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Related Experiment Videos

Trans individuals' experiences in primary care.

Justin Bell1, Eva Purkey2

  • 1Assistant Professor in the Clinical Sciences Division of the Northern Ontario School of Medicine. justin.bell@nosm.ca.

Canadian Family Physician Medecin De Famille Canadien
|April 14, 2019
PubMed
Summary
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Trans individuals desire primary care from family physicians, including hormone therapy and referrals for gender-affirming surgery. Current healthcare systems often fail to meet their needs, highlighting a need for improved physician training and services.

Area of Science:

  • Primary care research
  • Transgender health
  • Qualitative health research

Background:

  • The transgender community faces unmet physical and mental health needs within the existing healthcare system.
  • Family physicians are expected to be central to delivering care for transgender patients.

Purpose of the Study:

  • To explore the primary care experiences and expectations of transgender individuals with their family physicians.
  • To identify barriers and facilitators to effective transgender primary care.

Main Methods:

  • Qualitative phenomenological approach utilizing semistructured interviews.
  • Thematic analysis of 11 interviews with transgender individuals (men, women, gender nonconforming) conducted in Kingston, Ontario.
  • NVivo software used for thematic analysis by two independent researchers.

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Main Results:

  • Key themes included physician knowledge, patient self-advocacy, discrimination, and the need for positive healthcare spaces.
  • Transgender individuals expect family physicians to manage hormone therapy and provide referrals for gender-affirming surgeries.
  • Experiences highlighted gaps in current healthcare delivery for the transgender population.

Conclusions:

  • Family physicians require enhanced training and empowerment to provide essential services like hormone initiation and surgical referrals.
  • Most transgender individuals prefer receiving care from their family physicians, emphasizing the need for integrated and accessible primary care.
  • Addressing the unmet health needs of the transgender community requires a proactive role from family physicians.