New frontiers in hospital-based LGBTIQA+ Patient Liaison – a prospective, observational study of a novel, patient-centred service
Suzi Hayes1, Connor Gryffydd, Aruska D’Souza, Jane Jolley1Royal Melbourne Hospital, Melbourne, Victoria, Australia, Victoria, Australia
Abstract
Background:
The LGBTIQA+ Patient Liaison Service commenced operation in November 2021 at The Royal Melbourne Hospital in response to the health inequities, stigma and discrimination experienced by LGBTIQA+ peoples. The Service is staffed by LGBTIQA+ community members with allied health qualifications.
Method:
Prospective, observational study. Data were collected on sexual orientation and gender identity, reasons for referral, discipline of referring party, and interventions provided by LGBTIQA+ Patient Liaison Service between January and December 2022. (1)
Results:
Preliminary analysis indicates the Service received 76 referrals in year one (mean age 34 (15) years). Of this group 46% of people who accessed the service (n=35) identified as transgender or gender diverse, 17% identified as men (n=13) and 9% identified as women (n=7). Gender identity was not documented for 28% (n=21). Top reasons for referral included peer support (14%, n=11) and inclusive inpatient care (18%, n=18). Referrals predominantly came from social workers 32% (n=24) and nurses 21% (n=16). The top three interventions completed with this group were internal liaison (multidisciplinary collaboration, n=28), peer support (building connection through mutuality, n=24) and provision of resources to patients (information, community referrals, n=18).
Discussion:
The LGBTIQA+ Patient Liaison service offers an innovative response to improving safety and inclusion, particularly for trans and gender diverse people. Clinicians with lived experience have a key role to play in enhancing care for LGBTIQA+ peoples. Further analysis of patient perceptions will support continuous quality improvement of the service.
(1) Patient experience data collection and broader analysis pending at time of writing.
Biography
Suzi Hayes (she/they) is the inaugural Senior LGBTIQA+ Patient Liaison Officer at Royal Melbourne Hospital. Suzi has qualifications in Creative Arts (BCA, Hons) and Social Work (MSW, Distinction), with a professional background across policy, advocacy, research, teaching and clinical care.