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J Homosex. 2017 May 8. doi: 10.1080/00918369.2017.1321376. [Epub ahead of print]

What Lesbian, Gay, Bisexual, Transgender, Queer and Intersex Patients Say Doctors Should Know and Do: A Qualitative Study.

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a University of Vermont , Burlington , Vermont , USA .
b College of Medicine , University of Vermont , Burlington , Vermont , USA.
c Montefiore Medical Center , New York , New York , USA.


This qualitative study explored the experiences of lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) people in health care and their recommendations regarding what physicians should know and do to be able to take care of them. 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; 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.


Bisexual; disparities; gay; lesbian; medical education; transgender

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