军事家庭医生为提供性别确认护理的准备:一项连续横截面研究
Kryls O Domalaon1, Austin M Parsons1, Jennifer A Thornton1,2
1Travis Air Force Base, CA, USA.
Journal of primary care & community health
|August 12, 2024
概括
自2016年以来,与军方相关的临床医生对性别确认护理的舒适度增加. 然而,有些人仍然不愿意开处方激素,强调需要进一步教育和改善患者体验.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 跨性别者健康 跨性别者健康
背景情况:
- 跨性别和性别多元 (TGD) 个体面临着严重的健康不平等.
- 家庭医生越来越多地成为寻求性别肯定护理的TGD患者的首要联系人.
- 了解临床医生的观点对于改善获得护理的机会至关重要.
研究的目的:
- 评估军事关联的临床医生对性别肯定护理的观点的变化.
- 评估随着时间的推移,教育,舒适度和愿意提供性别肯定服务的趋势.
主要方法:
- 2016年和2023年在制服服务学院家庭医生会议上进行的连续横截面调查.
- 评估医生对性别肯定护理的看法,舒适度和教育经验.
- 统计分析包括费舍尔的精确测试和物流回归.
主要成果:
- 2023年的临床医生报告说,与2016年相比,他们接受了更相关的培训,与性别失调患者有更丰富的经验,并提高了提供非判断性护理的能力.
- 尽管情况有所改善,2023年,有26%的临床医生由于道德问题不愿意给成年人开性别确认激素 (GAH).
- 鉴定女性的临床医生和那些受过更多教育的人更有可能愿意开处方GAH,并认为从额外的培训中获得更大的好处.
结论:
- 与军方相关的家庭医生表现出更好的经验和愿意提供无判断性的性别肯定护理.
- 根据个体临床医生的意愿和培训,患者体验中的差距可能会持续存在.
- 对于无法提供性别肯定护理的临床医生,建议加强培训机会和及时转诊.
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