What Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Patients Say Doctors Should Know and Do

A Qualitative Study

Bibliographic Data

ID3617124
AuthorsAlison B Alpert (University of Vermont), Alison Alpert (University of Vermont, corresponding author), Eileen M Cichoskikelly (University of Vermont), Eileen Cichoskikelly (University of Vermont), Aaron D Fox (0000-0002-6904-4795, Montefiore Medical Center)
Year2017
Volume64
Issue10
Pages1368-1389
Publication date2017-08-24
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Homosexuality (JOURNAL)
Journal identifiersISSN: 0091-8369 • E-ISSN: 1540-3602
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00918369.2017.1321376
PMID28481724
OpenAlexW2612178394
LanguageEN
Citations received23
References cited32

This qualitative study explored the experiences of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) people in health care and their recommendations for physicians. Six focus groups were conducted with LGBTQI people (N = 48) in four U.S. cities between October 2013 and April 2014. Five overarching themes emerged regarding patients' suggestions for providers: be comfortable with LGBTQI patients; share medical decision-making; avoid assumptions; apply LGBTQI-related knowledge; and address the social context of health disparities. These core competencies differed in meaningful ways from competencies created by national organizations such as the Association of American Medical Colleges. Community-derived competencies1 stressed the importance of collaborative patient-physician partnerships, particularly in the setting of hormone prescription for transgender patients, and prioritized addressing social determinants of health and focusing on marginalized subpopulations2 and stigmatized needs of the community. Limitations, particular of sampling, were considered. Community input could improve medical education interventions to reduce health disparities in marginalized communities

Context (archaeology · Family medicine · Focus group · Health care · Health equity · Homosexuality · Lesbian · Political science · Psychological intervention · Public health · Qualitative research · Queer · Social science · Sociology · Transgender · Gender Studies · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Obesity and Health Practices · Psychology · Racial and Ethnic Identity Research

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