JMIRx地中海
PubMed-indexed覆盖期刊预印本与后审查稿件市场(JMIRx是什么?）
主编:
Edward Meinert, MA (Oxon)， MSc, MBA, MPA, PhD，曾，FBCS, EUR ING
最近的文章
性健康是关于性的幸福状态。性健康受到高度重视，与整体健康息息相关。整体的健康和幸福不仅仅是没有疾病或功能障碍。采用整体健康护理模式的卫生保健系统需要纳入性健康的整体评估。这包括评估患者的性取向和性别认同(SOGI)。如果卫生系统，包括但不限于退伍军人健康管理局(VHA)，将性健康纳入整体健康，他们可以加强预防保健，促进健康的性功能，并优化整体健康和福祉。性健康评估可以为医疗服务提供者提供有关患者健康、福祉和健康目标的重要信息。性担忧或性功能障碍也可能是未诊断出的健康问题的信号。此外，作为性健康评估的一部分，收集SOGI信息将使提供者能够解决导致女同性恋、男同性恋、双性恋、跨性别者、酷儿和类似少数群体(LGBTQ+)人群差异的问题。卫生保健提供者在临床实践中不定期评估性健康。 One barrier is a gap in communication between patients and providers. Providers cite beliefs that patients will bring up sexual concerns themselves or might be offended by discussing sexual health. Patients often report an expectation that providers will bring up sexual health and being comfortable discussing sexual health with their providers. Within the VHA, the lack of a sexual health template within the electronic health record (EHR) adds an additional barrier. The VHA’s transition toward whole health and updates to its EHR provide unique opportunities to integrate sexual health assessment into routine care. We highlight system modifications to address this within the VHA. These examples may be helpful for other health care systems interested in moving toward whole health. It will be vital for health care systems integrating a whole health approach to develop both practical and educational interventions to address the communication gap. These interventions will need to target both providers and patients in health care systems that transition to a whole health model of care, not just the VHA. Both the communication gap between providers and patients, and the lack of support within some EHR systems for sexual health assessment are barriers to assessing sexual health in primary care clinics. Routine sexual health assessment would benefit patient well-being and present an opportunity to address health disparities for LGBTQ+ populations. Health care systems (ie, both the VHA and other systems) can overcome these barriers by implementing educational interventions and updating their EHRs and back-end data structures. VHA’s expertise in developing and implementing health education interventions and EHR-based quality improvements may help inform interventions beyond VHA.
