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Providers' Perspectives on Decision-Making About Care for Transgender Youth
Brandon F Terrizzi1, Amy Sue Lambert2, Lee Ann E Conard3,4
1Division of General & Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Transgender Health
|August 1, 2023
Summary
Healthcare providers guide families through complex decisions for transgender and gender-diverse youth. Improving decision support is crucial due to challenges like hesitant caregivers and limited data.
Area of Science:
- Medical decision-making
- Adolescent health
- Gender-affirming care
Background:
- Transgender and gender-diverse (TGD) youth require complex healthcare decisions.
- Social and medical factors complicate gender care for TGD youth.
- Gaps exist in understanding provider support for TGD youth decision-making.
Purpose of the Study:
- To explore healthcare providers' perspectives on decision-making processes in youth gender care.
- To identify challenges and potential improvements in decision support for TGD youth and their families.
Main Methods:
- Qualitative study involving interviews with 17 healthcare providers.
- Thematic analysis of coded interview responses.
- Exploration of family decision-making dynamics and provider roles.
Main Results:
- Providers act as guides for families navigating challenging decisions.
- Youth are often eager for treatment, while caregivers express hesitation.
- Providers face challenges with limited data for parental concerns and managing interpersonal conflict.
Conclusions:
- Decision-making for TGD youth is a multi-step process hindered by conflict and data limitations.
- Providers perceive a significant need for enhanced decision support systems.
- Leveraging existing medical decision-making research can improve support for all stakeholders.
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