title: Sexual and gender minority peoples' recommendations for assisted human reproduction services.
abstract: OBJECTIVE
  To determine what recommendations lesbian, gay, bisexual, trans, and queer (LGBTQ) people have for provision of assisted human reproduction (AHR) services to their communities.
  
  
  METHODS
  Using a semi-structured guide, we interviewed a purposeful sample of 66 LGBTQ-identified individuals from across the province of Ontario who had used or had considered using AHR services since 2007.
  
  
  RESULTS
  Participants were predominantly cisgender (non-trans), white, same-sex partnered, urban women with relatively high levels of education and income. Participants made recommendations for changes to the following aspects of AHR service provision: (1) access to LGBTQ-relevant information, (2) adoption of patient-centred practices by AHR service providers, (3) training and education of service providers regarding LGBTQ issues and needs, (4) increased visibility of LGBTQ people in clinic environments, and (5) attention to service gaps of particular concern to LGBTQ people.
  
  
  CONCLUSIONS
  Many of the recommendations made by study participants show how patient-centred models may address inequities in service delivery for LGBTQ people and for other patients who may have particular AHR service needs. Our results suggest that service providers need education to enact these patient-centred practices and to deliver equitable care to LGBTQ patients.
authors: Social and Epidemiological Research Department, Centre for Addiction and Mental Health, Toronto ON; Dalla Lana School of Public Health, University of Toronto, Toronto ON.
authors: Lori E
authors: LE
authors: Ross
authors: Social and Epidemiological Research Department, Centre for Addiction and Mental Health, Toronto ON; Dalla Lana School of Public Health, University of Toronto, Toronto ON.
authors: Lesley A
authors: LA
authors: Tarasoff
authors: CATIE, Toronto ON.
authors: Scott
authors: S
authors: Anderson
authors: LGBTQ Parenting Network, Sherbourne Health Centre, Toronto ON.
authors: Rachel
authors: R
authors: Epstein
authors: Osgoode Hall Law School, York University, Toronto ON.
authors: Stu
authors: S
authors: Marvel
authors: St. Michael's Hospital, Toronto ON; Department of Family and Community Medicine, University of Toronto, Toronto ON.
authors: Leah S
authors: LS
authors: Steele
authors: Datejie
authors: D
authors: Green
mesh_terms: D000328:Adult; D001727:Bisexuality; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D054625:Healthcare Disparities; D018452:Homosexuality, Female; D018451:Homosexuality, Male; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D009864:Ontario; D027724:Reproductive Techniques, Assisted; D019529:Sexuality; D011795:Surveys and Questionnaires; D063106:Transgender Persons; D014189:Transsexualism; D044465:White People
keywords: access; assisted human reproduction; discrimination; education; experiences; gender identity; sexual orientation