严重患病的LGBTQ+人和合作伙伴报告的歧视性医疗保健:尊重项目
Cathy Berkman1, Gary L Stein2, William E Rosa3
1Graduate School of Social Service, Fordham University, New York, NY, USA.
Palliative & supportive care
|April 25, 2025
概括
严重患病的女同性恋,男同性恋,双性恋,跨性别,性别不合规和酷尔 (LGBTQ +) 患者及其伴侣经常经历歧视和不充分的护理. 这凸显了改善医疗保健标准和政策的关键需求,以确保公平待遇.
科学领域:
- 医学社会学 医学社会学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 越来越多的反LGBTQ+骚扰,仇恨犯罪和歧视性立法需要迫切关注医疗保健差异.
- 在医疗保健机构中的歧视对女同性恋,男同性恋,双性恋,变性人,性别不合规和酷尔 (LGBTQ+) 个体的福祉构成重大风险.
研究的目的:
- 描述严重病的LGBTQ+患者及其伴侣在医疗保健提供者的歧视性护理方面的经历.
- 为了确定在脆弱的健康状态下LGBTQ+个体所经历的糟糕护理的具体主题.
主要方法:
- 来自混合方法在线调查的数据的定性分析.
- 基于理论的方法应用于严重患病的LGBTQ+个体及其伴侣/寡妇的反应.
- 通过为LGBTQ+社区服务的组织招聘,收集对被认为不良护理的详细报告.
主要成果:
- 六个新出现的主题:不尊重,不充分和虐待的护理.
- 对跨性别患者的具体歧视,包括不尊重他们的身份.
- 还报告了针对伴侣的歧视行为和交叉歧视.
结论:
- 医疗保健专业协会和组织必须制定对LGBTQ+患者的非歧视性,合格和肯定性护理的标准.
- 医疗机构需要强大的机制来识别问题,确保不歧视,患者/工作人员安全,以及全面的员工培训.
- 政策干预,如平等法案,对于解决LGBTQ+社区面临的医疗保健歧视和差异至关重要.
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