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用于评估性别确认医疗保健准入的工具:一个范围审查
Seán Kearns1,2, Philip Hardie3, Donal O'Shea1,2
1School of Medicine, University College Dublin, Dublin, Ireland.
PloS one
|June 3, 2024
概括
本次审查对跨性别和非二进制个体获得医疗保健的文献进行了映射,确定了歧视和缺乏知情提供者的关键障碍. 调查结果为改善对这一群体的护理提供了干预信息.
科学领域:
- 医疗保健获取研究 医疗保健获取研究
- 跨性别者健康 跨性别者健康
- 健康 公平 卫生 公平
背景情况:
- 跨性别和非二进制个体获得医疗保健是研究的一个关键领域.
- 需要绘制现有的文献,以了解当前的挑战和机遇.
研究的目的:
- 识别,探索和绘制现有的关于跨性别和非二进制个体获得医疗保健的文献.
- 使用Leveque的五个维度对影响医疗保健可访问性的已识别的因素进行分类.
主要方法:
- 根据Arksey和O'Malley的框架和PRISMA扩展指南进行范围审查.
- 在四个数据库和灰色文献中进行了全面的搜索,在审查后包含了41篇文章.
主要成果:
- 确定了42个影响跨性别和非二进制个体获得医疗保健的因素 (障碍和促进因素).
- 关键主题包括信息获取,社会接受,歧视,成本和提供者能力方面的挑战.
- 使用Leveque的五个维度对因素进行了分类:可接近性,可接受性,可用性/适应性,负担能力和适当性.
结论:
- 审查强调了共同的研究领域,并确定了未来研究的差距.
- 调查结果为政策和实践提供了建议,以解决获得性别肯定护理的障碍.
- 这项工作可以指导开发干预措施,以改善跨性别和非二进制个体的医疗保健体验.
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