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寻找思想开放的医生——双性恋、酷儿或女同性恋身份认同的女性如何寻求优质医疗保健。

Seeking open minded doctors - how women who identify as bisexual, queer or lesbian seek quality health care.

作者信息

Mulligan Ea, Heath Mary

机构信息

School of Law, Flinders University of South Australia, Australia.

出版信息

Aust Fam Physician. 2007 Jun;36(6):469-71.

PMID:17565408
Abstract

BACKGROUND

Bisexual, queer and lesbian women experience higher rates of discrimination, trauma and abuse and are at higher risk for adverse health outcomes than heterosexual women in the same populations. This research investigated the strategies these women use to maximise the quality of health care they receive.

METHODS

Semi-structured interviews with 47 self identified bisexual, queer and lesbian women. Predominant themes were correlated with findings by other researchers.

RESULTS

These women sought skilled practitioners who responded positively or neutrally to their sexuality. Some did not disclose their sexuality even where it seemed relevant, or preferred finding an accepting practitioner to ensuring continuity of care. Additional strategies for obtaining quality care included: 'coming out', selecting practitioners carefully, and educating practitioners about sexuality.

DISCUSSION

Like those in other countries, Australian bisexual, queer, and lesbian women do not assume that health practitioners will accept their sexuality. They seek to avoid hostility by locating sympathetic practitioners. General practitioners can signal their willingness to provide quality services to these patients by relatively simple methods.

摘要

背景

在相同人群中,双性恋、酷儿和女同性恋女性遭受歧视、创伤和虐待的比例更高,且面临不良健康后果的风险也高于异性恋女性。本研究调查了这些女性为使所接受的医疗保健质量最大化而采用的策略。

方法

对47名自我认定为双性恋、酷儿和女同性恋的女性进行了半结构化访谈。主要主题与其他研究人员的发现相关。

结果

这些女性寻求对其性取向给予积极或中立回应的专业从业者。有些人即使在似乎相关的情况下也不透露自己的性取向,或者更倾向于找到一位接纳自己的从业者,而非确保医疗护理的连续性。获得优质护理的其他策略包括:“出柜”、仔细挑选从业者以及对从业者进行性取向方面的教育。

讨论

与其他国家的情况一样,澳大利亚的双性恋、酷儿和女同性恋女性并不认为医疗从业者会接受她们的性取向。她们试图通过找到有同情心的从业者来避免敌意。全科医生可以通过相对简单的方法表明愿意为这些患者提供优质服务。

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