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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Andrea Daley & Shari Brotman & Judith A. MacDonnell & Melissa St. Pierre, 2020. "A Framework for Enhancing Access to Equitable Home Care for 2SLGBTQ+ Communities," IJERPH, MDPI, vol. 17(20), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7533-:d:429160
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    References listed on IDEAS

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    1. Olena Hankivsky & Linda Mussell, 2018. "Gender-Based Analysis Plus in Canada: Problems and Possibilities of Integrating Intersectionality," Canadian Public Policy, University of Toronto Press, vol. 44(4), pages 303-316, December.
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