医疗护理导航服务支持获得性别确认护理:聊天对话的定性分析
Patrina Sexton Topper1, Seul Ki Choi2, Arianna Hall-Grix2
1Villanova University, Fiztpatrick College of Nursing, Villanova, Pennsylvania, United States of America.
PloS one
|October 23, 2025
概括
从虚拟导航服务中培训的护理协调员通过提供体面的体验和浏览复杂的保险系统,显著帮助跨性别和性别多样性 (TGD) 的人获得性别肯定护理 (GAC).
科学领域:
- 获得医疗保健的机会.
- 医疗服务研究 医疗服务研究
- 跨性别者健康问题
背景情况:
- 跨性别和性别多样性 (TGD) 个体在获得医疗保健方面面临重大障碍.
- 虚拟医疗导航服务已经出现,以解决这些系统性差距.
- 对于TGD个人和家庭在医疗保健和保险方面进行导航,支持至关重要.
研究的目的:
- 在虚拟导航服务中对训练有素的护理协调员 (CCs) 的作用进行定性探索.
- 了解CC如何满足商业保险TGD个人的性别确认护理 (GAC) 需求.
主要方法:
- 分析了CC和服务人员之间的编辑过的聊天对话.
- 用多个编码轮进行反射主题分析的应用.
主要成果:
- 出现了三个关键主题:提供体面的体验,促进肯定患者-提供者关系,以及导航复杂的保险系统.
- 副主题包括共享生活经验,GAC的安全探索,与经过审查的提供商的联系,保险导航,上诉援助和获得支持信.
结论:
- 虚拟医疗导航服务,与训练有素的CC,有效地帮助TGD患者克服医疗和保险障碍.
- 这些服务在个人,人际关系和结构层面提供好处,具有临床和政策影响.
- 量身定制的,可扩展的虚拟导航服务需要进一步对更广泛的人群进行评估.
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