title: Applying Organizational Change to Promote Lesbian, Gay, Bisexual, and Transgender Inclusion and Reduce Health Disparities.
abstract: Lesbian, gay, bisexual, and transgender (LGBT) populations face numerous barriers when accessing and receiving healthcare, which amplify specific LGBT health disparities. An effective strategic approach is necessary for academic health centers to meet the growing needs of LGBT populations. Although effective organizational change models have been proposed for other minority populations, the authors are not aware of any organizational change models that specifically promote LGBT inclusion and mitigate access barriers to reduce LGBT health disparities. With decades of combined experience, we identify elements and processes necessary to accelerate LGBT organizational change and reduce LGBT health disparities. This framework may assist health organizations in initiating and sustaining meaningful organizational change to improve the health and healthcare of the LGBT communities.
authors.affiliation: 1 Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center , Pittsburgh, Pennsylvania.
authors.forename: Kristen L
authors.initials: KL
authors.lastname: Eckstrand
authors.affiliation: 2 Division of Nephrology, Department of Medicine, University of California , San Francisco, San Francisco, California.
authors.forename: Mitchell R
authors.initials: MR
authors.lastname: Lunn
authors.affiliation: 3 Department of Medicine, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.
authors.forename: Baligh R
authors.initials: BR
authors.lastname: Yehia
mesh_terms: D054625:Healthcare Disparities / Q000458:organization & administration*; D006801:Humans; D009936:Organizational Innovation; D000072339:Sexual and Gender Minorities
keywords: academic medicine; accelerating change; diversity and inclusion; health promotion; organizational change