一个形成性的评估,以告知精神病治疗与其他性别肯定护理的整合
Teddy G Goetz1, Courtney Benjamin Wolk2,3
1Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Philadelphia, PA, 19104, USA. teddy.goetz@pennmedicine.upenn.edu.
BMC primary care
|July 4, 2024
概括
跨性别者,非二进制者和/或性别扩张者 (TNG) 个人更喜欢在初级卫生服务中整合精神病治疗. 患者直接接触和临床医生咨询是有效,定制的心理健康支持的关键.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 健康 公平 卫生 公平
- 实施科学 实施科学
背景情况:
- 跨性别者,非二进制者和/或性别扩张 (TNG) 个体面临着严重的心理健康差异和精神病治疗的障碍.
- 将精神病学服务与身体健康护理相结合,可能会提高TNG个体的参与度.
- 关于综合护理模式的患者和临床医生的观点存在有限的研究.
研究的目的:
- 进行整合精神病治疗与性别确认的身体健康服务的形成性评估.
- 通过了解TNG患者和临床医生的需求和偏好,为未来的项目提供信息.
- 确定综合护理模式的促进者和挑战.
主要方法:
- 使用半结构面试进行的定性预实施研究.
- 采访指南以"实施研究综合框架"为基础.
- 从TNG患者 (n=11) 和性别肯定性护理临床医生 (n=10) 中引起的需求和偏好.
- 描述性分析的快速分析程序.
主要成果:
- 一致偏好将精神病学纳入初级保健,而不是单独的模型.
- 偏好直接的患者精神病学预约,而不是仅为团队咨询.
- 肯定性别的护理临床医生希望增加对精神病学咨询的机会.
- 强调灵活,量身定制的护理;促进者包括保险,远程医疗,临床医生的能力和受保护的协作时间.
结论:
- 参与TNG患者和临床医生,以告知综合心理健康护理研究.
- 建议将心理健康护理与TNG社区的初级保健整合在一起的实用性.
- 强调患者和临床医生的观点在设计健康公平倡议中的重要性.
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