Patient Acceptance of Sexual Orientation and Gender Identity Questions on Intake Forms in Outpatient Clinics: A Pragmatic Randomized Multisite Trial

Health Serv Res. 2018 Oct;53(5):3790-3808. doi: 10.1111/1475-6773.12843. Epub 2018 Mar 9.

Abstract

Objectives: To (1) test whether patient attitudes toward intake forms at three Midwestern outpatient clinics are significantly more negative among those who are asked to complete SOGI questions versus those who are not; and (2) gain an in-depth understanding of patient concerns about SOGI questions.

Study setting: Data were collected between 6/29/2015 and 2/29/2016 from new patients (N = 491) who presented at three outpatient clinics in a large academic medical center. This study was originally a quality improvement project, and later, institutional review board approval was obtained for secondary data analysis.

Study design: Two-stage mixed-methods study. (1) Experimental: New patients at three sites were randomly assigned to complete either routine intake forms (control) or routine intake forms with SOGI questions (experimental); and (2) qualitative: interviews with patients who responded negatively to SOGI questions.

Principal findings: There were no significant differences in patient attitudes between experimental and control groups (p > .05). Of those who received SOGI questions, only 3 percent reported being distressed, upset, or offended by the SOGI questions.

Conclusions: Collection of SOGI data as a part of the routine clinical patient intake process is not distressing to 97 percent of patients who are heterosexual, cisgender, and older than 50 years.

Keywords: Ambulatory/outpatient care; gender/sex differences in health and health care; health promotion/prevention/screening; patient assessment/satisfaction.

Publication types

  • Multicenter Study
  • Pragmatic Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ambulatory Care Facilities*
  • Attitude*
  • Female
  • Gender Identity*
  • Humans
  • Male
  • Middle Aged
  • Patients / psychology*
  • Sexual Behavior*
  • Surveys and Questionnaires*
  • United States