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Liam Jackman¹, Cynthia Chan², Micon Garvilles³

¹University of Toronto Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada.

|March 12, 2025

概括

加拿大性别肯定护理 (GAC) 结果测量需要改进. 一项审查发现,患者报告结果指标 (PROM) 的利用不足和报告不一致,阻碍对跨性别和性别多样性个体的有效护理评估.

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
结果测量结果测量

背景情况:

性别确认护理 (GAC) 对于支持性别认同至关重要.
加拿大看到GAC转诊的显著增加,需要系统的健康结果评估.
现有的GAC结果测量需要进行有效护理评估的分析.

研究的目的:

分析加拿大GAC的健康结果测量.
确定测量哪些结果,如何测量它们,以及相关的障碍/支持者.
为改善加拿大GAC结果提供基于证据的建议.

主要方法:

在主要数据库 (MEDLINE,Embase,PsycINFO,Scopus,CINAHL) 进行全面的文献搜索,截至2023年12月.
纳入标准侧重于涉及加拿大接受GAC的跨性别或性别多元 (TGD) 患者的原始研究.
对64项研究的分析包括代表6561名TGD患者的研究.

主要成果:

大多数研究 (61%) 没有使用患者报告的结果指标 (PROM).
当使用PROM时,它们往往无法捕捉与性别相关的结构,如性别失调症.
获得护理的障碍包括耻辱,歧视,缺乏临床医生的知识和社会经济因素.

结论:

在GAC结果测量中存在显著的差距,特别是PROMs的不足使用.
系统地实施PROM,包括与性别相关的构造,对于以患者为中心的护理至关重要.
提供了建议,以提高加拿大的TGD个体的健康结果.

关键词:

临床决策 - 临床决策健康公平卫生公平卫生服务卫生服务卫生服务跨性别人士的健康服务医疗保健的质量在医疗保健的质量.

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