一个人必须是同性恋者才能照顾同性恋患者吗? 与德国的全科医生进行的定性访谈研究
Malte Radde1, Philip Oeser1, Anna Sophia Wittenstein1
1Institute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
The European journal of general practice
|October 22, 2025
概括
德国的全科医生 (GPs) 在女同性恋,同性恋,双性恋和跨性别者 (LGBT*) 医疗保健方面存在知识差距,导致护理差异. 建议进行结构化培训,以改善LGBT*个体的健康公平.
科学领域:
- 医疗保健中的差异
- 医学教育 医学教育
- 一般的做法一般的做法.
背景情况:
- 女同性恋,男同性恋,双性恋和跨性别者 (LGBT*) 个人比 cisgender-heterosexual个人体验更糟糕的健康结果和有限的医疗保健机会.
- 一般医生 (GPs) 是德国医疗保健系统的首要联系人.
研究的目的:
- 调查全科医生 (GPs) 对德国女同性恋,同性恋,双性恋和跨性别者 (LGBT*) 个人医疗保健的观点.
主要方法:
- 一项定性研究,涉及19个半结构化采访与城市和农村德国的全科医生.
- 使用框架分析来分析采访数据.
主要成果:
- 与 cisgender-异性恋同事相比,LGBT*医生对LGBT*医疗保健负有更大的责任.
- 大多数全科医生认为,缺乏关于LGBT*健康需求的知识和培训机会.
- 半性别异性恋的全科医生经常觉得自己没有准备,缺乏资源来改善他们对LGBT*医疗保健的教育.
- 少数全科医生诊所,主要由LGBT*医生经营,提供LGBT*特定的初级保健.
- LGBT*医生主张增加对LGBT*初级保健和同事生活的知识.
结论:
- 德国全科医生 (GPs) 之间存在一个重要的知识差距,涉及女同性恋,男同性恋,双性恋和跨性别者 (LGBT*) 的健康需求和挑战.
- 这种知识缺陷导致 cisgender-heterosexual GPs 在为LGBT* 患者提供护理时的不安全感.
- 目前,LGBT*全科医生在LGBT*医疗保健中占比不成比例.
- 在医学院和研究生阶段的结构化培训对于解决这些问题和提高护理质量至关重要.
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