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THURSDAY, Jan. 3, 2019 (HealthDay News) — Sexual- or gender-minority (SGM) patients report greater comfort and improved communication with nonverbal collection of sexual orientation and gender identity (SOGI) information in the emergency department, according to a study published online Dec. 28 in JAMA Network Open<\/i>.<\/p>\n
Adil Haider, M.D., M.P.H., from Brigham & Women’s Hospital in Boston, and colleagues conducted a matched cohort study of four emergency departments on the East Coast of the United States to assess the optimal patient-centered approach for SOGI collection. Two different collection approaches were tested between February 2016 and March 2017: nurse verbal collection during the clinical encounter and nonverbal collection during patient registration. Data were included for 540 patients.<\/p>\n
The researchers found that the Communication Climate Assessment Toolkit scores were significantly better for SGM patients with nonverbal registrar form collection versus nurse verbal collection (mean, 95.6 versus 89.5; P = 0.03). Among non-SGM patients or those with a blank field, there were no significant differences between the two approaches (mean, 91.8 versus 93.2 [P = 0.59] and 92.7 versus 93.6 [P = 0.7], respectively). SGM patients had increased odds of 2.57 for a better Communication Climate Assessment Toolkit score category for form collection versus verbal collection after adjustment for age, race, illness severity, and site.<\/p>\n
“Based on these data, we recommend adoption of nonverbal self-report to collect SOGI information in emergency department settings,” the authors write.<\/p>\n
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