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A quality improvement initiative that enhances lesbian, gay, bisexual, and transgender (LGBT) affirming care also improves screening rates for sexually transmitted diseases, according to a study published in the July/August issue of the Annals of Family Medicine. The researchers found that federally qualified health centers (FQHCs) reported increases in culturally affirming practices, including collecting patient pronoun information (42.9% increase) and identifying LGBT patient liaisons (300.0% increase). Based on sexual orientation and gender identity (SOGI) from electronic health records among nine FQHCs, SOGI documentation increased from 13.5 to 50.8% of patients. Screening of LGBT patients increased from 22.3 to 34.6% for syphilis, from 25.3 to 44.1% for chlamydia and gonorrhea, and from 14.8 to 30.5% for HIV among the eight FQHCs reporting the number of LGBT patients.
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