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瘤学中的性取向和性别认同数据:从全国定性访谈研究中进行的主题分析
Beck Gold1, Dana Rosenberg1, Megan A Mullins2
1Department of Medicine, GW Cancer Center, the George Washington University (GWU) School of Medicine and Health Sciences, Washington, DC, USA.
Cancer medicine
|November 20, 2025
概括
在癌症护理中收集性取向和性别认同 (SOGI) 数据面临着耻辱和系统问题等障碍. 解决这些问题对于公平的LGBTQI+患者护理至关重要.
科学领域:
- 在瘤学瘤学.
- 健康 公平 卫生 公平
- 定性研究是指质量研究.
背景情况:
- 癌症中心对性取向和性别认同 (SOGI) 数据的不一致收集阻碍了公平的护理.
- 了解障碍对于改善SOGI数据收集实践至关重要.
研究的目的:
- 从采访中确定关于在瘤实践中收集SOGI数据的关键主题.
- 探索SOGI在癌症护理机构数据收集的挑战和促进者.
主要方法:
- 在23个美国癌症中心进行了62次半结构面试.
- 采用了面试成绩单的感应式,开放式编码主题定性分析.
主要成果:
- 确定了障碍:耻辱,偏见,抵抗,工作流的碎片化,机构惯性.
- 强调了工作人员接触LGBTQI+个人的重要性,以了解临床相关性.
- 揭示了结构性挑战:EHR的局限性,影响跨性别患者护理的计费问题.
结论:
- 社会文化,制度和系统因素为癌症护理中的常规SOGI数据收集创造了复杂的障碍.
- 解决这些多方面的障碍是促进LGBTQI+癌症患者健康平等的必要条件.
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