Table 2 Primary Healthcare (PHC) Recommendations for Demonstrating the Five Queers (Queer Literacy, Queer Advocacy, Queer Space, Queer Presence, and Intersectional Queer Life)

1

Initiate conversation and use language with regional/rural LGBTQ + service users in ways that support them in feeling visible and their identities affirmed (e.g., making conscious attempts to not mis-gender service users)

2

Resist cis-heteronormative assumptions (e.g., assuming a person is cisgendered and/or heterosexual unless told otherwise) and overtly denounce Queerphobia

3

Increase the availability of Queer-friendly and Queer-run PHC services

4

Provide genuine allyship and leadership in building effective and accessible PHC systems for regional LGBTQ + people

5

View LGBTQ + people’s access to quality PHC in regional/rural areas as a basic human right, with a shared responsibility between PHC providers and Queer communities

6

Overtly share responsibility for naming and understanding regional/rural LGBTQ + communities’ healthcare concerns

7

PHC policy development requires active consultation and collaboration with regional/rural LGBTQ + communities and held accountable to their Queerstories (i.e., their intersectional Queer life, identities, and lived experiences)