Exploring Opportunities for Developing Publicly-Funded Gender-Affirming Surgery in Queensland: A Thematic Analysis of Barriers and Facilitators of Clinician and Financial Stakeholder Perspectives

O'Connor, Katie E. (2021) Exploring Opportunities for Developing Publicly-Funded Gender-Affirming Surgery in Queensland: A Thematic Analysis of Barriers and Facilitators of Clinician and Financial Stakeholder Perspectives. Honours thesis, University of Southern Queensland. (Unpublished)


Abstract

This qualitative study explores barriers, facilitators, and possible implications for expanding and improving publicly-funded gender-affirming surgery (GAS) in Queensland. Ecological systems theory, gender minority stress, and reflexive thematic analysis are utilised to investigate access to GAS in Queensland through the perspectives of key clinicians and financial stakeholders. Findings indicate that there is little to no publicly-funded GAS available in Queensland, and the few existing procedures are not widely accessible. Participants shared that establishing a surgical centre for excellence in trans and gender diverse healthcare is an essential facilitator necessary to implement publicly-funded GAS as this would allow for the possibility of a best-practice decentralised model of gender-affirming care in future to optimise health and wellbeing. There remain substantial barriers, specifically at the exosystem and macrosystem levels, of Queensland’s public health service needing urgent attention. Implications of findings are relevant to funding, clinical practice, research, and policy.


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Item Type: Thesis (Non-Research) (Honours)
Item Status: Live Archive
Additional Information: Current UniSQ staff and students can request access to this thesis. Please email research.repository@unisq.edu.au with a subject line of SEAR thesis request and provide: Name of the thesis requested and Your name and UniSQ email address
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Supervisors: Amy Mullens; Annette Brömdal
Qualification: Bachelor of Science (Honours)
Date Deposited: 31 Jul 2025 01:54
Last Modified: 31 Jul 2025 01:54
Uncontrolled Keywords: transgender ; gender-affirming surgery ; ecological systems theory ; qualitative ; gender minority stress
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified
Fields of Research (2020): 52 PSYCHOLOGY > 5299 Other psychology > 529999 Other psychology not elsewhere classified
URI: https://sear.unisq.edu.au/id/eprint/52625

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