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在器官和组织捐献中,性和性别少数群体:定性分析
Murdoch Leeies1,2,3,4,5, Carmen Hrymak6,7,8, David Collister9
1Transplant Manitoba, Gift of Life Program, Shared Health Manitoba, Winnipeg, MB, Canada. Murdoch.Leeies@umanitoba.ca.
概括
性和性别少数群体 (SGMs) 在器官和组织捐赠和移植 (OTDT) 中面临不平等. 这项研究强调了歧视性标准,并呼吁修订政策,以改善OTDT中的SGM经验.
科学领域:
- 器官和组织捐赠和移植 (OTDT)
- 对性和性别少数群体 (SGMs) 的健康公平.
背景情况:
- 在OTDT系统中,SGM遇到严重的不平等,伤害和护理差距.
- 现有的文献缺乏SGMs关于他们在OTDT中的经验的观点.
研究的目的:
- 描述SGM导航器官和组织捐献和移植 (OTDT) 系统的自我描述的经验.
- 确定SGM的OTDT的不平等性和改进机会.
主要方法:
- 与SGM及其照顾者进行了半结构化的采访.
- 采用了定性最适合框架综合和感应性主题分析.
- 一个SGM OTDT患者和护理人员咨询小组 (N=12/13) 提供了分析的信息.
主要成果:
- 关键主题包括耻辱,歧视性捐助者标准和对变革的抵抗.
- 研究了OTDT内部的患者和社区关系.
- 突出了SGM社区的性和优势,以及SGM改进的优先事项.
结论:
- 调查结果揭示了SGM如何体验OTDT医疗保健,强调了歧视性捐赠者风险评估的危害.
- 公平的政策审查至关重要,解决耻辱和改善护理.
- 加强包容性护理需要机构承认不平等,提供者培训和支持网络.
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