变性人和性别非二元患者在急诊室的经历:一个区域研究
Kysa Z McSky1, Amber L Lin2, Mary E Tanski2
1Emergency Medicine Residency, Hennepin Healthcare, Minneapolis, Minnesota, USA.
Transgender health
|June 21, 2023
概括
变性人经常在急诊室 (ED) 面临歧视. 在登记时提供代名词选择,并提供员工培训,可以显著改善EDs中的跨性别患者体验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 跨性别者健康 跨性别者健康
背景情况:
- 变性人报告在医疗保健机构存在严重的歧视.
- 这种歧视导致避免或延迟急诊室 (ED) 护理.
- 紧急医生在跨性别患者的需求方面接受的培训不足.
研究的目的:
- 为了调查波特兰地铁地区跨性别患者的ED经历.
- 评估OHSU ED工作人员在跨性别护理方面的知识和培训.
- 确定影响EDs跨性别患者体验的因素.
主要方法:
- 对访问ED护理的跨性别个人和OHSUED工作人员进行了调查.
- 数据分析的重点是确定积极的ED经验的趋势和预测因素.
- 该研究检查了员工培训,角色,实践时间和跨性别护理的自我报告能力之间的关系.
主要成果:
- 患者在登记时提供代名词的机会与感知ED体验的改善有关 (p<0.01).
- 在跨性别患者报告的最佳和最糟糕的ED经历之间发现了显著的差异 (p<0.01).
- 接受过正式跨性别健康培训的ED提供者报告说,独立于实践时间的长度,他们的能力更高.
结论:
- 跨性别患者的ED经验存在显著差异,突出了需要改进的领域.
- 在登记时实施代名词选项是提高患者护理的关键建议.
- 对ED工作人员进行强制性跨性别医疗保健培训对于提高护理质量和减少歧视至关重要.
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