Sexual and gender minority (SGM) people experience a disproportionate burden of health disparities that are inadequately addressed by the health care system in part because of a failure to collect and use data regarding sexual orientation and gender identity (SOGI) and in part because of a lack of sufficient clinician education regarding the provision of culturally responsive care. Despite federal directives (eg, the Heath Resources and Services Administration) to address SGM health in primary care settings, the standardization of SOGI patient data collection has not become routine. Input from staff, health care professionals, and administrators in organizations seeking to implement standardized metrics of SOGI documentation is critical, and they will need to be trained to effectively capture relevant SOGI information within the diverse array of community health centers (CHCs) who provide primary care and safety net services across the United States. The determination of best practices for training CHC staff to routinely ask SOGI questions represents an important undertaking with broad implications for health disparities research and the improvement of clinical practice for SGM patients.
