Exploring the implementation and delivery of primary care services for transgender individuals in Ontario: case study protocol
Exploring the implementation and delivery of primary care services for transgender individuals in Ontario: case study protocol
复制标题
探索安大略省跨性别者初级保健服务的实施和提供：案例研究协议
DOI：
10.1017/s1463423620000109
复制
发表时间：
2020
影响因子：
1.6
通讯作者：
J. Yost
中科院分区：
文献类型：
--
作者：
E. Ziegler;R. Valaitis;Nancy Carter;C. Risdon;J. Yost
Abstract Background: Historically transgender adults have experienced barriers in accessing primary care services. In Ontario, Canada, health care for transgender adults is accessed through primary care; however, a limited number of practitioners provide care, and patients are often waiting and/or traveling great distances to receive care. The purpose of this protocol is to understand how primary care is implemented and delivered for transgender adults. The paper presents how the case study method can be applied to explore implementation of health services delivery for the transgender population in primary care. Methods: Case study methodology will be used to explore this phenomenon in different primary care contexts. Normalization Process Theory is used as a guide. Three cases known to provide transgender primary care and represent different Ontario primary care models have been identified. Comparing transgender care implementation and delivery across different models is vital to understanding how care provision to this population can be supported. Qualitative interviews will be conducted. Participants will also complete the NoMAD (NOrmalization MeAsure Development) survey, a tool measuring implementation processes. The tool will be modified to explore the implementation of primary care services for transgender individuals. Documentary evidence will be collected. Cross-case synthesis will be completed to compare the cases. Discussion: Findings will provide an Ontario perspective on the implementation and delivery of primary care for transgender adults in different primary care models. Results may be applicable to other primary care settings in Canada and other nations with similar systems. Barriers and facilitators in delivery and implementation will be identified. Providing an understanding and increasing awareness of the implementation and delivery of primary care may help to reduce the invisibility and disparities transgender individuals experience when accessing primary care services. Understanding delivery of care could allow care providers to implement primary care services for transgender individuals, improving access to health care for this vulnerable population.
DOI：
--
发表时间：
2006
期刊：
第2回国際ユニヴァーサルデザイン会議proceedings
影响因子：
--
作者：
平井康之;冨本浩一郎;Rama Gheerawo
通讯作者：
Rama Gheerawo