“I Think There's Only Two Fields for That”: Hospital Registrar Attitudes and Practices for Collecting Patient Gender Identity Data

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Transgender Health
Purpose: This study aimed to understand the experiences of hospital registrars in collecting gender identity data. Methods: A qualitative study that thematically analyzed key informant interviews with 37 registrars regarding their attitudes and practices in collecting gender identity data. Results: Collection of gender identity is influenced by (1) system-level barriers, (2) discrepancies in source of truth for documentation, and (3) registrars' underlying attitudes and behaviors. Conclusions: Findings demonstrate that person- and system-level barriers can interfere with the accurate and respectful collection of gender identity data, which is critical for tracking and addressing lesbian, gay, bisexual, transgender, and queer health disparities.
This is the accepted version of the following article: Mehta S, Waad A, Brooks M, Siegel SD (2022) “I think there's only two fields for that”: Hospital registrar attitudes and practices for collecting patient gender identity data, Transgender Health X:X, 1–4, DOI: 10.1089/trgh.2021.0083, which has now been formally published in final form at Transgender Health at https://doi.org/10.1089/trgh.2021.0083. This original submission version of the article may be used for non-commercial purposes in accordance with the Mary Ann Liebert, Inc., publishers’ self-archiving terms and conditions. This article will be embargoed until 04/22/2023.
attitudes, electronic health record, gender identity, qualitative
Mehta S, Waad A, Brooks M, Siegel SD (2022) ‘‘I think there’s only two fields for that’’: Hospital registrar attitudes andpractices for collecting patient gender identity data,Transgender HealthX:X, 1–4, DOI: 10.1089/trgh.2021.0083.