title: Implementing Sexual Orientation and Gender Identity Data Collection in Emergency Departments: Patient and Staff Perspectives.
abstract: To identify patient and provider perspectives concerning collection of sexual orientation and gender identity (SO&GI) information in emergency departments (EDs).
  
  
  
  Semistructured interviews were conducted during the period of 2014-2015 with a diverse purposive sample of patients across the spectrum of sexual orientation and gender identities (n = 53) and ED nurses, physician assistants, physicians, and registrars (n = 38) in a major metropolitan area. Interviews were recorded, transcribed verbatim, and analyzed by multiple coders using constant comparative methods.
  
  
  
  Patients were willing to provide SO&GI information if collected safely and appropriately, and staff described willingness to collect SO&GI information to inform understanding of health disparities. Key themes across respondents were as follows: What will be done with the data? How will it be collected? Who will collect it? Is the environment conducive to safe disclosure? Confidentiality and potential sensitivity; standardized collection emphasizing population health; nurse intake and/or nonverbal data collection; and environmental cues and cultural competency promoting comfort for sexual and gender minorities emerged as critical considerations for effective implementation.
  
  
  
  Staff and patients are amenable to SO&GI data collection in EDs, but data quality and patient and provider comfort may be compromised without attention to specific implementation considerations.
authors: 1 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland.
authors: Danielle
authors: D
authors: German
authors: 2 Department of Surgery, Johns Hopkins School of Medicine , Baltimore, Maryland.
authors: Lisa
authors: L
authors: Kodadek
authors: 2 Department of Surgery, Johns Hopkins School of Medicine , Baltimore, Maryland.
authors: Ryan
authors: R
authors: Shields
authors: 3 Department of Emergency Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland.
authors: Susan
authors: S
authors: Peterson
authors: 4 Department of General Internal Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland.|5 Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland.
authors: Claire
authors: C
authors: Snyder
authors: 6 Center for Surgery and Public Health, Brigham and Women's Hospital , Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
authors: Eric
authors: E
authors: Schneider
authors: 7 Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine , Baltimore, Maryland.
authors: Laura
authors: L
authors: Vail
authors: 6 Center for Surgery and Public Health, Brigham and Women's Hospital , Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
authors: Anju
authors: A
authors: Ranjit
authors: 6 Center for Surgery and Public Health, Brigham and Women's Hospital , Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
authors: Maya
authors: M
authors: Torain
authors: 8 Department of Emergency Medicine, Brigham and Women's Hospital , Boston, Massachusetts.
authors: Jeremiah
authors: J
authors: Schuur
authors: 2 Department of Surgery, Johns Hopkins School of Medicine , Baltimore, Maryland.
authors: Brandyn
authors: B
authors: Lau
authors: 6 Center for Surgery and Public Health, Brigham and Women's Hospital , Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
authors: Adil
authors: A
authors: Haider
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003219:Confidentiality; D065246:Culturally Competent Care; D003625:Data Collection; D057286:Electronic Health Records; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D005260:Female; D005783:Gender Identity; D054625:Healthcare Disparities; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D018907:Privacy; D012725:Sexual Behavior; D000072339:Sexual and Gender Minorities / Q000523:psychology; D055815:Young Adult
keywords: LGBT; data collection; emergency department; gender identity; sexual and gender minorities; sexual orientation