探索LGBT+人群的医疗经验和偏好:在线异步聚焦组研究
John P Gilmore1, David J Field2,3
1School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Journal of advanced nursing
|September 3, 2025
概括
爱尔兰的LGBT+个人面临着严重的医疗障碍,包括性别错误和不平等的接入. 提高文化能力和系统性改革对于公平的卫生服务至关重要.
科学领域:
- 质量健康研究
- 健康社会学
- LGBT+健康研究
背景情况:
- 爱尔兰的法律和社会进步并未完全转化为LGBT+个人的平等医疗服务.
- 现有的医疗保健系统往往未能满足LGBT+社区的具体需求和经验.
- 护理障碍可能会对LGBT+人的身体和精神健康产生负面影响.
研究的目的:
- 探索爱尔兰LGBT+个人的医疗经验.
- 识别在获得和接受医疗保健方面的系统性障碍和促进因素.
- 为发展更具包容性和公平性的医疗保健服务提出可行的战略.
主要方法:
- 使用了一种描述性定性研究设计.
- 在2023年使用了三周的非同步在线聚焦组.
- 对43名自选参与者的数据进行了反思性主题分析.
主要成果:
- 主要主题包括对文化意识的医疗专业人员的需求,获取和信息的挑战,专业和通用服务之间的差异以及心理健康支持的不足.
- 参与者经常报告性别错误,异性规范性假设和提供者缺乏经验.
- 地理不平等,不清晰的转介途径以及缺乏集中,包容性的信息被认为是重大障碍.
结论:
- 尽管取得了进展,但爱尔兰的LGBT+个人在获得公平医疗保健方面遇到重大障碍.
- 需要加强医疗保健提供者的文化能力,并进行系统性改革以改善服务的可及性.
- 调查结果强调需要将LGBT+专用培训和包容性实践纳入各级医疗保健服务.
相关概念视频
Surveys
15.3K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
15.3K
Stereotypes, Prejudice, and Discrimination
91.4K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
91.4K
Self-Help Support Groups
76
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
76
Group Therapy
85
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
85
Longitudinal Research
12.4K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.4K
Ethnic Identity within a Larger Culture
85
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
85


