Fig. 1

Map of “Regional LGBTQ + primary healthcare support system” from the Participants’ Perspectives.Note. PHC = Primary Healthcare; HSP = Health Service Providers; LGBT = Lesbian, Gay, Bisexual, Transgender. Solid arrows indicate connected factors that change in the same direction (i.e., higher/higher and lower/lower). Dotted arrows indicate connected factors that change in opposite directions (i.e., higher/lower and lower/higher). R1 = Feedback Loop 1: Aware, Recognise, Talk, Refer, Network (green arrows and rectangles); R2 = Feedback Loop 2: Power, Disclosure, Inclusiveness (blue arrows and rectangles); R3 = Feedback Loop 3: Current Queer Lived Experience Embedded in Queer Health Services, Research, and Education (purple arrows and rectangles); R4 = Feedback Loop 4: Availability and Capacity of Queer Health Service Providers (orange arrows and rectangles); R5 = Feedback Loop 5: Queer Advocacy Promoting Queer Life and Identities (red arrows and rectangles). All feedback loops are “reinforcing” (“R”). Pink arrows and rectangles represent solely antecedent and/or consequent factors. Black and white rectangles are factors raised but not yet linked with other factors by the participant group