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Metrics details. This article considers how health services access and equity documents represent the problem of access to health services and what the effects of that representation might be for lesbian, gay, bisexual and transgender LGBT communities. We conducted a critical discourse analysis on selected access and equity documents using a gender-based diversity framework as determined by two objectives: 1 to identify dominant and counter discourses in health services access and equity literature; and 2 to develop understanding of how particular discourses impact the inclusion, or not, of LGBT communities in health services access and equity frameworks. The analysis was conducted in response to public health and clinical research that has documented barriers to health services access for LGBT communities including institutionalized heterosexism, biphobia, and transphobia, invisibility and lack of health provider knowledge and comfort. A critical discourse analysis of selected health services access and equity documents, using a gender-based diversity framework, was conducted to offer insight into dominant and counter discourses underlying health services access and equity initiatives. The analysis offers a continuum of dominant and counter discourses on health services access and equity as determined from a gender-based diversity perspective.
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