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While Pride Month is an annual celebration of the LGBTQIA+ community, it’s also a time to reflect on the hard fought progress that has been made over the past few decades.
Though the legalization of same-sex marriage and passage of numerous anti-discrimination workplace regulations has uplifted the LGBTQIA+ community in recent years, there is still considerable room for improvement when it comes to healthcare.
High rates of trauma, instances of ‘medical gaslighting’ and general distrust of the healthcare system among LGBTQIA+ patients has adversely impacted health outcomes.
A recent study conducted by Healthgrades found that nearly half of LGBTQIA+ patients reported experiencing medical gaslighting — when patients don’t feel validated for their health concerns and experiences by their doctors — in the last two years.
Medical-related trauma and identity-based discrimination are also significantly more common among LGBTQIA+ patients compared to instances reported by cisgender, heterosexual patients.
Dr. Brad Bowman, chief medical officer at Healthgrades, told MM+M that the medical experience by LGBTQIA+ patients tends to be less desirable than other patient populations and healthcare stakeholders need to step up and act.
“They feel that their concerns weren’t taken seriously or discounted or they had a negative encounter with the healthcare system,” he said. “This happens to everyone, but it happens to [LGBTQIA+] patients at a higher rate.”
Additionally, the community’s trust in healthcare professionals, pharma companies, insurance companies, and the nation’s healthcare system in general is lower than their cisgender, heterosexual counterparts.
Given the gap in terms of trust and experience with the healthcare system, HCPs have an opportunity to better connect and communicate with this varied patient population.
This is why Healthgrades and OutCare Health have collaborated on several efforts to dismantle health barriers facing the community.
Last year, Healthgrades launched the LGBTQ+ Affirming Care Designation as part of its partnership with OutCare, identifying more than 4,000 community-friendly HCPs that are included on the latter organization’s Outlist.
To put this list together, OutCare uses medical claims data to classify doctors based on their specialties and ease the burden for patients seeking appropriate, friendly care across the country.
Since the designation’s launch, more than 500 doctors have been added to the Outlist and into Healthgrades’ sizable database.
Bowman said that going forward, Healthgrades will continue its efforts to grow the number of designated LGBTQIA+-affirming providers, including through promotional activities.
He added that the organization, which is highly-regarded among other online healthcare resources, will work with OutCare to continue educating affiliated providers on evolving terminology and best practices for caring for the LGBTQIA+ community.
Dr. Dustin Nowaskie, founder and president of OutCare, told MM+M that the Outlist is one of the leading ways the organization highlights the ongoing health impacts and implications of stigma facing LGBTQ+ communities.
“This partnership is valuable for OutCare; it’s good representation for LGBTQIA+ people, but it’s also an opportunity to educate patients, insurance companies and health systems, that there’s a lot of hurt, there’s a lot of pain,” they said. “We have this gap and the way to fix that is to elevate these services for LGBTQIA+ people so that they’re also empowering themselves.”
Nowaskie also offered advice to medical marketers so they can improve communications with the community and better understand their needs beyond stereotypes.
This includes working alongside local LGBTQIA+ groups to understand their values, goals as well as perspectives and incorporating that input into clinical operations.
When it comes to marketing materials, Nowaskie suggested representing more identities like people of color, transgender individuals and those with non-binary genders.
They added that LGBTQIA+ identities, cultures and languages are fluid and dynamic over time, which means medical marketers need to keep up with these changes in how they communicate.