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Primary Healthcare for Queer Women and Trans People: Confronting Heteronormativity and Cisnormativity 

Primary Healthcare for Queer Women and Trans People: Confronting Heteronormativity and Cisnormativity
Chapter:
Primary Healthcare for Queer Women and Trans People: Confronting Heteronormativity and Cisnormativity
Author(s):

Erin Fredericks

, and Kelly Baker

DOI:
10.1093/med/9780190851361.003.0009
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date: 04 June 2020

This chapter supports primary healthcare providers in understanding and challenging heteronormativity and cisnormativity in their practice. Healthcare provision for queer women and trans people must be approached with an understanding of the way these patients’ healthcare needs are shaped by systematic and historical oppression in the healthcare system. Heteronormativity and cisnormativity are institutionalized in clinic spaces and procedures, including forms, washrooms, brochures, and interactions with healthcare providers and administrative staff. Preemptive structural changes can be made to clinic forms, procedures, spaces, language, and knowledge to address queer women and trans patients’ needs. Changes within the healthcare interaction that focus less on maintaining healthcare providers’ neutrality and comfort, or on the exoticized aspects of queer and trans identities, will further disrupt cisnormativity and heteronormativity within the patient–provider interaction, build trusting provider–patient relationships, and increase access to quality healthcare for this community.

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