在医疗保健机构与跨性别者沟通:临床观点
Charalampos Milionis1, Ioannis Ilias1, Evaggelia Venaki1
1Department of Endocrinology, Diabetes, and Metabolism, General Hospital "Elena Venizelou", Athens, Greece.
Journal of communication in healthcare
|September 9, 2024
概括
有效的沟通和包容性政策对于跨性别者医疗保健至关重要. 解决诸如 cisnormativity 和 misgendering 这样的障碍,可以改善跨性别者的获取和结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 医学沟通 医学沟通
背景情况:
- 变性人需要一致的健康服务,无论是性别肯定还是一般医疗需求.
- 有效的临床医生与患者沟通对于提供优质医疗保健至关重要.
- 跨性别患者在医疗保健机构内存在重大沟通障碍.
研究的目的:
- 确定卫生保健提供者和跨性别患者之间有效沟通的常见障碍.
- 探索跨性别者医疗保健中错误沟通的负面后果.
- 提出改善跨性别人士医疗保健体验的策略.
主要方法:
- 这项研究是对现有文献和临床观察的定性审查.
- 分析跨性别医疗互动中的沟通动态和环境因素.
- 审查当前的卫生政策及其对跨性别患者护理的影响.
主要成果:
- 常见的障碍包括医疗保健工作人员的不情愿, cisnormativity,错误的性别和敌对的临床环境.
- 错误的沟通导致患者避免必要的医疗护理,并加剧了社会边缘化.
- 现有的卫生政策和临床实践往往无法为跨性别患者创造一个安全和肯定的空间.
结论:
- 实施新的健康政策和组织变革对于创造安全的跨性别医疗保健环境至关重要.
- 培训医疗保健从业人员的文化能力和包容性沟通至关重要.
- 需要进行系统性改变,以改善健康状况,减少对跨性别人口的歧视.
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