title: Stakeholders' Recommendations to Improve Patient-centered "LGBTQ" Primary Care in Rural and Multicultural Practices.
abstract: OBJECTIVE
  Individuals among gender/sexual minorities share experiences of stigma and discrimination, yet have distinctive health care needs influenced by ethnic/racial minority and rural realities.
  
  
  METHODS
  We collected qualitative data from lesbian/gay/bisexual/transgender (LGBT) and queer persons across the largely rural, multicultural state of New Mexico, particularly those from understudied ethnic groups, regarding factors facilitating or impeding patient-centered primary care. The themes identified formed the basis for a statewide summit on LGBT health care guidelines and strategies for decreasing treatment gaps.
  
  
  RESULTS
  Three to 15 individuals, ages 18 to 75 years, volunteered for 1 of 4 town hall dialogues (n = 32), and 175 people took part in the summit. Participants acknowledged health care gaps pertinent to LGBT youth, elders, American Indians, and Latinos/Latinas, expressing specific concern for rural residents.
  
  
  CONCLUSIONS
  This preliminary research emphasizes the need to improve primary care practices that treat rural and ethnic-minority LGBT people and offers patient-driven recommendations to enhance care delivery while clinic-level transformations are implemented.
authors.affiliation: From the Department of Family and Community Medicine, University of New Mexico, Albuquerque (MK); the University of New Mexico LGBTQ Resource Center, Albuquerque (ARS-B); the New Mexico Community AIDS Partnership, Santa Fe (RS); and the Pacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM (CEW). mkano@salud.unm.edu.
authors.forename: Miria
authors.initials: M
authors.lastname: Kano
authors.affiliation: From the Department of Family and Community Medicine, University of New Mexico, Albuquerque (MK); the University of New Mexico LGBTQ Resource Center, Albuquerque (ARS-B); the New Mexico Community AIDS Partnership, Santa Fe (RS); and the Pacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM (CEW).
authors.forename: Alma Rosa
authors.initials: AR
authors.lastname: Silva-Bañuelos
authors.affiliation: From the Department of Family and Community Medicine, University of New Mexico, Albuquerque (MK); the University of New Mexico LGBTQ Resource Center, Albuquerque (ARS-B); the New Mexico Community AIDS Partnership, Santa Fe (RS); and the Pacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM (CEW).
authors.forename: Robert
authors.initials: R
authors.lastname: Sturm
authors.affiliation: From the Department of Family and Community Medicine, University of New Mexico, Albuquerque (MK); the University of New Mexico LGBTQ Resource Center, Albuquerque (ARS-B); the New Mexico Community AIDS Partnership, Santa Fe (RS); and the Pacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM (CEW).
authors.forename: Cathleen E
authors.initials: CE
authors.lastname: Willging
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001727:Bisexuality / Q000523:psychology; D018864:Cultural Diversity; D065246:Culturally Competent Care / Q000379:methods / Q000592:standards*; D005260:Female; D054625:Healthcare Disparities; D006716:Homosexuality / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D054525:Minority Health / Q000592:standards*; D009516:New Mexico; D018802:Patient-Centered Care / Q000379:methods / Q000592:standards*; D010865:Pilot Projects; D036301:Qualitative Research; D019035:Rural Health Services / Q000592:standards*; D012725:Sexual Behavior / Q000523:psychology*; D057545:Social Stigma; D063106:Transgender Persons / Q000523:psychology; D055815:Young Adult
keywords: Bisexuals; Gays; Health Planning Guidelines; Lesbians; Minority Health; Primary Health Care; Rural Health; Transgenders