识别和解决跨性别和非二进制的人生活在慢性疾病或残疾的医疗保健障碍
Emily J Noonan1, Laura A Weingartner1, Ryan M Combs2
1School of Medicine, University of Louisville, Louisville, KY, USA.
Qualitative health research
|April 19, 2025
概括
患有慢性疾病/残疾的跨性别和/或非二进制 (TGNB) 个人面临着重大的医疗保健障碍,包括诊断的掩盖和提供者的怀疑. 改善护理需要LGBTQ + 合格的培训,结构性变化和社区支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
- 性别研究是性别研究.
背景情况:
- 变性人和/或非二进制 (TGNB) 个人经常面临独特的医疗保健挑战.
- TGNB认同与慢性疾病和/或残疾 (CI/D) 的交叉可以加剧这些障碍.
- 了解这些复合体验对于改善健康公平至关重要.
研究的目的:
- 探索与CI/D生活的TGNB个体的医疗保健经验.
- 识别医疗保健系统中遇到的障碍.
- 提出可行的解决方案,以提高护理质量和肯定患者的身份.
主要方法:
- 解释主义的认识论世界观和一个交叉镜头.
- 与TGNB个人进行深入采访,他们自称有CI/D.
- 由跨学科研究小组对定性数据进行主题分析.
主要成果:
- 参与者报告说,由于双重TGNB-CI/D身份而加剧了诊断的掩盖和提供者的怀疑.
- 频繁的医疗保健互动导致了负面遭遇,包括错误诊断和与性别有关的质疑.
- 燃气照明,缺乏LGBTQ + 合格的护理和歧视导致延迟或放弃基本的卫生服务.
结论:
- 通过提供者教育倡导LGBTQ + 合格的护理是必不可少的.
- 需要进行解决金融和保险障碍的结构性变革.
- 利用远程医疗和加强社区支持网络可以减轻差异并改善护理.
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