Abstract

Introduction:

Little is understood about the quality of services at community health centers (CHCs) serving larger lesbian, gay, and bisexual (LGB) patient populations. This study examined process of care outcomes for depression care among CHCs serving larger LGB patient populations, comparing rural and urban CHCs.

Methods:

Multivariate regression models were estimated on a propensity score matched analytic sample of 518 CHCs spanning 2016-2018.

Results:

CHCs serving larger LGB patient populations were more likely to have better process of care outcomes for depression care. However, among CHCs serving larger LGB patient populations, rural and urban CHCs provided functionally equivalent outcomes for depression screening and follow-up care.

Conclusion:

Among CHCs serving comparatively large LGB patient populations, traditional behavioral health care disparities based on patient population rurality may not exist for depression care.

中文翻译：

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检查服务于较大女同性恋、男同性恋和双性恋患者群体的社区卫生中心的抑郁症护理结果：是否存在农村与城市差异？

摘要

介绍：

人们对社区卫生中心 (CHC) 服务于较大的女同性恋、男同性恋和双性恋 (LGB) 患者群体的服务质量知之甚少。本研究检查了为更多 LGB 患者群体服务的 CHC 中抑郁症护理的护理结果过程，比较了农村和城市 CHC。

方法：

多元回归模型是根据 2016-2018 年 518 个 CHC 的倾向得分匹配分析样本估算的。

结果：

为更大的 LGB 患者群体提供服务的 CHCs 更有可能在抑郁症护理方面获得更好的护理结果。然而，在为更多 LGB 患者群体提供服务的 CHC 中，农村和城市 CHC 为抑郁症筛查和后续护理提供了功能相同的结果。

结论：

在为相对较大的 LGB 患者群体提供服务的 CHC 中，抑郁症护理可能不存在基于农村患者群体的传统行为医疗保健差异。