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One of the major limitations of this review is the difficulty of distinguishing between cultural competence and the related concept of patient-centered care. Three provider training programs and curricula have been developed for providing care to LGBT populations, but none have been rigorously evaluated. We reviewed bibliographic database search results for randomized controlled trials RCTs systematic reviews, nonrandomized controlled trials, before and after case reports with comparators, and interrupted time series studies published in English language relevant to our PICOTS framework. The 11 included studies 12 manuscripts were not easily combined. Estimates of the size of the LGBT populations are hindered by the lack of sexual orientation, sexual behavior, and gender identity items in national surveys. However, political interventions are beyond the scope of this review. To be consistent with other national reports, AHRQ recommends use of the terms lesbian, gay, bisexual, and transgender throughout this report.

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This section summarizes the methods used.

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Sexual identity, UK: 2016

Since cultural competence remains variously defined and operationalized, the term has come to describe a broad range of system- or provider-level interventions. In another study, after attending the 3-hour seminar, residents felt more prepared to deal with lesbian and gay health care issues absolute change. Differences of opinion regarding eligibility were resolved through consensus. However, political interventions are beyond the scope of this review. Further discussion of population intersectionality and alternative constructions of cultural competence that address structural inequities can be found in Chapter 5. This section summarizes the methods used. Estimates of the size of the LGBT populations are hindered by the lack of sexual orientation, sexual behavior, and gender identity items in national surveys.

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