超越国际疾病分类编码以追溯识别性别多样化退伍军人
Frank DeVone1, Eric Jutkowitz1,2, Christopher Halladay1
1Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
LGBT health
|April 24, 2024
概括
国际疾病分类第10版 (ICD-10) 代码低估了跨性别和性别多样性 (TGD) 退伍军人在电子健康记录中. 自我报告的性别身份数据揭示了显著的差距,突出了需要改进的识别方法.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 退伍军人卫生管理局 (VHA) 系统地收集自我报告的性别认同.
- 变性人和性别多样性 (TGD) 退伍军人面临更高的健康状况率.
- 从历史上看,TGD退伍军人队伍依赖国际疾病分类第10版 (ICD-10) 代码.
研究的目的:
- 评估自我报告的性别认同与VHA记录中的ICD-10代码之间的一致性.
- 用这些指标来分析TGD退伍军人的健康需求.
- 为了确定使用ICD-10代码用于TGD退伍军人人口研究的局限性.
主要方法:
- 将TGD相关的ICD-10代码与自我报告的性别认同进行了比较.
- 分析了2019年至2022年期间超过150万退伍军人的数据.
- 评估代码的敏感性和特异性与自我报告的数据相比.
主要成果:
- 只有34%的TGD退伍军人 (通过自我报告) 有关的 ICD-10 代码用于跨性别护理.
- ICD-10代码在识别TGD退伍军人方面表现出低灵敏度和高特异性.
- 当仅依赖ICD-10代码时,观察到TGD退伍军人的数量显著不足.
结论:
- 仅仅ICD-10代码不足以准确识别VHA中的TGD退伍军人人口.
- 自我报告的性别认同是一种更全面的方法来捕捉TGD退伍军人身份.
- 需要改进的方法来准确确定TGD退伍军人的健康需求.
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