Moment of disclosure | | Moment of disclosure | |
|
|
Communication skills of healthcare professional | | Communication skills of healthcare professional | |
Response to a direct question | 21,23,26–28,31,33,34,36,37,39,41,44,45 | Response to a direct question | 25,27,30,41 |
Inclusive language | 30,34,36,40,41 | Heteronormative language | 26,34 |
Open body language | 23,34,36,41–43 | Closed body language | 41 |
| | No opportunity in conversation | 33,37 |
Relevant to care | 20–30 | Irrelevant to care | 21,23–25,27–29,31–39 |
Written disclosure | 22,35,39,41,42,46 | Written disclosure | 26,36 |
Confronting heteronormative assumptions | 21,27,29–31,33,40,47 | Conforming to heteronormative assumptions | 21,26,45,46 |
|
|
Perceived outcome of disclosure | | Perceived outcome of disclosure | |
|
|
Patient–provider confidentiality | 22 | Breach of confidentiality | 20,24,29,34,37,39,43,46,47,49 |
Documented on medical record | 24 | Documented on medical record | 24,25,28,29,46 |
Good/open healthcare professional response | 32 | Poor healthcare professional response | 23,24,29,30,37–41,43,46,48,49 |
| | Embarrassment | 31,33,37,39,46 |
| | Discrimination | |
| | Poorer care | 23,26–29,32,40,43,45,47,48 |
| | Loss/impact on job | 25,43 |
| | Loss of benefits | 25,28 |
| | Criminalisation | 43,49 |
|
|
Healthcare professional factors | | Healthcare professional factors | |
|
|
Perceived accepting of LGBT | 32,34,39,40,43,46 | Perceived non-accepting of LGBT | 32,37,38,48 |
Long relationship with patient | 23,39,47 | Long relationship with patient | 34 |
Short relationship with patient | 39 | Short relationship with patient | 46 |
Gender | 36,38,39 | Ill-informed of LGBT issues | 20,31,36,46,48 |
LGBT | 20,25,32,38,41,46,48 | | |
|
|
Environmental factors | | Environmental factors | |
|
|
Location/setting | 35 | Location/setting | 32,35,38,39,44 |
Accepting visual cues | 23,26,39,41,42,48,50 | Religious icons | 23 |
Supportive community | 32,41 | Unsupportive community | 43,49 |