Trans and gender-diverse people face a range of barriers within health care, which signals that health professionals, including primary care practitioners, are often not able to effectively support them. Structurally, a shortage of specialist services and long waiting times are major impediments but other barriers exist that complicate access to care and exacerbate health inequalities for this patient group. While providing an overview of structural barriers that trans and gender-diverse people face, this study identifies educational, social and cultural, and technical barriers to providing health care for these patients. It makes recommendations to strengthen primary care practitioners’ ability to better meet the needs of this underserved population. |