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Transgender Patient Preferences When Discussing Gender in Health Care Settings.

Vern Harner1,2, Megan Moore3, Boi Casillas1

  • 1School of Social Work, University of Washington, Seattle.

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Summary

Transgender patients need flexible, responsive healthcare. Affirming and medically competent care requires provider humility and institutional support for transgender individuals.

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Area of Science:

  • Health Services Research
  • Qualitative Health Research
  • Transgender Health

Background:

  • Transgender (trans) individuals frequently encounter discrimination in healthcare.
  • Gender-affirming and competent care are crucial for improving trans health outcomes.
  • Understanding patient preferences is key to equitable care.

Purpose of the Study:

  • To explore factors influencing transgender patients' decisions about sharing gender-related information with healthcare providers.
  • To identify transgender patient preferences for gender-related questions.
  • To assess the impact of these factors on healthcare experiences.

Main Methods:

  • Qualitative, interpretivist phenomenological study.
  • Semistructured interviews conducted via telephone or video with 27 transgender and/or nonbinary adults.
  • Thematic analysis of interview transcripts by a majority transgender research team.

Main Results:

  • Four key themes emerged: provider behaviors, relational risk assessment, prioritizing affirming vs. medically competent care, and system-level barriers.
  • Trans patients assess provider flexibility, communication, and preparedness.
  • Participants often had to choose between affirming care and medically competent care due to system constraints.

Conclusions:

  • Equitable, gender-affirming, and competent healthcare for transgender patients necessitates provider flexibility and responsiveness.
  • Provider humility, engagement, and supportive institutional policies are essential.
  • Further research should explore systemic roles in ensuring competent transgender care.