A concept analysis of high-quality primary care for transgender and gender-diverse adults

Transgender and gender-diverse (TGD) adults experience health disparities related to stigma and discrimination. Mistreatment and substandard primary care contribute to these inequities.

This concept analysis aimed to identify aspects of high-quality primary care for TGD adults.

A comprehensive literature review was conducted to identify articles that described primary care delivery for TGD adults. Articles were coded and analyzed using directed content and dimensional analysis processes to identify characteristics of high-quality primary care.

Thirty-seven articles were included in the analysis. Through comparison of patient, clinician, and organizational perspectives, we identified five dimensions, comprising 12 subdimensions, of high-quality primary care for TGD adults: accessibility, affirmation, collaborative partnership, integrated care, and safety.

These dimensions illustrate the complex interplay among patients, clinicians, and organizations in the primary care setting. Our conceptualization can be used to guide clinicians, organizations, and researchers in improving primary care quality for TGD patients.