A Guide to Creating a Gender-Affirming Environment Through a Community Lens Approach - 10/05/21

Doi : 10.1016/j.pop.2021.02.002

Kevin S. Wang, MD ^a,^b,^c,^⁎ , Max Sutherland ^d,^{^{1
Present address: 412 E Spokane Falls Blvd, Spokane, WA 99202, USA.}}, Alec W. Gibson ^e, Theodore Gobillot ^e, Elizabeth Conley, MD ^f, Kim Matsumoto, MD ^g,^{^{2
Present address: 1959 NE Pacific St, Seattle, WA 98195, USA.}}
^a Swedish Family Medicine – First Hill Residency Program, Swedish Medical Center, Seattle, WA, USA
^b Department of Family Medicine, University of Washington School of Medicine, Seattle, WA, USA
^c Swedish LGBTQI+ Initiative, Swedish Medical Center, Seattle, WA, USA
^d Washington State University Elson S Floyd School of Medicine, Spokane, WA, USA
^e Medical Scientist Training Program, University of Washington School of Medicine, I-264 Health Sciences Center, University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195-7470, USA
^f Kaiser Permanente Family Medicine Residency Program, Kaiser Permanente of Washington, 7061 Dibble Avenue Northwest, Seattle, WA 98117, USA
^g UW Internal Medicine Residency Program, Seattle, WA, USA

^∗Corresponding author. 1401 Madison, Seattle, WA 98122, USA.1401 MadisonSeattleWA98122USA

Résumé

Lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+) communities continue to experience health care disparities and inequities due to a shortage of trained health care providers, despite increased attention to LGBTQI+ health care. Many settings are starting to integrate gender-affirming health care and focus training on the provision of hormonal therapy, medications to decrease the risk of human immunodeficiency acquisition, and referrals to surgeons for affirming surgical procedures. A vital component to providing inclusive and comprehensive care involves community input, engagement, and buy-in. This article provides a framework for comprehensive gender-affirming health care through the lens of community involvement and outreach.

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Keywords : Transgender, LGBT, Gender affirming, Curriculum

Plan

Key points

Introduction

Blueprints

Patient and family advisory councils

Step I: Obtaining Leadership Support

Step II: Create a Planning and Launch Committee

Step III: Searching and Selecting Patient and Family Advisory Council Members

Step IV: The First Meeting(s)

Step V: Project #1

Step VI: Measuring Success

Outreach to community-based and other health care organizations

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Vol 48 - N° 2

P. 227-241 - juin 2021 Retour au numéro

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A Guide to Creating a Gender-Affirming Environment Through a Community Lens Approach - 10/05/21

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