Abstract

Transgender and nonbinary (TNB) patients require clinically and culturally appropriate and responsive care in affirming spaces, but barriers exist that prevent TNB patients from accessing or dissuade them from pursuing such care. In this research brief, we summarize findings from a virtual focus group (N= 6) designed to assess perspectives and attitudes toward accessing and receiving care among TNB patients in Ventura County, CA. Qualitative analysis revealed themes related to (1) the importance of enhanced TNB knowledge and sensitivity among medical personnel (particularly among nonprovider staff in healthcare settings), (2) the importance of updating data collection and data management systems with TNB-appropriate terms and diagnoses (e.g., on intake forms), and (3) the importance of self-advocacy and self-education among TNB patients in navigating the healthcare system. Findings indicate that those looking to increase healthcare access and quality among TNB patients in the area should focus their efforts on increasing TNB knowledge and sensitivity among all healthcare employees (i.e., not just providers), enhancing TNB data collection, and making institutional changes such that TNB patients do not have to rely as heavily on themselves when navigating the healthcare system.

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