Rosenstreich Gabi, Comfort Jude, Martin Paul
National LGBTI Health Alliance, Newtown, NSW 2042, Australia.
Aust J Prim Health. 2011;17(4):302-8. doi: 10.1071/PY11036.
The current period of health reform in Australia offers an opportunity for positive actions to be taken to address the significant challenges that lesbian, gay, bisexual, trans, intersex and other sexuality, sex and gender diverse (LGBTI) people face in the health system. This paper provides analysis of why this group should be considered a priority health group using a social determinants of health framework, which has, to date, largely been ignored within primary health care policy reform in Australia. Several key areas of the primary health care reform package are considered in relation to LGBTI health and well-being. Practical suggestions are provided as to how the primary health care sector could contribute to reducing the health inequities affecting LGBTI people. It is argued that care needs to be taken to ensure the reform process does not further marginalise this group.
澳大利亚当前的医疗改革阶段为采取积极行动提供了契机，以应对女同性恋、男同性恋、双性恋、跨性别者、双性人以及其他性取向、性别多样化（LGBTI）人群在医疗系统中面临的重大挑战。本文运用健康的社会决定因素框架，分析了为何该群体应被视为重点健康群体，而这一框架在澳大利亚初级医疗保健政策改革中迄今基本被忽视。本文结合LGBTI群体的健康与福祉，探讨了初级医疗保健改革方案的几个关键领域。文中还就初级医疗保健部门如何助力减少影响LGBTI群体的健康不平等现象提出了切实可行的建议。本文认为，必须谨慎行事，确保改革进程不会使该群体进一步边缘化。
