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Evidence to Improve Care

Gender-Affirming Care for Gender-Diverse People

Care for Adults



Quality standards are sets of concise statements designed to help health care teams easily and quickly know what care to provide, based on the best evidence.

See below for a summary of the quality standard or download it for more detailed statements.


Download the Quality Standard


Quality Statement 1: Gender-Affirming Education and Training for Health Care Teams
Gender-diverse adults receive care from clinicians who have the clinical and cultural competency and cultural humility to provide safe and appropriate gender-affirming care. Health care organizations provide ongoing gender-affirming education and training for health care teams to build organizational capacity to deliver equitable care.


Quality Statement 2: Gender-Affirming Primary Care

Gender-diverse adults receive appropriate and compassionate gender-affirming primary care health assessments, screening, treatment, and follow-up. This care is based on their needs and preferences and is appropriate for their age, gender, and current anatomy.


Quality Statement 3: Gender-Affirming Hormone Therapy
Gender-diverse adults have access to gender-affirming hormone therapy from a primary care clinician. Gender-affirming hormone therapy meets the needs and preferences of gender-diverse adults.


Quality Statement 4: Gender-Affirming Mental Health Care

Gender-diverse adults are offered trauma-informed, person-centred, gender-affirming care for mental health and substance use concerns as needed. These concerns are considered concurrently with gender incongruence and gender diversity as needed. Care for all aspects of health and well-being is delivered as part of a comprehensive care plan.


Quality Statement 5: Gender-Affirming Health Care Environments

Gender-diverse adults receive care in a safe, trauma-informed, gender-affirming, and culturally responsive environment. Person-centred care is provided throughout their care journeys.

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