检查获得性别确认手术的机会:对结构性和系统性障碍和支持进行基于社区的专题分析
Braveheart Gillani1, Amine Sahmoud2, Daniel Hamilton3
1School of Social Work, University of North Carolina at Charlotte, Charlotte, NC, USA.
SSM. Qualitative research in health
|December 15, 2025
概括
变性人和性别多元的人面临着性别肯定手术 (GAS) 的重大障碍,包括保险问题和守门员. 社区支持和肯定护理是获得这种必不可少的医疗保健的关键促进因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
- 医学人类学 医学人类学
背景情况:
- 获得性别确认手术 (GAS) 是跨性别和性别多样性个人 (TGDI) 医疗保健的关键组成部分.
- 了解GAS的多方面的障碍和促进因素对于改善健康公平和患者结果至关重要.
研究的目的:
- 识别和探索跨性别和性别多样性个体 (TGDI) 获得性别肯定手术 (GAS) 的障碍和促进者.
- 评估结构性,社会性和系统性因素对GAS可访问性的影响.
- 突出促进者,改善TGDI的医疗保健和福祉.
主要方法:
- 基于社区的参与式研究 (CBPR) 方法.
- 对35名TGDI参与者的焦点小组数据进行主题分析.
- 探索与保险的经验,世界跨性别健康专业协会 (WPATH) 标准和提供者互动.
主要成果:
- 主要促进者包括社区支持,可访问的医疗保健和尊重的提供者.
- 确定的主要障碍是保险困难,WPATH标准,医疗门户,负面的医疗经验和缺乏代表.
- 参与者报告了复杂的障碍,包括导航保险和WPATH指南的情感负担.
结论:
- 社区网络,选定的家庭和同行知识共享是GAS访问的关键促进者.
- 调查结果强调需要改革资格途径和提供者在创伤信息化护理方面的培训.
- 对社区基础设施的投资对于支持TGDI医疗保健和福祉至关重要.
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