Background: LGBT health is overall poor and progressively worsens with the lack of proper access to quality healthcare. Not much is known about the experiences or perspectives of the LGBT community in Lebanon. Additionally, literature that examines and addresses the disconnect between LGBT health stakeholders is lacking, and could provide a holistic and multidisciplinary scope to the improvement of LGBT healthcare.
Methods: We examined semi-structured interviews with three key stakeholders of LGBT health--five physicians, six activists, and nine LGBT patients (N = 20)--regarding their perspectives on Lebanese healthcare. Thematic analysis was used to look at the various interview responses and draw conclusions based on core and connective themes.
Results: According to participant responses, three main themes surfaced across groups: barriers to LGBT-friendly healthcare and their consequences, defining what LGBT acceptance in healthcare should look like, and the ways LGBT individuals experience healthcare in Lebanon. Overall, participants reported that two core connective themes gave context to and explained the nature of LGBT healthcare in Lebanon: lack of LGBT awareness among healthcare providers as well as the LGBT community exacerbate the health consequences of a non-LGBT-friendly system; and social factors heavily influence the barriers faced by LGBT patients as well as how they receive healthcare.
Conclusion: Activists, patients, and physicians alike call for Lebanese healthcare policy and reform that explicitly condemns discrimination in healthcare and implements LGBT-inclusive standards of care. There is a need for reform in graduate medical education to include specific training in LGBT health topics and treatment.
Table of Contents
Table of Contents
Literature Review 7
Study Design & Context 14
Target Populations 15
Recruitment & Eligibility 15
Instruments & Data Collection Procedures 18
Plans for Analysis 22
Ethical Considerations 23
Risks & Benefits 23
Primary Findings 25
Barriers to Healthcare 25
LGBT Healthcare Experience 30
Defining “LGBT Acceptance” in Healthcare 33
Connective Themes 34
Lack of LGBT Awareness 34
Social Factors 37
Interpretations & Supporting Evidence 41
Conclusion/Future Implications 51
About this Master's Thesis
|Committee Chair / Thesis Advisor|
|The Nature of LGBT-friendly Healthcare in Lebanon: a comparative analysis of stakeholder experiences and perspectives ()||2018-04-25||