儿科PCP在为青少年提供性别确认护理方面发现的障碍
Gina M Sequeira1, Nicole F Kahn1, Colbey Ricklefs2
1Department of Pediatrics, University of Washington, Seattle, Washington; Seattle Children's Research Institute, Seattle, Washington.
儿科初级保健提供者面临卫生系统和社区障碍,为跨性别和性别多样性青年提供性别肯定护理. 解决这些障碍对于平等获得基本医疗服务至关重要.
科学领域:
- 儿科初级医疗保健的儿童初级医疗保健.
- 肯定性别的护理.
- 变性人和性别多样性青年心理健康
背景情况:
- 肯定性环境和性别肯定性医疗对跨性别和性别多样性 (TGD) 青年的心理健康产生积极影响.
- 获得性别肯定护理的障碍严重影响TGD年轻人.
- 儿科初级保健提供者 (PCP) 对于扩大接入至关重要,但目前提供有限的性别肯定护理.
研究的目的:
- 探索儿科PCP在提供性别肯定护理时遇到的障碍的观点.
- 确定TGD年轻人的初级保健环境中的挑战.
- 了解提供者层面在提供性别肯定服务方面的障碍.
主要方法:
- 招募寻求专门性别诊所支持的儿科PCP.
- 与参与提供商进行半结构化,为期一小时的Zoom访谈.
- 使用Dedoose软件中的反射主题分析来进行定性数据分析.
主要成果:
- 医务人员报告了卫生系统的障碍,包括缺乏知识,有限的决策支持和系统设计问题.
- 社区层面的障碍包括偏见,提供者的态度和难以找到社区资源.
- 参与者代表了不同的实践经验 (年龄,患者人口统计学,位置).
结论:
- 克服卫生系统和社区障碍对于TGD年轻人来说至关重要,以获得及时和公平的性别肯定护理.
- 儿童初级保健机构需要改进,以支持全面的性别确认服务.
- 解决提供者层面和系统性问题是提高TGD年轻人获得护理的关键.
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