, O'Hanlan K. Anti Gay Discrimination in Medicine: Results of a National Survey of Lesbian, Gay and Bisexual Physicians. San Francisco, CA: American Association of Physicians for Human Rights, 1994:14.
- Cochran SD, Mays VM. Disclosure of sexual preference to physicians by black lesbian and bisexual women. West J Med 1988;149:616–19.
- Smith EM, Johnson SR, Guenther SM. Health care attitudes and experiences during gynecologic care among lesbians and bisexuals. Am J Public Health 1985;75:1085–7.
- Dardick L, Grady KE. Openness between gay persons and health professionals. Ann Intern Med 1980;93:115–9.
- Fitzpatrick R, Dawson J, Boulton M, McLean J, Hart G, Brookes M. Perceptions of general practice among homosexual men. Br J Gen Pract 1994;14:80–82.
- Geddes VA. Lesbian expectations and experiences with family doctors. Can Fam Physician 1994;40:908–20.
- White JC, Dull VT. Health risk factors and health-seeking behavior in lesbians. J Women's Health 1997;6:103–12.
- Gilbert S. Bias in doctors' offices may harm gay women's health, study finds. The New York Times 1995;October 11:C15.
- Stein GL, Bonuck KA. Attitudes on end-of-life care and advance care planning in the lesbian and gay community. J Palliative Medicine 2001;4:173–90.
- Original Research: Physician–Patient Relationships Among the Lesbian and Gay Community
Journal of the Gay and Lesbian Medical Association
Volume 5, Issue 3 , pp 87-93
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- sexual orientation
- physician–patient relationship
- access to health care
- disclosure of sexual orientation