@article{IR, author = {Wylam, Erin and Coffey, Aedan and Murty Annamalai, Satya and Arp-Howard, William and Chand, Suresh and Ellingson, Todd}, url = {http://digitalcollections.ohsu.edu/record/41275}, title = {Addressing challenges in meeting the demand for pediatric gender- affirming care: a case study of the Doernbecher Gender Clinic}, publisher = {Oregon Health and Science University}, abstract = {The Doernbecher Gender Clinic (DGC) at Oregon Health & Science University (OHSU) plays a vital role in providing comprehensive care to gender-diverse youth and their families. However, the clinic is facing significant challenges in meeting the growing demand for services due to various limitations. The surge in referrals and patient volume, coupled with structural, resource, and organizational constraints, has highlighted the need for improvements to ensure prompt and quality care. Additionally, transgender, and non-binary youth, who already face high rates of mental health issues, require specialized support that the current program design of DGC may not adequately address given capacity limitations. The purpose of this project is to complete a market and financial analysis to create a framework to show the value of adding more behavioral health staff, explore the extent of revenue generation and capture rates, and supply recommendations on how to sustain needed growth while keeping the commitment of the program to equitable access to care. Additionally, the project considers the implications of growth and alternative structural models for the clinic and a proforma to calculate the financial implications of this growth. Research methods included primary research in the form of interviews with several Academic Medical Centers, billing and finance experts at OHSU, a site visit, and an exhaustive literature review.}, number = {IR}, doi = {https://doi.org/10.6083/bpxhc41275}, recid = {41275}, address = {2023-07-12}, }