This research quantitatively demonstrates disparities in healthcare quality experienced by transgender patients. Using objective clinical quality measures rather than personal testimony alone, it shows transgender patients receive recommended treatments less often. Encouragingly, providers with greater experience treating transgender patients deliver more equitable care, highlighting the importance of education and clinical exposure.

This thesis explores the challenges faced by young people with rare chronic kidney diseases as they transition from pediatric to adult healthcare. The researcher works to support families, improve preparedness, and ensure no young person is left behind, aligning with global goals for equitable, inclusive healthcare for vulnerable populations.