性别认同的故事:经验和观点变性人对医疗保健系统在西班牙。

IF 1.9 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Antonio Martinez-Sabater, Elena Chover-Sierra, Pablo Del Pozo-Herce, Alberto Tovar-Reinoso, Natalia Cano-Ruiz, Marta Araujo-Blesa, Javier Curto-Ramos, Gustavo Mora-Navarro, Raquel Martínez-Pascual, Raúl Juárez-Vela, Eva Garcia Carpintero-Blas
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引用次数: 0

摘要

背景:尽管法律进步和跨性别身份的去病理性化,跨性别者仍然面临着重大障碍和歧视在医疗保健系统。卫生保健专业人员普遍缺乏性别多样性方面的培训,往往导致不舒服、甚至充满敌意的临床遭遇,加剧了身心健康的脆弱性。因此,由于害怕污名化和歧视,许多跨性别者不愿求医,由于延误或放弃医疗,使他们的健康面临进一步的风险。目的:探讨巴伦西亚社区(西班牙)跨性别者对医疗保健专业人员对其护理和支持需求的认识和反应的看法。材料和方法:我们用现象学方法在瓦伦西亚社区进行了描述性定性研究。采用方便抽样法,我们招募了14名参与者。数据是在2022年4月至6月期间通过深度、半结构化、开放式访谈收集的。该研究包括两个连续的阶段:最初的焦点小组会议,然后是使用滚雪球抽样技术进行的个人访谈。结果:我们确定了3个主题领域:T1:跨性别者的专业护理经历;T2:以顺性别为中心的法规在医疗保健系统中的影响;T3:医疗保健专业人员的性别多样性教育需求。结论:迫切需要改革卫生系统,以确保跨性别者获得包容和公平的医疗服务。根据访谈,他们认为更好的专业人员培训将改善他们的护理。此外,它们强调需要减少官僚主义障碍,制定具体的协议,并改善获得专门治疗的机会。实施包容性公共政策将有助于建立一个更公平、更便利的体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender identity stories: Experiences and perspectives of transgender people about healthcare system in Spain.

Background: Despite legal advances and the depathologization of transgender identities, transgender individuals still face significant barriers and discrimination within healthcare systems. A pervasive lack of training in gender diversity among healthcare professionals often results in uncomfortable, even hostile, clinical encounters, exacerbating physical and mental health vulnerabilities. Consequently, fear of stigma and discrimination leads many transgender people to avoid seeking care, placing their wellbeing at further risk due to delayed or foregone medical attention.

Objectives: To explore transgender individuals' perceptions of healthcare professionals' awareness and responsiveness to their care and support needs in the Valencian Community (Spain).

Material and methods: We conducted a descriptive qualitative study with a phenomenological approach in the Valencian Community. Using convenience sampling, we recruited 14 participants. Data were collected between April and June 2022 via in-depth, semi-structured, open-ended interviews. The study comprised 2 sequential phases: An initial focus group session, followed by individual interviews conducted using a snowball sampling technique.

Results: We identified 3 thematic domains: T1: Experiences of professional care among transgender individuals; T2: Impact of cisgender-centric regulations within the healthcare system; T3: Gender diversity education needs for healthcare professionals.

Conclusions: The transformation of the health system is urgent to ensure inclusive and equitable care for transgender people. According to the interviews, they consider that better training of professionals will improve their care. In addition, they highlight the need to reduce bureaucratic barriers, create specific protocols, and improve access to specialized treatment. Implementing inclusive public policies will contribute to a fairer and more accessible system.

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来源期刊
Advances in Clinical and Experimental Medicine
Advances in Clinical and Experimental Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
3.70
自引率
4.80%
发文量
153
审稿时长
6-12 weeks
期刊介绍: Advances in Clinical and Experimental Medicine has been published by the Wroclaw Medical University since 1992. Establishing the medical journal was the idea of Prof. Bogumił Halawa, Chair of the Department of Cardiology, and was fully supported by the Rector of Wroclaw Medical University, Prof. Zbigniew Knapik. Prof. Halawa was also the first editor-in-chief, between 1992-1997. The journal, then entitled "Postępy Medycyny Klinicznej i Doświadczalnej", appeared quarterly. Prof. Leszek Paradowski was editor-in-chief from 1997-1999. In 1998 he initiated alterations in the profile and cover design of the journal which were accepted by the Editorial Board. The title was changed to Advances in Clinical and Experimental Medicine. Articles in English were welcomed. A number of outstanding representatives of medical science from Poland and abroad were invited to participate in the newly established International Editorial Staff. Prof. Antonina Harłozińska-Szmyrka was editor-in-chief in years 2000-2005, in years 2006-2007 once again prof. Leszek Paradowski and prof. Maria Podolak-Dawidziak was editor-in-chief in years 2008-2016. Since 2017 the editor-in chief is prof. Maciej Bagłaj. Since July 2005, original papers have been published only in English. Case reports are no longer accepted. The manuscripts are reviewed by two independent reviewers and a statistical reviewer, and English texts are proofread by a native speaker. The journal has been indexed in several databases: Scopus, Ulrich’sTM International Periodicals Directory, Index Copernicus and since 2007 in Thomson Reuters databases: Science Citation Index Expanded i Journal Citation Reports/Science Edition. In 2010 the journal obtained Impact Factor which is now 1.179 pts. Articles published in the journal are worth 15 points among Polish journals according to the Polish Committee for Scientific Research and 169.43 points according to the Index Copernicus. Since November 7, 2012, Advances in Clinical and Experimental Medicine has been indexed and included in National Library of Medicine’s MEDLINE database. English abstracts printed in the journal are included and searchable using PubMed http://www.ncbi.nlm.nih.gov/pubmed.
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