Queering Healthcare Equity: Exploring How Two Community Health Centers That Specialize in LGBTQ Healthcare Frame Cultural Competence
type: CreativeWork
description: Despite increased advocacy and funding, significant inequities in healthcare access, quality of care, and health outcomes have continued to persist for lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) communities. Intersecting marginalized identities such as race, gender, and disability compound health inequities faced by LGBTQ folx. These inequities are not random; rather, they result from deeply embedded homophobia, transphobia, ableism, and racism that pervade the U.S. healthcare system. An exploratory comparative case study was completed using qualitative data collection methods (i.e., key informant interviews, focus groups, and document analysis) to investigate how two California-based Federally Qualified Health Centers (FQHCs) that specialize in serving LGBTQ populations assess the needs and provide culturally competent care to the queer community. Health provider cultural competence is often cited as a promising practice in health disparities literature; however, there is a lack of agreement as to what the construct means and how it should be enacted. Critical race theory and queer theory served as the theoretical paradigm supporting the design and analysis of this study. In total there were 41 study participants consisting of 10 key health center leaders, 21 health center staff/providers, and 10 health center patients/clients. Using grounded theory analysis techniques, 14 themes were identified from the data. From those themes, five study findings emerged. Findings suggested both study sites primarily use patient advisory groups, existing patient data, and community outreach to identify LGBTQ healthcare needs. Despite differing patient demographics, these sites also use similar care strategies to meet the needs of LGBTQ individuals, including hiring staff who are reflective of the population; providing specialty care services (e.g., sexual health and gender-affirming care); taking a holistic patient-centered care approach; creating a welcoming …
abstract: Despite increased advocacy and funding, significant inequities in healthcare access, quality of care, and health outcomes have continued to persist for lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) communities. Intersecting marginalized identities such as race, gender, and disability compound health inequities faced by LGBTQ folx. These inequities are not random; rather, they result from deeply embedded homophobia, transphobia, ableism, and racism that pervade the U.S. healthcare system. An exploratory comparative case study was completed using qualitative data collection methods (i.e., key informant interviews, focus groups, and document analysis) to investigate how two California-based Federally Qualified Health Centers (FQHCs) that specialize in serving LGBTQ populations assess the needs and provide culturally competent care to the queer community. Health provider cultural competence is often cited as a promising practice in health disparities literature; however, there is a lack of agreement as to what the construct means and how it should be enacted. Critical race theory and queer theory served as the theoretical paradigm supporting the design and analysis of this study. In total there were 41 study participants consisting of 10 key health center leaders, 21 health center staff/providers, and 10 health center patients/clients. Using grounded theory analysis techniques, 14 themes were identified from the data. From those themes, five study findings emerged. Findings suggested both study sites primarily use patient advisory groups, existing patient data, and community outreach to identify LGBTQ healthcare needs. Despite differing patient demographics, these sites also use similar care strategies to meet the needs of LGBTQ individuals, including hiring staff who are reflective of the population; providing specialty care services (e.g., sexual health and gender-affirming care); taking a holistic patient-centered care approach; creating a welcoming …
author: Royston, Tommy
keywords: Federally Qualified Health Centers, community health centers, cultural competence, culturally competent healthcare, LGBTQ health disparities, health equity, Medicine and Health Sciences, Vocational Education
date published: 2023-05-21T07:00:00Z
date modified: 2026-07-24T05:41:35Z
provider: University of San Diego
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of San Diego