The same but different: clinician-patient communication with gay and lesbian patients

Patient Educ Couns. 2003 Oct;51(2):115-22. doi: 10.1016/s0738-3991(02)00189-1.


Surveys estimate that 3-6% of the patients seen by physicians are gay or lesbian. There are unique health risks of gays and lesbians that are important to the clinician in determining an accurate diagnosis, providing patient education, and arriving at an appropriate treatment plan. One of the most significant medical risks of these populations includes avoidance of routine health care and dissatisfaction with healthcare. Many of these healthcare risks are not addressed because of lack of communication based on a number of common assumptions including the assumption that the patient is heterosexual. This article includes a summary of the medical literature through computerized searches to March 2002 in MEDLINE, PsychInfo, HEALTHSTAR, and bibliographies in articles on health care with gay and lesbian patients. The search strategy included health care of gays and lesbians and clinician-patient communication, partner and family issues. Secondly, it will examine common communication barriers and provide strategies for enhancing communication with patients in a gender-neutral, non-judgmental manner including suggestions for enlisting the inclusion of patients' families.

Publication types

  • Review

MeSH terms

  • Attitude of Health Personnel
  • Attitude to Health
  • Communication*
  • Family / psychology
  • Female
  • Gender Identity
  • Health Knowledge, Attitudes, Practice
  • Homosexuality / psychology*
  • Humans
  • Male
  • Medical History Taking / methods
  • Needs Assessment
  • Negativism
  • Physician-Patient Relations*
  • Prejudice
  • Risk Factors
  • Self Disclosure
  • Social Support