获取性别确认医疗保健和外科手术的障碍:系统性审查
Madeline R Ebert1, Meng S Guo2, Spencer J Klein2
1Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Transgender health
|December 4, 2025
概括
对跨性别和非二进制 (TGNB) 个体进行性别肯定性手术护理的障碍包括成本,提供者的可用性和种族差异. 解决这些问题需要改变政策,以改善TGNB人口获得医疗保健的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 医学社会学 医学社会学
背景情况:
- 跨性别和非二进制 (TGNB) 个人经历了严重的歧视,影响了医疗保健的可获得性.
- 现有研究强调了TGNB人口获得性别确认护理的挑战.
研究的目的:
- 系统地审查和总结对TGNB个人的性别确认手术和激素护理的障碍.
- 确定TGNB性别肯定性外科医疗保健中的知识差距.
- 为了利用Penchansky和Thomas对获得护理框架的维度.
主要方法:
- 对Ovid Medline,Scopus和Web of Science数据库进行系统审查.
- 搜索到英语同行评审文章,报告原始定量和/或定性数据,截至2022年4月.
- 在选了1046个标题和摘要后,包括25篇相关文章.
主要成果:
- 确定了主要障碍:负担能力 (保险覆盖不足),可访问性 (缺乏熟练的提供者,特别是在农村/郊区),以及种族差异.
- 种族少数群体在获得性别肯定护理方面面临着复杂的挑战.
- 研究主要利用患者调查和保险政策分析.
结论:
- 尽管有所改善,但对TGNB个人来说,性别肯定护理的重大障碍仍然存在.
- 潘钱斯基和托马斯的维度有效地解释了地理,金融和种族障碍.
- 医疗和公共卫生部门的政策变化对于解决这些不平等至关重要.
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