A Framework for Enhancing Access to Equitable Home Care for 2SLGBTQ+ Communities

Andrea Daley, Shari Brotman, Judith A. MacDonnell and Melissa St. Pierre
Additional contact information
Andrea Daley: School of Social Work, Renison University College (at University of Waterloo), Waterloo, ON N2L 3G4, Canada
Shari Brotman: School of Social Work, McGill University Montreal, Montreal, QC H3A 2A7, Canada
Judith A. MacDonnell: School of Nursing, York University, 422 Health, Nursing & Environment Studies, Bldg, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
Melissa St. Pierre: Knowledge Mobilization, Supply Chain Advancement Network in Health, Odette School of Business, University of Windsor, Windsor, ON N9B 3P4, Canada

IJERPH, 2020, vol. 17, issue 20, 1-18

Abstract: Canadian, US, and UK public health and clinical research has identified barriers to health service access for Two-Spirit, lesbian, gay, bisexual, transgender, queer, non-binary, and intersex (2SLGBTQ+) communities. While offering important insight into the health service experiences of 2SLGBTQ+ communities, this body of research only recently, and still only minimally, reports on home care access experiences. Drawing on key findings from the 2SLGBTQ+ Home Care Access Project, a mixed-methods, Ontario-wide study, this paper animates an Access and Equity Framework, using participant stories and perspectives to underscore the relevance and effectiveness of the Framework as a tool to support systematic organizational assessment, evaluation, and implementation of access and equity strategies. Home care organizations can use this tool to assess their programs and services along a continuum of intentionally inviting, unintentionally inviting, unintentionally disinviting, and intentionally disinviting care for 2SLGBTQ+ people. To support this process, the framework includes six indicators of access to care: community engagement, leadership, environment, policies and processes, education and training, and programs and services.

Keywords: lesbian; gay; bisexual; transgender health; queer and trans health; two-spirit health; health services access and equity; health inequities; equity; diversity; and inclusion; gender-based analysis; health policy; organizational change (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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