周期性不确定性:中部阿巴拉契亚州的医疗保健提供者和性别肯定护理
Chase Harless1,2, Irene Park Ulrich1,3, Tiara Giddings1
1Southern Equality Research & Policy Center, Asheville, North Carolina, USA.
International journal of transgender health
|November 3, 2025
概括
中部阿巴拉契亚州的初级保健提供者希望获得更多的教育,以自信地为跨性别和性别非二元 (TGNB) 患者提供性别肯定护理 (GAC). 缺乏知识,而不是意愿,影响了对这些服务不足的人群的护理服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 卫生社会学 卫生社会学
背景情况:
- 据估计,有140万至2300万跨性别和性别非二元 (TGNB) 成年人居住在美国.
- 关于TGNB在东南部,特别是阿巴拉契亚中部的医疗保健服务的研究有限.
- 了解初级保健提供者的观点对于改善TGNB健康结果至关重要.
研究的目的:
- 探索初级保健提供者在向中部阿巴拉契亚地区的TGNB患者提供性别确认护理 (GAC) 的观点.
- 确定在这个服务不足的地区提供GAC的障碍和促进者.
- 为制定有针对性的教育干预措施提供信息.
主要方法:
- 对中央阿巴拉契亚社区卫生组织的医疗保健提供者进行的十六次深入采访进行了定性主题分析.
- 专注于为TGNB个人提供GAC的经验.
- 探索提供者的知识,信心和感知需求.
主要成果:
- 实践者的基线知识显著影响他们对提供GAC的看法.
- 医疗服务提供者报告说,他们对为TGNB患者提供护理缺乏确定性和信心.
- 显而易见的是,人们对教育资源和支持的需求有强烈的兴趣和认可.
- 同事和患者被确定为有价值的知识来源.
结论:
- 存在不一致的GAC定义,但人们认识到提供GAC的重要性.
- 对治疗TGNB患者的犹主要源于缺乏自信和教育.
- 有效的GAC超越了与转型相关的医学,需要更广泛的理解.
- 有针对性的教育和支持对于提高提供者能力和改善TGNB医疗保健至关重要.
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