Table 3.
Provider and Transgender and Nonconforming Patient Interview Questions
| Provider/clinic interview questions | Transgender patient interview questions |
|---|---|
| Does your health center currently collect GIa identity data in the EHR? | How long have you lived in Oregon? |
| – If not, do you currently have plans to collect this info? | – If you moved here recently, did the Medicaid coverage of TGNC-related care factor in your decision to move? |
| – If not, do you think your health center would benefit from the collection of GI data? | Where do you receive primary healthcare? |
| – If yes, who collects this information? | Does your clinic know your GI? |
| – If yes, did the individual who collects this information receive any training on GI and data collection? | – If not, why? |
| – If yes, where is it collected (progress note, structured field, demographics)? | – Do you think it is important for your clinic to know your GI? |
| – If yes, what kinds of GI data are collected (current name/pronouns, organ inventory, birth-assigned sex)? | Does your PCP know your GI? |
| What does your clinic do when the GI of the patient does not match the legal sex of the patient? | – If not, why? |
| Has the expansion of Medicaid coverage for gender transition-related care impacted your clinic? | – Do you think it is important for your PCP to know your GI? |
| – If yes, how? | Who do you feel most safe disclosing your GI to (front desk, medical assistant, physician)? |
| Do you have any TGNC patients? | How has disclosing your GI impacted your care at the CHC you currently see your PCP at? |
| Where do you think the collection of GI would be best utilized (demographics, structured field, searchable field) for your clinical care? | – Positives? |
| How has where GI is collected impacted your care provision? | – Negatives? |
| Has your patient's current GI caused problems with insurance billing? | How is your GI recorded by your insurance company? |
| If anatomy was not collected as part of the GI data collection, how did you go about ascertaining what screenings to enact for a patient? | Is your decision to disclose your GI impacted by how it is captured by your insurance provider? |
| Has the collection of GI changed your relationship with your patient/patient care provision? | How would you like your GI to be captured in a medical system? |
| – If so, how? |
a
The use of GI in this table captures gender and sex—terms which are often used interchangeably in social systems. For example, we asked TGNC patients about their current GI and insurance billing. Many insurance companies capture GI through sex fields.
CHC, community health center; EHR, electronic health record; GI, gender identity; PCP, primary care physician; TGNC, transgender and nonconforming.