Irwig Michael S
Endocr Pract. 2016 Jul;22(7):832-6. doi: 10.4158/EP151185.OR. Epub 2016 Feb 26.
Little is known about the attitudes and practice patterns of transgender care by endocrinologists. The objective of this study was to assess the knowledge, practice patterns, access, and competency among a representative sample of endocrinologists in the mid-Atlantic region of the United States.
An anonymous 19-item paper survey was administered to 80 conference attendees that included 61 adult endocrinologists, 13 endocrinology fellows, 2 pediatric endocrinologists, and 4 nurse practitioners/physician assistants.
The participation rate was estimated to be ~80%. Sixty-three percent of endocrinology providers were willing to provide transgender care, but the majority of providers had no current transgender patients under their care. Half of providers had read the Endocrine Society's clinical practice guidelines, with a rate of 70% among those under age 40. Nonetheless, only 20% were "very" comfortable in discussing gender identity and/or sexual orientation, and 41% described themselves as "somewhat" or "very" competent to provider transgender care.
Endocrinologists and other providers have received more education and training on transgender care within the past decade. Nevertheless, many participants have had little opportunity to care for transgender patients, and they rate their competency to do so as low. Research is needed on how to increase comfort levels regarding gender identity among those who provider care to transgender patients.
关于内分泌科医生对跨性别者护理的态度和实践模式，人们了解甚少。本研究的目的是评估美国大西洋中部地区内分泌科医生代表性样本中的知识水平、实践模式、就医机会和能力。
对80名会议参与者进行了一项包含19个项目的匿名纸质调查，其中包括61名成人内分泌科医生、13名内分泌科住院医师、2名儿科内分泌科医生和4名执业护士/医师助理。
估计参与率约为80%。63%的内分泌科医疗服务提供者愿意提供跨性别者护理，但大多数提供者目前没有正在接受其护理的跨性别患者。一半的提供者阅读过内分泌学会的临床实践指南，40岁以下的提供者阅读率为70%。尽管如此，只有20%的人在讨论性别认同和/或性取向时“非常”自在，41%的人表示自己在提供跨性别者护理方面“有些”或“非常”胜任。
在过去十年中，内分泌科医生和其他医疗服务提供者接受了更多关于跨性别者护理的教育和培训。然而，许多参与者几乎没有机会护理跨性别患者，并且他们认为自己在这方面的能力较低。需要开展研究，以提高为跨性别患者提供护理的人员对性别认同的自在程度。
