Facilitation of sexual and gender identity disclosure and improved healthcare for LGBTQ+ patients: current processes, shortcomings, and recommendations for change

B. C. Ching, A. Campbell, A. Chase, M. Schlief, J. S. Hahn
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引用次数: 2

Abstract

Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ+) people are at increased risk of physical and mental health problems compared to their heterosexual counterparts. There are significant barriers to both accessing and maintaining healthcare for LGBTQ+ people. Disclosure of sexual and gender identity should be facilitated within healthcare services to ensure LGBTQ+ people can receive appropriate healthcare. General practitioners (GPs), being the first point of access to healthcare in the UK, should therefore have knowledge of their patients’ sexual and gender identity. Currently, GPs and other healthcare professionals may not adequately facilitate disclosure of patients’ sexual and gender identity because they believe it is irrelevant or because they feel unequipped. Moreover, heterosexist behaviours from GPs and worries of experiencing discrimination may reduce the likelihood of sexual identity disclosure in patients. This article aims to discuss the current processes and shortcomings within the UK healthcare system to demonstrate that disclosure is not adequately facilitated. Evidence-based recommendations for improved practice are provided, focusing on practitioner training and the primary care environment, whilst building upon the recently launched NHS initiatives such as Pride in Practice. Current efforts to facilitate the needs of LGBTQ+ people must be prioritised and extended in order to end the current healthcare inequalities faced by this community.
促进LGBTQ+患者的性和性别身份披露并改善医疗保健:当前流程、缺点和变革建议
与异性恋人群相比,女同性恋、男同性恋、双性恋、变性人和同性恋/质疑者(LGBTQ+)的身体和精神健康问题的风险更高。LGBTQ+人群在获得和维持医疗保健方面存在重大障碍。在医疗保健服务中,应促进性取向和性别认同的披露,以确保LGBTQ+人群能够得到适当的医疗保健。全科医生(全科医生),作为第一个点获得医疗保健在英国,因此应该知道他们的病人的性和性别认同。目前,全科医生和其他医疗保健专业人员可能没有充分促进病人的性和性别认同的披露,因为他们认为这是无关紧要的,或者因为他们觉得自己没有准备好。此外,全科医生的异性恋行为和对遭受歧视的担忧可能会降低患者披露性别身份的可能性。本文旨在讨论英国医疗保健系统内的当前流程和缺点,以证明信息披露没有得到充分的促进。为改进实践提供了基于证据的建议,重点关注从业者培训和初级保健环境,同时建立在最近推出的NHS倡议,如实践中的骄傲。目前为满足LGBTQ+人群的需求所做的努力必须得到优先考虑和扩大,以结束这个群体目前面临的医疗不平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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