更多关于健康专业人员从跨性别患者那里学到的教训
1International speaker, consultant, and author who serves as a gender subject matter expert in inclusion, diversity, and health care.
AMA journal of ethics
|June 7, 2023
概括
跨性别人士的医疗保健得到了改善,但临床医生在提供伦理性别护理方面面临挑战. 这包括尊重患者身份和有效收集敏感的人口统计数据.
科学领域:
- 医学伦理 医学伦理
- 性别研究是性别研究.
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 在过去的十年中,对性别认同和性别表达的理解有了显著的进化.
- 医疗保健专业人员和提供专业性别确认护理的诊所的数量有所增加.
- 尽管取得了进展,但在提供全面和道德的性别护理方面仍然存在重大障碍.
研究的目的:
- 从跨性别个体的角度来看,突出性别肯定医疗保健的持续挑战.
- 强调伦理实践的重要性,包括患者识别和数据管理,在性别护理中.
- 为了分享从20年的医疗保健遭遇中获得的见解,作为患者和专业人员.
主要方法:
- 两十年来个人医疗保健经验的定性分析.
- 在性别认同的背景下反思临床实践和患者护理.
- 案例研究方法详细介绍了与医疗保健系统的接触.
主要成果:
- 临床医生往往缺乏关于收集患者人口统计信息以及尊重所选择的名字和代词的安慰和知识.
- 由于系统障碍和培训不足,伦理护理经常受到损害.
- 患者的旅程揭示了跨性别者的医疗保健获取和质量的反复出现的问题.
结论:
- 医疗保健专业人员在提供性别肯定护理方面需要加强培训和支持.
- 系统性变化是必要的,以解决障碍,并确保伦理,以患者为中心的护理跨性别人群.
- 个人叙述对于理解和改善跨性别者的医疗保健经验至关重要.
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