对跨性别人士的不尊重和不充分的息护理
Cathy Berkman1, Gary L Stein2, Noelle Marie Javier3
1Graduate School of Social Service, Fordham University, New York, NY, USA.
Palliative & supportive care
|July 14, 2023
概括
严重患病的跨性别患者及其伴侣经常在医疗保健中遭受歧视. 这包括不尊重,不充分和虐待的护理,导致对医疗保健系统的不信任.
科学领域:
- 医学伦理 医学伦理
- 健康差异 在健康上的差异
- 跨性别者健康 跨性别者健康
背景情况:
- 严重患病的跨性别患者在医疗保健机构中面临着独特的挑战.
- 歧视和缺乏肯定性护理可能会对患者的结果和信任产生负面影响.
研究的目的:
- 描述严重疾病的跨性别患者及其伴侣所经历的不尊重,不充分和虐待护理的情况.
- 确定在医疗保健提供中存在歧视的具体例子.
主要方法:
- 这是一项涉及865名医疗保健专业人员 (护士,医生,社会工作者,牧师) 的横截式混合方法研究.
- 受访者报告了对跨性别患者的歧视性护理的观察,并提供了这种护理的描述.
主要成果:
- 21.3%的参与者观察到对跨性别患者的歧视性护理.
- 不尊重的护理 (85.3%) 包括错误的性别,粗鲁和侵犯隐私. 不足够的护理 (35.9%) 涉及到延迟或拒绝治疗和对伴侣的边缘化.
- 10.3%的参与者报告了虐待护理.
结论:
- 对重病的跨性别患者及其伴侣的歧视很普遍,导致对医疗保健的不信任.
- 不足够的照顾,特别是涉及伴侣的决策权,可能会产生严重的后果,并可能违反隐私法规.
- 修改机构政策,制定保护性立法,为医疗保健专业人员提供全面培训对于改善医疗保健质量和肯定性别认同至关重要.
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