000041275 001__ 41275
000041275 005__ 20240124114339.0
000041275 0247_ $$2doi$$a10.6083/bpxhc41275
000041275 037__ $$aIR
000041275 041__ $$aeng
000041275 245__ $$aAddressing challenges in meeting the demand for pediatric gender- affirming care: a case study of the Doernbecher Gender Clinic
000041275 260__ $$bOregon Health and Science University
000041275 269__ $$a2023-07-12
000041275 336__ $$aCapstone
000041275 520__ $$aThe Doernbecher Gender Clinic (DGC) at Oregon Health & Science University (OHSU) plays a vital role in providing comprehensive care to gender-diverse youth and their families. However, the clinic is facing significant challenges in meeting the growing demand for services due to various limitations. The surge in referrals and patient volume, coupled with structural, resource, and organizational constraints, has highlighted the need for improvements to ensure prompt and quality care. Additionally, transgender, and non-binary youth, who already face high rates of mental health issues, require specialized support that the current program design of DGC may not adequately address given capacity limitations. The purpose of this project is to complete a market and financial analysis to create a framework to show the value of adding more behavioral health staff, explore the extent of revenue generation and capture rates, and supply recommendations on how to sustain needed growth while keeping the commitment of the program to equitable access to care. Additionally, the project considers the implications of growth and alternative structural models for the clinic and a proforma to calculate the financial implications of this growth. Research methods included primary research in the form of interviews with several Academic Medical Centers, billing and finance experts at OHSU, a site visit, and an exhaustive literature review.
000041275 540__ $$fCC BY
000041275 542__ $$fIn copyright - joint owners
000041275 650__ $$aTransgender Persons$$040159
000041275 650__ $$aDiversity, Equity, Inclusion$$013904
000041275 650__ $$aPediatrics$$023687
000041275 6531_ $$agender affirming care
000041275 6531_ $$adoernbecher
000041275 691__ $$aSchool of Medicine$$041369
000041275 692__ $$aDivision of Management
000041275 7001_ $$aWylam, Erin$$10009-0002-0017-3844
000041275 7001_ $$aCoffey, Aedan$$10009-0007-8872-989X
000041275 7001_ $$aMurty Annamalai, Satya
000041275 7001_ $$aArp-Howard, William
000041275 7001_ $$aChand, Suresh
000041275 7001_ $$aEllingson, Todd
000041275 7201_ $$aWalter, Jessica$$10000-0002-2169-959X$$eAdvisor$$7Personal
000041275 8564_ $$97f83875a-e7ac-41e9-8635-a4a363d40179$$s192515$$uhttps://digitalcollections.ohsu.edu/record/41275/files/Wylam.Erin.2023.pdf
000041275 909CO $$ooai:digitalcollections.ohsu.edu:41275$$pstudent-work
000041275 980__ $$aCapstone Abstracts in Healthcare Administration & Management
000041275 981__ $$aPublished$$b2023-07-12