在LGBTQ+医疗保健获取中构建整体性:一个有基础的理论模型
Braveheart Gillani1, Jessamyn Moxie2, Meagan Ray-Novak3
1College of Health and Human Services, School of Social Work, Violence Prevention Center, University of North Carolina, Charlotte, NC 28223, USA.
Healthcare (Basel, Switzerland)
|February 27, 2026
概括
尽管面临系统性障碍,但LGBTQ+个人通过自我发现和社区支持等内部过程在医疗保健中建立完整性. 这种新兴的理论强调了认同融合和意义创造,以肯定LGBTQ+健康.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 卫生社会学 卫生社会学
背景情况:
- LGBTQ+个人面临着肯定医疗保健的重大障碍,包括歧视和结构性不平等.
- 提供者限制进一步加剧了获得适当护理的挑战.
- 这项研究解决了对LGBTQ+个体如何在医疗保健机构内建立完整感的更深入理解的需求.
研究的目的:
- 开发一个新兴的基础理论模型,为LGBTQ+个人在医疗保健中构建整体性.
- 探索外部医疗保健系统力量和促进整体性的内部过程之间的动态相互作用.
- 告知医疗保健方法,确认LGBTQ+身份和福祉.
主要方法:
- 从彩虹连接研究的定性数据的二次分析使用构造主义接地理论.
- 通过Zoom与28名LGBTQ+参与者和社区中心工作人员进行了8个小组建模会议.
- 严格的分析涉及开放,轴向和选择性编码,常数比较方法,反射记忆和成员检查.
主要成果:
- LGBTQ+个人在医疗保健系统中进行导航,外部力量可以分散或支持他们的自我意识.
- 四个相互关联的内部过程 - - 相互连接的自我,社区内部的支持,自我决定的关怀和寻找意义 - - 促进了走向整体的运动.
- 这些非线性,代的过程在不同的LGBTQ+身份和生命阶段被观察到.
结论:
- 对LGBTQ+个体的医疗保健体验包括身份融合,社区依赖和创造意义,超越了仅仅是获取.
- 肯定LGBTQ+健康需要促进整体性和减少结构性伤害的医疗保健模式.
- 认识到社区支持的关键作用对于有效的LGBTQ+医疗导航至关重要.
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