跨性别者的经历与临床医生分享信息:基于焦点组的定性研究
Ash B Alpert1,2,3, Jamie E Mehringer4, Sunshine J Orta5
1Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut (A.B.A.); ash.alpert@yale.edu.
Annals of family medicine
|September 25, 2023
概括
跨性别者在分享健康信息时经常面临耻辱或不理想的护理. 医疗文化和数据收集的系统性变化对于改善跨性别患者的安全性和护理质量至关重要.
科学领域:
- 定性研究是一种定性研究.
- 家庭医学是家庭医学.
- 医疗服务研究 医疗服务研究
背景情况:
- 跨性别人士在医疗保健中的经历未得到充分研究.
- 有效的健康信息沟通对于提供优质护理至关重要.
研究的目的:
- 探索跨性别成年人在临床接触期间分享健康信息的经验.
- 确定跨性别患者安全有效医疗保健的障碍和促进因素.
主要方法:
- 使用基于社区的参与式研究进行的定性研究.
- 七个焦点小组与北美30名跨性别成年人进行了讨论.
- 解释性描述方法与主题分析和成员检查.
主要成果:
- 变性人认为一些临床医生的问题是污名化或偷看的.
- 患者在透露跨性别身份时报告了病理化,不符合标准的护理或伤害.
- 在冒着耻辱风险和确保全面的医疗信息共享之间存在冲突.
- 在当前的医疗系统中,提高跨性别者的安全性是一个挑战.
结论:
- 变性人经常在耻辱和潜在的低于最佳护理之间做出艰难的选择.
- 加强医疗文化,政策和数据收集工具对于改善跨性别者医疗保健至关重要.
- 为了安全有效地收集性取向和性别认同 (SOGI) 数据,需要进行制度和系统变革.
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