退伍军人健康管理局中跨性别退伍军人的医疗服务获取情况：2006 - 2013年
Access to care for transgender veterans in the Veterans Health Administration: 2006-2013.
作者信息
Kauth Michael R, Shipherd Jillian C, Lindsay Jan, Blosnich John R, Brown George R, Jones Kenneth T
机构信息
Michael R. Kauth and Jan Lindsay are with VA South Central Mental Illness Research, Education, and Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX. Jillian C. Shipherd is with VA Boston Healthcare System, Boston, MA. John R. Blosnich is with the VA Pittsburgh Healthcare System, Center for Health Equity Research and Promotion, Pittsburgh, PA. George R. Brown and Kenneth T. Jones are with the Office of Health Equity, Department of Veterans Affairs, Washington, DC.
出版信息
Am J Public Health. 2014 Sep;104 Suppl 4(Suppl 4):S532-4. doi: 10.2105/AJPH.2014.302086.
A 2011 Veterans Health Administration directive mandated medically necessary care for transgender veterans. Internal education efforts informed staff of the directive and promoted greater access to care. For fiscal years 2006 through 2013, we identified 2662 unique individuals with International Classification of Diseases, Ninth Revision diagnoses related to transgender status in Veterans Health Administration medical records, with 40% of new cases in the 2 years following the directive. A bottom-up push for services by veterans and top-down education likely worked synergistically to speed implementation of the new policy and increase access to care.
2011年退伍军人健康管理局的一项指令规定为变性退伍军人提供必要的医疗护理。内部教育工作让工作人员了解了该指令，并促进了更多的医疗护理机会。在2006财年至2013财年期间，我们在退伍军人健康管理局的医疗记录中确定了2662名患有与变性身份相关的国际疾病分类第九版诊断的独特个体，其中40%的新病例是在该指令发布后的两年内出现的。退伍军人自下而上对服务的推动和自上而下的教育可能协同发挥作用，加速了新政策的实施并增加了医疗护理的可及性。
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