基于共识而不是证据的性别肯定护理快速扩大,证明了严格的治理和透明度
1Division of Tropical Health and Medicine, College of Medicine and Dentistry, James Cook University, Townsville, Australia.
概括
自2018年以来,澳大利亚的未成年人公共性别确认护理服务显著增长. 然而,有限的透明度阻碍了对患者数量,治疗方法和结果的理解,引发了对安全性和有效性的担忧.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
背景情况:
- 为未成年人提供性别确认护理的公共服务在澳大利亚各地迅速扩大.
- 关于这些服务的安全性和有效性的公开数据有限.
研究的目的:
- 总结通过信息自由要求获得的关于澳大利亚公共性别服务对未成年人的数据.
- 评估这些服务的扩张及其运营的透明度.
主要方法:
- 通过信息自由请求收集到的数据向澳大利亚的未成年人公共性别服务提供.
- 分析服务数量,患者数据 (有限制) 和员工全职等效 (FTE) 就业情况.
主要成果:
- 昆士兰州 (2017年为190人,2022年为922人) 和维多利亚州 (2019年为472人,2023年为1290人) 观察到性别服务人数显著增加.
- 在新南威尔士州,昆士兰州,维多利亚州和西澳大利亚州,性别服务的员工FTE在2020年后显著增加.
- 有限的透明度影响了对接受激素治疗的患者确切数量的信心.
结论:
- 尽管自2018年以来迅速扩张,但由于证据有限,对未成年人公共性别服务安全性和有效性的信心仍然很低.
- 透明度不足妨碍对患者人数,治疗方法和所取得的结果进行准确的评估.
- 确立明确的治疗目标和实施年度报告对于安全有效地照顾这个脆弱人群至关重要.
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