Evaluation of the four national lesbian, gay, bisexual, transgender, and queer (LGBTQ)-competent provider directories in the United States

2020 ◽  
Author(s):  
Dustin Zachary Nowaskie
Keyword(s):  
United States ◽  
Cultural Competency ◽  
Healthcare Access ◽  
The United States ◽  
Culturally Competent ◽  
Key Characteristics ◽  
Lgbtq Health ◽  
Service Type ◽  
Specific Feedback ◽  
Study Characteristics

Abstract Background: Postponement and avoidance of healthcare by lesbian, gay, bisexual, transgender, and queer (LGBTQ) people can be attributed to various individual and systemic barriers. National directories of culturally-competent providers may serve as a bridge solution until LGBTQ health education becomes a requisite within standard medical education. This study seeks to evaluate these directories. Methods: In this qualitative study, characteristics such as populations served, number of providers, provider-specific feedback, and searchable criteria of the four national LGBTQ-competent provider directories in the United States, i.e., the Gay and Lesbian Medical Association (GLMA) Provider Directory, OutCare Health OutList, Referral Aggregator Database (RAD), and World Professional Association for Transgender Health (WPATH) Member Directory, were evaluated. Results: The GLMA Provider Directory and OutCare Health OutList both served the LGBTQ community while the RAD and WPATH Member Directory served the transgender community. The directories enumerated many providers: GLMA Provider Directory (n = 3961), OutCare Health OutList (n = 1900), RAD (n = 4051), and WPATH Member Directory (n = 1573). Only the OutCare Health OutList and RAD allowed provider-specific feedback. All directories provided nine fundamental searchable criteria (including provider name, location, specialty, population identity, service type, payment types, gender identity, and languages spoken) except the WPATH Member Directory which offered three criteria. Conclusion: The four national directories of LGBTQ-competent providers help address an essential need within the LGBTQ population by promoting equitable healthcare access. Provider-specific feedback and searchable criteria are important key characteristics to ensure cultural competency. By implementing these features, existing and future directories could better provide for the LGBTQ population.

Multicultural Assessment of Personality and Psychopathology in the United States: Still Art, Not Yet Science, and Controversial

1998 ◽  
Vol 14 (1) ◽  
pp. 62-70 ◽  
Author(s):  
Richard H. Dana
Keyword(s):  
United States ◽  
Racial Identity ◽  
The United States ◽  
Therapeutic Assessment ◽  
Culturally Competent ◽  
Research Attention ◽  
The Status ◽  
Training Research ◽  
Multicultural Assessment ◽  
Personality Description

This paper describes the status of multicultural assessment training, research, and practice in the United States. Racism, politicization of issues, and demands for equity in assessment of psychopathology and personality description have created a climate of controversy. Some sources of bias provide an introduction to major assessment issues including service delivery, moderator variables, modifications of standard tests, development of culture-specific tests, personality theory and cultural/racial identity description, cultural formulations for psychiatric diagnosis, and use of findings, particularly in therapeutic assessment. An assessment-intervention model summarizes this paper and suggests dimensions that compel practitioners to ask questions meriting research attention and providing avenues for developments of culturally competent practice.

Access through Altruism: A Community-based Free Outpatient Surgery Program for the Working Poor in the United States

2017 ◽  
Vol 27 (6) ◽  
pp. 141-144
Author(s):  
HR Nolan ◽  
B Christie
Keyword(s):  
United States ◽  
Outpatient Surgery ◽  
Healthcare Access ◽  
Large Population ◽  
Surgical Care ◽  
The United States ◽  
Community Based ◽  
Uninsured Adults ◽  
One Year ◽  
Working Uninsured

Despite healthcare reform, a large population in the United States is without healthcare coverage. The Surgery for People in Need (SPIN) program offers free outpatient surgical procedures to working, uninsured adults. Taking nearly one year to construct, the program has been operational for three years and has performed 22 procedures. Free surgery programs can improve healthcare access by providing interventions to patients who otherwise have no outlet for surgical care.

Engineering Study Abroad

2017 ◽  
pp. 42-59 ◽  
Author(s):  
Monica Gray ◽  
Connie Lundy
Keyword(s):  
United States ◽  
Study Abroad ◽  
Students Of Color ◽  
Global Economy ◽  
Affective Learning ◽  
The United States ◽  
High Impact ◽  
Cultural Literacy ◽  
Culturally Competent ◽  
Learning Domains

Successful engineers must be technically savvy, self-confident as well as culturally competent. Cultural competence is the ability to tolerate ambiguity and empathize with the socio-cultural nuances of different people groups. This calls for a diverse engineering workforce especially in today's increasingly global economy. In the United States, Minorities and Females constitute only 4% and 15% of the engineering workforce respectively. Research shows that women and students of color, dropout due to feelings of not belonging coupled with low self-efficacy. To change the profession's diversity portfolio requires a plethora of high impact approaches. Common among successful retention strategies is the provision of structured opportunities for all students to develop self-directing competencies in both the cognitive and affective learning domains. This chapter demonstrates that the study abroad experience engenders, facilitates and fosters these very aptitudes as well as cultural literacy, and advocates for its inclusion in discussions on increasing under-represented participations in engineering.

The American Jewish Intelligentsia, the Claims of Humor—and the Case of Lenny Bruce

2021 ◽  
pp. 232-250
Author(s):  
Stephen J. Whitfield
Keyword(s):  
United States ◽  
Subject Matter ◽  
Codes Of Conduct ◽  
The United States ◽  
Communal Life ◽  
Stand Up Comedy ◽  
Key Characteristics ◽  
The Social ◽  
Jewish Humor ◽  
American Jewish

Several major American Jewish scholars and intellectuals have addressed the vitality and the pertinence of Jewish humor, seeing in it an entrée not only into key characteristics of communal life but also into the texture of reality itself. These academicians and critics have exposed the encounter between stand-up comedy and the social and political peculiarities of Jewish life in the United States. No comedian attracted more sustained attention than Lenny Bruce, whose career enlarged the contours of what could explored in night clubs and on long-playing records. Perhaps no satirist took greater risks, or exposed himself to greater legal danger, in both subject matter and in language. No predecessor was more willing to flaunt his own Jewish sensibility, or to present with such cynicism the hypocrisies inherent in the codes of conduct by which respectable America professed to live—which is what made Bruce the object of serious interest.

Annual Report on Children's Healthcare: Healthcare Access and Utilization by Obesity Status in the United States

2020 ◽  
Vol 20 (2) ◽  
pp. 175-187
Author(s):  
Terceira Berdahl ◽  
Adam Biener ◽  
Marie C. McCormick ◽  
James P. Guevara ◽  
Lisa Simpson
Keyword(s):  
United States ◽  
Annual Report ◽  
Healthcare Access ◽  
The United States ◽  
Obesity Status ◽  
Healthcare Access And Utilization

scholarly journals Contemporary Theory of Public Administration in the USA: from Post-Bureaucracy Paradigm by B. Armajani and M. Barzeley to Postmodern Concept by Ch. Fox and H. Miller

2019 ◽  
Vol 11 (1) ◽  
pp. 53-61
Author(s):  
Volodymyr Tsvykh ◽  
Dmytro Nelipa
Keyword(s):  
United States ◽  
Public Administration ◽  
Direct Democracy ◽  
The United States ◽  
Educational Process ◽  
Practical Significance ◽  
Inductive Method ◽  
Modern Theory ◽  
Key Characteristics ◽  
Basic Features

The purpose of the article is to study comprehensively the content of the leading newest concepts in the field of public administration in the United States, identify their basic features, as well as clarify key characteristics of the contemporary American theory of public administration. The study used a set of logical methods (synthesis, analysis, inductive method, etc.) and such general scientific approaches as system, structural-functional and bibliographic ones. The article presents a systematic study of modern theory of public administration in the United States, analyzes the leading concepts, reveals their essence, principles and features. In particular, the principles of transition from bureaucratic to post-bureaucratic management, developed by B. Armajani and M. Barzeley, are analyzed; ten principles of entrepreneurial government by T. Gaebler and D. Osborne; the content of recursive practices, due to which the construction of reality takes place, including public and political, based on the scientific views of Ch. Fox and H. Miller; the essence of R. Denhardt's new civil service, which relies on the instruments of direct democracy and recognizes public activity above market instruments in the context of achieving public interests; main directions (managerial, political and legal) of integrated public administration by D. Rosenbloom; argumentation of P. Nutt and R. Backoff regarding the expediency of using strategic management in public administration. The key characteristics (trends) of the modern theory of public administration in the US are revealed, namely: debureaucratization; marketization; managerization; servicing; postmodernization. The preconditions and content of these tendencies are identified. The scientific novelty of the article is to conduct a thorough study of the main new concepts in the field of public administration in the United States, as well as to identify general relevant characteristics of the American theory of public administration. The practical significance of the article is related to the possibility of further use of its materials in the educational process, research and practical field, taking into account clear applied orientation of modern theory of public administration in the United States.

scholarly journals Roadblocks in Chagas disease care in endemic and nonendemic countries: Argentina, Colombia, Spain, and the United States. The NET-Heart project

2021 ◽  
Vol 15 (12) ◽  
pp. e0009954
Author(s):  
Andrés F. Miranda-Arboleda ◽  
Ezequiel José Zaidel ◽  
Rachel Marcus ◽  
María Jesús Pinazo ◽  
Luis Eduardo Echeverría ◽  
...  
Keyword(s):  
United States ◽  
Latin America ◽  
Chagas Disease ◽  
Healthcare Access ◽  
Cultural Beliefs ◽  
The United States ◽  
Local Health ◽  
Country Level ◽  
Barriers To Access ◽  
American Society

Background Chagas disease (CD) is endemic in Latin America; however, its spread to nontropical areas has raised global interest in this condition. Barriers in access to early diagnosis and treatment of both acute and chronic infection and their complications have led to an increasing disease burden outside of Latin America. Our goal was to identify those barriers and to perform an additional analysis of them based on the Inter American Society of Cardiology (SIAC) and the World Heart Federation (WHF) Chagas Roadmap, at a country level in Argentina, Colombia, Spain, and the United States, which serve as representatives of endemic and nonendemic countries. Methodology and principal findings This is a nonsystematic review of articles published in indexed journals from 1955 to 2021 and of gray literature (local health organizations guidelines, local policies, blogs, and media). We classified barriers to access care as (i) existing difficulties limiting healthcare access; (ii) lack of awareness about CD and its complications; (iii) poor transmission control (vectorial and nonvectorial); (iv) scarce availability of antitrypanosomal drugs; and (v) cultural beliefs and stigma. Region-specific barriers may limit the implementation of roadmaps and require the application of tailored strategies to improve access to appropriate care. Conclusions Multiple barriers negatively impact the prognosis of CD. Identification of these roadblocks both nationally and globally is important to guide development of appropriate policies and public health programs to reduce the global burden of this disease.

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