How to create an LGBTQ-inclusive environment in radiology practices

Purpose: LGBTQ individuals experience higher rates of healthcare disparities compared to their heterosexual counterparts. Our primary objective is to outline and elaborate on four essential components in building a welcoming healthcare environment – 1) public image, 2) physical environment, 3) systems and practices, and 4) patient interactions.

Methods/Materials: A review of the literature was completed on the topic using the following keywords: ‘LGBTQ’, ‘radiology’, ‘inclusive’, ‘environment’, and ‘practice’.

Results: 1) A welcoming public image can positively shape a patients’ first impression. Institutions should contain attributes to their Google profiles promoting they are LGBTQ-friendly. Marketing material should reflect the diversity of the patient population being served.

2) The physical environment of the practice should present subtle displays of support. Providing gender neutral bathrooms may decrease the anxiety and stigma transgender patients experience. Displaying the anti-discrimination policy, and having employees wear pronouns on their badges can make the healthcare environment feel safe and welcoming.

3) The systems and practices of an organization can help sustain an inclusive culture. The patient intake form should differentiate between sex at birth and gender identity, and ask for a preferred name and pronouns. Policies should avoid gendered language and heteronormative standards when possible. Radiologists should stay up-to-date on transgender care and expected anatomy.

4) Patient interactions are the ultimate test of an inclusive culture. Staff education regarding LGBTQ healthcare should be provided to address knowledge gaps and offer guidance for positive interactions. Mammography and pelvic imaging require special care in patient interaction. Every staff member should use the preferred patient pronouns and name.

Conclusions: Creating an LGBTQ-inclusive environment in radiology practices requires a multi-faceted approach that involves every individual on the care team. By understanding and implementing the four components outlined above, radiology practices can help to mitigate LGBTQ healthcare disparities and foster quality care.