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Inhospitable Healthcare Spaces: Why Diversity Training on LGBTQIA Issues Is Not Enough.

Megan A Dean1, Elizabeth Victor2, Laura Guidry-Grimes3

  • 1215 New North Hall, 37th and O Streets, N.W., Washington, DC, 20057, USA. mad301@georgetown.edu.

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Summary

Healthcare settings often use subtle heteronormative microaggressions that negatively impact lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) patients. Standard diversity training is insufficient to address these harmful interactions.

Keywords:
Diversity trainingHeteronormativityLGBTQIA healthMicroaggressionsQueer bioethics

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Area of Science:

  • Medical Sociology
  • Health Disparities Research
  • Healthcare Inclusivity Studies

Background:

  • Hospitals and clinics implement diversity training to improve care for LGBTQIA populations.
  • Despite training, many LGBTQIA patients experience healthcare spaces as unwelcoming and anxiety-provoking.
  • Subtle microaggressions, not overt discrimination, contribute significantly to negative patient experiences.

Purpose of the Study:

  • To identify and analyze heteronormative microaggressions in healthcare settings.
  • To examine the negative impact of these microaggressions on LGBTQIA patients.
  • To propose strategies for mitigating microaggressions and improving LGBTQIA healthcare.

Main Methods:

  • Qualitative analysis of healthcare environments and patient-provider interactions.
  • Identification of common heteronormative microaggressions.
  • Review of existing diversity training effectiveness.

Main Results:

  • Healthcare spaces and interactions frequently convey heteronormative microaggressions.
  • These microaggressions signal that LGBTQIA identities and experiences are abnormal or unwelcome.
  • Standard diversity training inadequately addresses the subtle nature of microaggressions.

Conclusions:

  • Healthcare providers and institutions must actively address heteronormative microaggressions.
  • Strategies are needed at the levels of medical education, institutional policy, and individual awareness.
  • Reducing microaggressions is crucial for creating equitable and affirming care for LGBTQIA individuals.