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Practice Philosophy

Why having a safe space in healthcare settings matters more than ever

Progress toward acceptance for LGBTQIA+ people hasn't erased the hesitation many still feel walking into a new medical office. In a national survey, more than 1 in 6 LGBTQ adults said they had avoided health care because they expected to be discriminated against.[1] A safe space isn't a slogan; it's a concrete difference in whether someone gets the care they need when they need it.

What "safe space" actually means

It's not a poster in the lobby — it's intake forms built to ask for the right information respectfully, staff who use the name and pronouns given without comment, and a physical exam conducted with the same professionalism for every patient, no matter who they are.

The cost of not having one

Patients who've had a bad experience, or simply expect one, often delay care, leave out relevant history, or skip follow-up visits. Among transgender adults in one large survey, nearly 1 in 4 had avoided health care for that reason, and the researchers called for safe, affirming environments as part of the fix.[2] That's a real health cost, not just a comfort issue, since problems caught late are often harder to treat.

Building it in, not bolting it on

Golden Bear Chiropractic was built around this from the start rather than added after the fact — every part of the visit, from the first phone call to the exam room, is designed so patients don't have to brace themselves before walking in.

Open to everyone

A safe space benefits everyone who walks through the door, community member or ally — judgment-free care is just good care.

Sources

Retrieved through PubMed. Numbers in brackets above refer to this list.

  1. Casey LS, Reisner SL, Findling MG, et al. Discrimination in the United States: experiences of lesbian, gay, bisexual, transgender, and queer Americans. Health Serv Res. 2019;54 Suppl 2:1454-1466. doi:10.1111/1475-6773.13229
  2. Kcomt L, Gorey KM, Barrett BJ, McCabe SE. Healthcare avoidance due to anticipated discrimination among transgender people: a call to create trans-affirmative environments. SSM Popul Health. 2020;11:100608. doi:10.1016/j.ssmph.2020.100608

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