在医疗保健机构讨论性别时,变性患者的偏好
Vern Harner1,2, Megan Moore3, Boi Casillas1
1School of Social Work, University of Washington, Seattle.
JAMA network open
|February 19, 2024
概括
变性患者需要灵活,灵敏的医疗保健. 肯定和医学上有能力的护理需要提供者谦卑和对跨性别人士的机构支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 跨性别者健康 跨性别者健康
背景情况:
- 跨性别 (变性) 个人经常在医疗保健中遇到歧视.
- 肯定性别和有能力的护理对于改善跨性别健康结果至关重要.
- 了解患者的偏好是公平护理的关键.
研究的目的:
- 探索影响跨性别患者决定与医疗保健提供者分享与性别有关的信息的因素.
- 确定跨性别患者对性别相关问题的偏好.
- 评估这些因素对医疗保健体验的影响.
主要方法:
- 定性,解释主义的现象学研究.
- 通过电话或视频对27名跨性别者和/或非二进制成年人进行半结构化采访.
- 大多数跨性别研究小组对采访成绩单的专题分析.
主要成果:
- 四个关键主题出现了:提供者的行为,关系风险评估,优先肯定与医学上合格的护理,以及系统层面的障碍.
- 变性患者评估提供者的灵活性,沟通和准备.
- 由于系统的限制,参与者经常必须在肯定护理和医学上合格的护理之间做出选择.
结论:
- 对跨性别患者提供公平,性别认同和合格的医疗保健需要提供者的灵活性和响应能力.
- 提供者的谦卑,参与和支持性的机构政策是必不可少的.
- 进一步的研究应该探索在确保合格的跨性别护理方面发挥的系统作用.
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