Utilization of the Veterans Affairs’ Transgender E-consultation Program by Health Care Providers: Mixed-Methods Study

John R Blosnich   ^{1, 2 *} , PhD, MPH ;   Keri L Rodriguez   ^{1, 2 *} , PhD ;   Kristina L Hruska   ^{1 *} , MS ;   Dio Kavalieratos   ^{1, 2 *} , PhD ;   Adam J Gordon   ^{3, 4} , MD, MPH ;   Alexis Matza   ^{5 *} , PhD ;   Susan M Mejia   ^{5, 6 *} , DBA ;   Jillian C Shipherd   ^{5, 7, 8 *} , PhD ;   Michael R Kauth   ^{5, 6, 9 *} , PhD

¹ Center for Health Equity Research and Promotion, Department of Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA, United States

² Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States

³ Informatics, Decision-Enhancement, and Analytic Sciences Center, Department of Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, United States

⁴ Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, UT, United States

⁵ Lesbian, Gay, Bisexual, and Transgender Health Program, Office of Patient Care Services, Veterans Health Administration, Washington, DC, United States

⁶ South Central Mental Illness Research, Education and Clinical Center, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX, United States

⁷ National Center for Posttraumatic Stress Disorder, Department of Veterans Affairs Boston Healthcare System, Boston, MA, United States

⁸ Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, United States

⁹ Department of Psychiatry, Baylor College of Medicine, Houston, TX, United States

*these authors contributed equally