Sexual and gender minoritized persons in organ and tissue donation: a qualitative analysis.

IF 3.3 3区医学 Q1 ANESTHESIOLOGY

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie Pub Date : 2025-07-15 DOI:10.1007/s12630-025-03011-4

Murdoch Leeies, Carmen Hrymak, David Collister, Emily Christie, Karen Doucette, Ogai Sherzoi, Tricia Carta, Ken Sutha, Cameron T Whitley, Tzu-Hao Lee, Matthew J Weiss, Sonny Dhanani, Julie Ho

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引用次数: 0

Abstract

Purpose: Sexual and gender minoritized persons (SGMs) experience inequities, harms, and gaps in care in organ and tissue donation and transplantation (OTDT) systems. The experiences of SGMs navigating OTDT have not been published from their own perspectives.

Methods: We conducted semistructured interviews, transcribed verbatim, and performed a formal qualitative best-fit framework synthesis and inductive thematic analysis with an SGM OTDT patient and caregiver advisory team (N = 12/13) to characterize their self-described experiences.

Results: Emergent themes included: 1) stigma, discriminatory criteria, and inertia to change; 2) OTDT patient and community relations; 3) benefits, strength, and resilience of the SGM community; and 4) SGM priorities and opportunities for improvement. Each theme and its respective subthemes are presented with representative quotes.

Conclusions: Our novel findings detail the ways that SGMs experience OTDT health care, highlighting the harms of discriminatory donor risk assessment criteria and the need for equitable policy revision. Opportunities to enhance inclusive care include institutional acknowledgement of inequities and transparent communication, target training for health care providers, and intersectional SGM and OTDT caregiver support networks.

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器官和组织捐赠中的性和性别少数群体：定性分析。

目的：在器官和组织捐赠与移植（OTDT）系统中，性和性别少数群体（SGMs）在护理方面遭遇不平等、伤害和差距。SGMs导航OTDT的经验尚未从他们自己的角度发表。方法：我们对一名SGM OTDT患者和护理人员咨询团队（N = 12/13）进行了半结构化访谈，逐字记录，并进行了正式的定性最适合框架综合和归纳主题分析，以描述他们自我描述的经历。结果：新出现的主题包括：1)污名化、歧视性标准和惰性改变；2) OTDT患者与社区关系；3) SGM社区的利益、力量和复原力；4) SGM的优先事项和改进机会。每个主题及其各自的子主题都有代表性的引用。结论：我们的新发现详细描述了sgm经历OTDT医疗保健的方式，强调了歧视性供体风险评估标准的危害和公平政策修订的必要性。加强包容性护理的机会包括机构承认不平等和透明的沟通，对卫生保健提供者进行有针对性的培训，以及交叉的SGM和OTDT护理人员支持网络。

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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来源期刊

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie 医学-麻醉学

CiteScore

8.50

自引率

7.10%

发文量

161

审稿时长

6-12 weeks

期刊介绍： The Canadian Journal of Anesthesia (the Journal) is owned by the Canadian Anesthesiologists’ Society and is published by Springer Science + Business Media, LLM (New York). From the first year of publication in 1954, the international exposure of the Journal has broadened considerably, with articles now received from over 50 countries. The Journal is published monthly, and has an impact Factor (mean journal citation frequency) of 2.127 (in 2012). Article types consist of invited editorials, reports of original investigations (clinical and basic sciences articles), case reports/case series, review articles, systematic reviews, accredited continuing professional development (CPD) modules, and Letters to the Editor. The editorial content, according to the mission statement, spans the fields of anesthesia, acute and chronic pain, perioperative medicine and critical care. In addition, the Journal publishes practice guidelines and standards articles relevant to clinicians. Articles are published either in English or in French, according to the language of submission.