Abstract

Satisfaction greatly impacts decisions about where and how to access healthcare. This cross-sectional study uses data gathered from young adult gay men in New York City. Findings indicate that participants who experienced discrimination in a healthcare setting were less likely to prefer coordinated healthcare. Participants who disclosed their sexual orientation and were comfortable discussing sexual activity with their provider were more likely to agree that their healthcare needs were adequately addressed. The healthcare system does not fully address the healthcare needs of gay men. Preferences for coordination of care, nondisclosure of sexual orientation, and low levels of satisfaction with services further discourage healthcare usage among this population.

摘要

满意度极大地影响着有关在何处以及如何获得医疗保健的决定。这项横断面研究使用了从纽约市年轻成年男同性恋者那里收集的数据。研究结果表明，在医疗保健环境中遭受歧视的参与者不太可能喜欢协调医疗保健。那些公开了性取向并乐于与提供者讨论性活动的参与者更有可能同意他们的医疗需求得到了充分满足。医疗保健系统不能完全满足男同性恋者的医疗保健需求。偏爱护理协调，不公开性取向以及对服务的满意度低，这进一步阻碍了该人群的医疗保健使用。