改善跨性别成年人护理的整合:ICTA的一项混合方法研究
Richard Holti1, Evelyn Callahan2, Jamie Fletcher3
1The Open University Business School, Faculty of Business and Law, Open University, Milton Keynes, UK.
Health and social care delivery research
|September 11, 2024
概括
改善跨性别者获得医疗保健需要解决国家卫生服务 (NHS) 内的长期等待和协调问题. 以人为中心的护理模式和知情同意对于变性成年人获得更好的结果至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 跨性别者健康 跨性别者健康
- 患者为中心的护理
背景情况:
- 国家卫生服务 (NHS) 的性别服务,包括性别认同诊所 (GIC),面临着长时间的等待时间和跨性别成年人的协调挑战.
- 与过渡相关的护理需求在跨性别者之间有所不同,并非所有人都需要医疗干预.
- 现有的护理途径可能会被分散,影响过渡特定和一般医疗保健整合.
研究的目的:
- 确定影响各种跨性别成年人获得和接受医疗服务的因素.
- 探索以人为中心和综合性跨性别护理的成功实施策略.
- 了解在NHS内获得和提供跨性别医疗保健的障碍和促进者.
主要方法:
- 一种混合方法的方法,将全英在线/纸质调查 (2056个回复) 与定性个人访谈 (65),焦点小组 (23个跨BIPOC) 和案例研究 (6).
- 使用有目的抽样进行采访,以包括面临社会排斥或耻辱的个人.
- 采访了服务提供商 (55) 和用户 (45),以收集关于护理提供的不同观点.
主要成果:
- 缺乏尊重的待遇,资金不足,等待期间的支持不足,以及GIC的对抗性评估阻碍了以人为本的护理.
- 发现GIC与全科医生 (GPs) 在激素治疗方面的合作失败,以及NHS缺乏心理支持.
- 案例研究建议改善,例如全科医生培训,第三部门的同行支持,协作评估,由全科医生领导的区域激素诊所和支持性心理服务.
结论:
- 当前的护理模式经常破坏以人为中心,协调的护理,导致跨性别人士的负面经历.
- 协作和文化意识的评估,可能利用知情同意模型,对于改善与过渡有关的护理的获取至关重要.
- 需要进一步的研究,以了解研究结果在各种跨性别子群体中的适用性.
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