患者和临床医生对医疗保健中的性别错误的看法
Kyle Okamuro1,2, Alan Card3, Hanna J Barton4
1Department of Urology, University of California San Diego, La Jolla, California, USA.
BMJ quality & safety
|June 8, 2025
概括
医疗保健中的性别错误伤害了跨性别和非二进制 (TGNB) 个人,阻止了护理. 解决方案需要整合的行为,技术和政策策略,以实现性别肯定体系.
科学领域:
- 医疗保健中的差异
- 定性研究是一种定性研究.
- 性别研究是关于性别的研究.
背景情况:
- 在医疗保健机构中误导跨性别和非二进制 (TGNB) 个人对心理和身体健康产生负面影响,并降低了护理利用率.
- 关于在医疗保健中导致性别错误的因素的研究有限.
研究的目的:
- 探索TGNB个人经历的性别错误的来源.
- 了解错误性别对获得医疗保健的感知影响.
- 确定预防策略和临床医生对意外性别错误的反应.
主要方法:
- 在一个学术医疗中心对TGNB患者 (n=8) 和性别肯定护理临床医生 (n=12) 进行了20次半结构化采访.
- 用有目的的抽样来招募参与者.
- 在字面采访成绩单上进行了感应性主题分析.
主要成果:
- 错误的性别来源于医疗保健中的多种人际关系和结构来源.
- 错误的性别歧视不鼓励获得医疗保健,并造成社区的犹,其影响因环境和意图而异.
- 一个性别认同的医疗保健系统需要整合行为,政策和技术策略.
结论:
- 医疗保健中的性别错误与人际沟通和系统问题有关,造成伤害并限制TGNB获得服务.
- 解决性别歧视问题需要采用多方面的方法,将行为,技术和机构政策战略结合起来.
- 系统层面的实施对于减少性别错误和改善TGNB医疗保健体验至关重要.
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