Accessing and utilising gender-affirming healthcare in England and Wales: trans and non-binary people's accounts of navigating gender identity clinics.
Accessing and utilising gender-affirming healthcare in England and Wales: trans and non-binary people's accounts of navigating gender identity clinics.
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DOI：
10.1186/s12913-021-06661-4
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发表时间：
2021-06-28
影响因子：
2.8
通讯作者：
Witzel TC
中科院分区：
文献类型：
--
作者：
Wright T;Nicholls EJ;Rodger AJ;Burns FM;Weatherburn P;Pebody R;McCabe L;Wolton A;Gafos M;Witzel TC
跨性别者在获得性别平等的医疗保健方面遇到了许多障碍，在获得初级保健和专科服务方面也遇到了一系列障碍和便利因素，通常认为歧视和顺性别主义在塑造可获得性方面发挥了核心作用。从初级保健到专家服务的途径对跨性别者来说是一个特别不稳定的时期，错误的信息和应用不当的协议可能对福祉产生不利影响。我们招募了跨参与者从艾滋病毒自我检测公共卫生干预（SELPHI）试验的采访，探讨当代的性别肯定的服务经验，目的是研究的路径，从初级保健服务到专业的性别服务，在英国。叙事合成的小插曲和深入的定性访谈的主题分析进行了20跨个人。我们总结了三大类护理的积极和消极的帐户：初级保健医生的经验，转介到性别认同诊所（GIC），并在GIC的经验。我们讨论了这项研究的影响，在如何改善跨人试图在英国获得性别肯定的医疗保健的最佳实践。在这里，我们强调了全科医生获得有关全面治疗跨性别患者的途径、方案和临床实践知识的重要性。
Transgender, or trans, people experience a number of barriers to accessing gender-affirming healthcare and have a range of barriers and facilitators to primary care and specialist services, commonly citing discrimination and cisgenderism playing a central role in shaping accessibility. The pathway through primary care to specialist services is a particularly precarious time for trans people, and misinformation and poorly applied protocols can have a detrimental impact on wellbeing. We recruited trans participants from an HIV Self-Testing Public Health Intervention (SELPHI) trial to interviews which explored contemporary gender-affirming service experiences, with an aim to examine the path from primary care services through to specialist gender services, in the UK. A narrative synthesis of vignettes and thematic analysis of in-depth qualitative interviews were conducted with twenty trans individuals. We summarise positive and negative accounts of care under three broad categories: Experiences with primary care physicians, referrals to gender identity clinics (GICs), and experiences at GICs. We discuss implications of this research in terms of how to improve best practice for trans people attempting to access gender-affirming healthcare in the UK. Here we highlight the importance of GP’s access to knowledge around pathways and protocols and clinical practice which treats trans patients holistically.
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