LGBT+の人々の医療経験と好みを調査する:オンラインアシンクロンフォーカスグループ研究
John P Gilmore1, David J Field2,3
1School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Journal of advanced nursing
|September 3, 2025
まとめ
アイルランドにおけるLGBT+の個人は,不適切なジェンダーと不平等なアクセスを含む,重大な医療の障壁に直面しています. 文化的な能力の向上と 制度的改革は 公平な医療サービスに不可欠です
科学分野:
- 質的健康研究
- 健康社会学
- LGBT+の健康に関する研究
背景:
- アイルランドの法律と社会的な進歩は,LGBT+の人のための公平な医療アクセスに完全に翻訳されていません.
- 現存する医療制度はしばしばLGBT+コミュニティの特定のニーズや経験に対応できていません.
- 介護への障壁は,LGBT+の人々の身体的,精神的な健康に悪影響を及ぼします.
研究 の 目的:
- アイルランドにおけるLGBT+の医療経験について
- 医療へのアクセスと受け取りのシステム上の障壁とファシリテーターを特定する.
- より包括的で公平な医療サービスを開発するための実行可能な戦略を提案する.
主な方法:
- 記述的な定性的な研究デザインが採用された.
- アシンクロンオンラインフォーカスグループは2023年に3週間にわたって利用されました.
- 43人の自己選択した参加者のデータで反射的なテーマ分析が行われました.
主要な成果:
- 主なテーマは,文化に敏感な医療従事者の必要性,アクセスと情報の課題,専門的サービスと普遍的なサービスの間の格差,不十分な精神保健のサポートでした.
- 参加者は,しばしば性別を間違えた経験,異性規範的仮定,および提供者の経験不足を報告しました.
- 地理的な不平等,不明瞭な紹介経路,集中的で包括的な情報の欠如が重要な障壁として特定されました.
結論:
- アイルランドにおけるLGBT+の個人は,平等な医療の実現に重大な障害に直面しています.
- 医療従事者の文化的な能力の向上と サービスアクセシビリティの改善のための システム改革が不可欠です
- 保健医療のあらゆるレベルに LGBT + 専門のトレーニングとインクルーシブな慣行を統合する必要性を強調しています.
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