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Ramasamy V(R, Rillotta F, Alexander J. Experiences of adults with intellectual disabilities who identify as lesbian, gay, bisexual, or transgender within mainstream community: a systematic review of qualitative studies. JBI Evid Synth 2021; 19:59-154. [DOI: 10.11124/jbies-20-00032] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Petersen C, Austin RR, Backonja U, Campos H, Chung AE, Hekler EB, Hsueh PYS, Kim KK, Pho A, Salmi L, Solomonides A, Valdez RS. Citizen science to further precision medicine: from vision to implementation. JAMIA Open 2020; 3:2-8. [PMID: 32607481 PMCID: PMC7309265 DOI: 10.1093/jamiaopen/ooz060] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 09/04/2019] [Accepted: 10/25/2019] [Indexed: 12/12/2022] Open
Abstract
The active involvement of citizen scientists in setting research agendas, partnering with academic investigators to conduct research, analyzing and disseminating results, and implementing learnings from research can improve both processes and outcomes. Adopting a citizen science approach to the practice of precision medicine in clinical care and research will require healthcare providers, researchers, and institutions to address a number of technical, organizational, and citizen scientist collaboration issues. Some changes can be made with relative ease, while others will necessitate cultural shifts, redistribution of power, recommitment to shared goals, and improved communication. This perspective, based on a workshop held at the 2018 AMIA Annual Symposium, identifies current barriers and needed changes to facilitate broad adoption of a citizen science-based approach in healthcare.
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Affiliation(s)
- Carolyn Petersen
- Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA
| | - Robin R Austin
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - Uba Backonja
- Nursing & Healthcare Leadership, University of Washington Tacoma, Tacoma, Washington, USA
- Biomedical Informatics & Medical Education, University of Washington School of Medicine, Seattle, Washington, USA
| | - Hugo Campos
- Kaiser Permanente, Kaiser Permanente Innovation, Oakland, California, USA
| | - Arlene E Chung
- Departments of Internal Medicine and Pediatrics & the Program on Health & Clinical Informatics, UNC School of Medicine, Chapel Hill, North Carolina, USA
| | - Eric B Hekler
- Department of Family Medicine & Public Health, Center for Wireless & Population Health Systems, Design Lab, Qualcomm Institute, University of California-San Diego, San Diego, California, USA
| | - Pei-Yun S Hsueh
- Center for Computational Health, IBM TJ Watson Research Center, Yorktown Heights, New York, USA
| | - Katherine K Kim
- Betty Irene Moore School of Nursing, Department of Public Health Sciences-School of Medicine, University of California-Davis, Sacramento, California, USA
| | - Anthony Pho
- School of Nursing, Columbia University, New York, New York, USA
| | - Liz Salmi
- OpenNotes/Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Anthony Solomonides
- Family Medicine, NorthShore University HealthSystem, Evanston, Illinois, USA
| | - Rupa S Valdez
- Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, USA
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Grundy-Bowers M, Read M. Developing cultural competence in caring for LGBTQI+ patients. Nurs Stand 2019; 35:29-34. [PMID: 31468809 DOI: 10.7748/ns.2019.e11390] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2019] [Indexed: 01/01/2023]
Abstract
Evidence demonstrates that subconscious and intentional discrimination against lesbian, gay, bisexual, transgender, queer or questioning, and intersex (LGBTQI+) people continues to exist in the UK healthcare system. Surveys have indicated significant health inequalities in LGBTQI+ populations, including high rates of mental health issues and suboptimal healthcare experiences. This article explores these issues and encourages nurses to reflect on their unique and privileged position to champion the rights of vulnerable people, as well as their role in improving the healthcare experience of LGBTQI+ patients in the future. It also discusses safety issues and special considerations for LGBTQI+ patients, including those related to sexual health, mental health and intellectual disabilities.
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Affiliation(s)
| | - Max Read
- North East London NHS Foundation Trust, London, England
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