跨性别者对肯定医疗保健实践的看法:一种定性研究
Darius Haghighat1, Tala Berro2, Lillian Torrey Sosa1
1Boston University Chobanian and Avedisian School of Medicine, 72 E Concord St, Boston, MA 02118, USA.
Social science & medicine (1982)
|June 30, 2023
概括
跨性别者因病理化而面临医疗歧视和创伤. 这项研究强调了需要创伤知情护理,患者自主权和系统变革,以改善跨性别医疗保健体验.
科学领域:
- 医学社会学 医学社会学
- 质量健康研究 质量健康研究
- 互性研究 互性研究
背景情况:
- 跨性别变异是人类的自然差异,但跨性别社区在医疗保健环境中面临歧视.
- 医学病理化导致诸如非自愿手术之类的做法,造成重大伤害.
- 现有的研究往往忽视了跨性别者的经历和观点,他们对医疗保健的看法.
研究的目的:
- 探索跨性别者的医疗保健经验.
- 确定医疗环境中的关键主题和挑战.
- 为临床医生提出建议,以促进肯定和包容的医疗保健实践.
主要方法:
- 一项定性研究采用了15个虚拟的半结构面试,对跨性别社区成员进行了采访.
- 采访是在2021年11月至2022年3月期间进行的.
- 数据分析利用反射主题分析来确定主要主题.
主要成果:
- 出现了四个主要主题:二元框架中的排斥,普遍的医疗创伤,心理社会支持的重要性和系统变革的必要性.
- 参与者报告了歧视和医疗保健提供者缺乏理解的经历.
- 一直强调支持小组和心理健康资源的价值.
结论:
- 肯定跨性别医疗保健需要从病理化转向脱病理化和正常化.
- 以创伤为基础的护理,优先考虑患者的自主权和同意,对于改善患者体验至关重要.
- 医疗教育和实践的系统性变化对于赋权跨性别社区和减轻医疗创伤至关重要.
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