医生如何思考他们在跨性别护理中的角色:英国全科医生和内分泌学家的定性研究
Jonathan Franklin1, Apoorva Thakur1, Vinod Patel1,2
1Warwick Medical School, Coventry, CV4 7AL, UK.
Journal of the Royal Society of Medicine
|August 11, 2025
概括
英国的医生们.
科学领域:
- 医学社会学 医学社会学
- 内分泌学 在内分泌学.
- 一般实践 一般实践
背景情况:
- 英国的跨性别者医疗保健面临着严重的不平等.
- 对性别影响的博士概念为性别少数群体患者提供护理.
- 现有的医疗保健系统对性别确认治疗提出了挑战.
研究的目的:
- 探索英国医生对跨性别护理中的角色的理解.
- 调查医生对性别肯定过程的看法.
- 检查影响跨性别医疗保健的理论性/性别概念.
主要方法:
- 与英国医生进行一对一,半结构化的在线访谈.
- 通过专业协会和雪球采样进行招聘.
- 根据布劳恩和克拉克的指导方针进行反思性主题分析.
主要成果:
- 在跨性别护理中的分工在全科医生和内分泌学家之间存在争议.
- 一般医生专注于患者的叙述,将处方推迟到专家.
- 内分泌学家认为他们的作用主要是提供激素治疗.
- 几乎所有参与者都认为包括心理健康专业人员在内的多学科参与是必不可少的.
结论:
- 医生可能无意中在系统约束中强化性别规范.
- 资源压力极大地影响了医生对跨性别护理的方法.
- 系统和组织障碍影响了提供跨性别医疗服务.
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