Titre : | A systematic literature review to establish the current evidence on the impact of continuity of care for the LGBTQ+ community (2024) |
Auteurs : | Nic Ferguson |
Type de document : | Article : texte imprimé |
Dans : | Midirs. Midwifery Digest (Vol. 34, n° 2, juin 2024) |
Article en page(s) : | p. 124-132 |
Langues: | Anglais |
Sujets : |
Paramédical (MeSH) Accessibilité des services de santé ; Amélioration de la qualité ; Article de revue ; Continuité des soins ; Identité de genre ; Minorités sexuelles ; Prestations des soins de santé ; Soins infirmiers maternels et infantiles |
Résumé : |
It is the intention of the author to highlight disparities faced by the LGBTQ+ community in maternity settings. The author takes an additive approach to language used in health care settings, research, guidance and policy, in order to improve access and reduce barriers for the LGBTQ+ community, using the terms 'woman' and 'birthing people' throughout.
Background: Maternity services are currently delivered in a heteronormative system, which imposes structural barriers to care on the LGBTQ+ community. Lack of access to appropriate services and lack of cultural competency training for health care staff can result in suboptimal experiences. Continuity of care (COC) is an evidence-based approach that is known to reduce intervention and improve satisfaction, although little is known about how COC can improve experiences for LGBTQ+ people and other minority groups. Aim: To establish the current evidence on the impact of COC for the LGBTQ+ community. Methodology: PubMed, CINAHL, MIC database, Cochrane Library and Sage Journals databases were searched using appropriate search terms and Boolean operators. From the articles that were suitable for inclusion, themes and future research gaps were then identified. Findings: Thirteen studies were included and three key themes identified: the presence of structural heteronormativity in maternity care; lack of cultural competency education among health care professionals; and lack of policy in UK health boards reflecting the nuanced needs of, and structural discrimination faced by, LGBTQ+ individuals. Implications for practice: This literature review highlights the need for further research into the unexamined subject of the additional benefits that COC may offer LGBTQ+ individuals. As this group experiences disparities in health care that are not experienced by others, including higher rates of poor mental health and avoidance of care for fear of discrimination (Bachmann & Gooch 201 8, LGBT Foundation 2022), it is crucial that steps are taken to close this gap. More research is needed to explore how COC can support the dismantling of this bias, build the case for increased cultural competency training for health care staff and to help us understand why services must be shaped around all those who require maternity care. |
Exemplaires (1)
Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
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Bibliothèque Paramédicale | Périodiques | Périodique | MID.DIG. 24-2 | Empruntable | Disponible |