Article Figures & Data
Figures
- Figure 1.
Conceptual model of positive TGNB patient experiences. We have identified the most commonly occurring codes throughout all focus group transcripts and free-text survey responses and arranged these into a conceptual model of TGNB patient experiences at our clinic. Codes are presented in descending order of frequency. Those labeled with an asterisk (*) occur 10 or more times; all other codes occur between three and nine times throughout the dataset.
- Figure 2.
Conceptual model of negative TGNB patient experiences. Codes are presented in descending order of frequency. Those labeled with an asterisk (*) occur 10 or more times; all other codes occur between three and nine times throughout the dataset, with the exception of the codes listed under noninterpersonal experiences: negative (†), all which occur between one and five times.
- Figure 3.
Selected participant recommendations. Participants recommend a wide range of interpersonal and systems-level interventions to improve the care of TGNB patients at our clinic, a selection of which are reproduced here. These recommendations are largely consistent with the major themes explored in Figures 1 and 2.
Tables
Demographic Category Survey n (%) Focus group n (%) Gender Transgender woman/trans-feminine 33 (41%) 8 (40%) Transgender man/trans-masculine 29 (36%) 8 (40%) Non-binary or genderqueer 19 (23%) 4 (20%) Total respondents 81 20 Race* American Indian 2 (3%) — Biracial/Multiracial 7 (9%) — Black/African American 5 (6%) — Latinx/Hispanic 2 (3%) 2 (10%) Middle Eastern/North African 1 (1%) — White/European American 63 (79%) 18 (90%) Total respondents 80 20 Age† 18 to 24 years 29 (36%) 4 (20%) 25 to 44 years 40 (49%) 13 (65%) 45 to 64 years 12 (15%) 3 (15%) Total Respondents 81 20 *No participants identified as Asian/Asian American, Alaska Native, Native Hawaiian/Pacific Islander, or “other race,” despite these being offered as potential responses.
†No participants identified as 65+ years old, despite this being offered as a potential response.
- Table 2.
Comparison of Mean Patient Satisfaction Scores and “Top Box” Percentages Between Study Participants and General Clinic Population
Question Participant Mean* All-Clinic Mean P-value† Participant Top Box%†† All-Clinic Top Box % P-value§ Satisfaction with clinician’s explanation of medical condition 91.4 96.2 <0.01 69.51% 90.58% <0.01 Satisfaction with clinician’s concern for patient’s questions/worries 92.2 96.87 <0.01 75.6% 92.17% <0.01 Satisfaction with clinician’s efforts to include patient in decision-making 92.4 96.11 0.03 74.07% 90.50% <0.01 Satisfaction with clinician’s explanation of treatment options/decisions 93 95.94 0.06 75% 89.53% <0.01 Likelihood of recommending clinician to another patient 93 95.28 0.19 76.82% 87.93% <0.01 *Mean score calculated by multiplying Likert mean score (on 1-5 scale) by 20.
†Participant mean compared to All-clinic mean using single sample t test.
††“Top box %” represents the percentage of respondents who selected the highest possible score, i.e. 5/5 (“very good”).
§Participant and All-clinic top box percentages compared using χ2 test.
