Patient Acceptance of Sexual Orientation and Gender Identity Questions on Intake Forms in Outpatient Clinics: A Pragmatic Randomized Multisite Trial

Jilian L Foxen · Joan M. Griffin · Jennifer R. Geske · César A. González · Stephanie S. Faubion · Michelle van Ryn

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LGBTQ Health, Identity, and Policy Patient-Provider Communication in Healthcare Survey Methodology and Nonresponse

Abstract

OBJECTIVES: To (1) test whether patient attitudes toward intake forms at three Midwestern outpatient clinics are significantly more negative among those who are asked to complete SOGI questions versus those who are not; and (2) gain an in-depth understanding of patient concerns about SOGI questions. STUDY SETTING: Data were collected between 6/29/2015 and 2/29/2016 from new patients (N = 491) who presented at three outpatient clinics in a large academic medical center. This study was originally a quality improvement project, and later, institutional review board approval was obtained for secondary data analysis. STUDY DESIGN: Two-stage mixed-methods study. (1) Experimental: New patients at three sites were randomly assigned to complete either routine intake forms (control) or routine intake forms with SOGI questions (experimental); and (2) qualitative: interviews with patients who responded negatively to SOGI questions. PRINCIPAL FINDINGS: There were no significant differences in patient attitudes between experimental and control groups (p > .05). Of those who received SOGI questions, only 3 percent reported being distressed, upset, or offended by the SOGI questions. CONCLUSIONS: Collection of SOGI data as a part of the routine clinical patient intake process is not distressing to 97 percent of patients who are heterosexual, cisgender, and older than 50 years.

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References

2005Three Approaches to Qualitative Content Analysis 2011Determinants of social desirability bias in sensitive surveys: a literature review 2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2016How Many Adults Identify as Transgender in the United States 2011How Many People are Lesbian, Gay, Bisexual and Transgender?2012A Two-Question Method for Assessing Gender Categories in the Social and Medical Sciences 2014Sexual Orientation and Gender Identity Data Collection in Clinical Settings and in Electronic Health Records: A Key to Ending LGBT Health Disparities 2014Do Ask, Do Tell: High Levels of Acceptability by Patients of Routine Collection of Sexual Orientation and Gender Identity Data in Four Diverse American Community Health Centers

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