How Should Physicians Refer When Referral Options are Limited for Transgender Patients?

Area of Science:

• Health Services Research
• Transgender Health
• Patient Care

Background:

• Transgender populations experience significant barriers accessing affirming healthcare.
• Existing recommendations for care settings can inadvertently hinder or facilitate access to quality treatment.
• Patient perspectives are crucial in understanding effective healthcare delivery models.

Observation:

• This case study focuses on the patient experience within various healthcare settings.
• The patient reported negative experiences with specialist care.
• The examination highlights the impact of care setting on patient well-being.

Findings:

• A harm reduction and informed consent approach is essential for transgender healthcare.
• Continuity of care within a primary care setting is strongly recommended.
• Care setting significantly influences the quality of care received by transgender patients.

Implications:

• Healthcare providers should adopt patient-centered models emphasizing harm reduction and informed consent.
• Primary care settings can serve as a vital hub for comprehensive transgender healthcare.
• Improved referral practices and care coordination are necessary to ensure equitable access to affirming medical services.