Cavanaugh Timothy, Hopwood Ruben, Lambert Cei
Family practitioner and the medical director for the Transgender Health Program at Fenway Health in Boston.
Coordinator for the Transgender Health Program at Fenway Health in Boston.
AMA J Ethics. 2016 Nov 1;18(11):1147-1155. doi: 10.1001/journalofethics.2016.18.11.sect1-1611.
Informed consent as a model of care has evolved as an alternative to the standard model of care recommended by the World Professional Association for Transgender Health's Standards of Care, version 7, which emphasizes the importance of mental health professionals' role in diagnosing gender dysphoria and in assessing the appropriateness and readiness for gender-affirming medical treatments. By contrast, the informed consent model for gender-affirming treatment seeks to acknowledge and better support the patient's right to, and capability for, personal autonomy in choosing care options without the required involvement of a mental health professional. Clinicians' use of the informed consent model would enable them both to attain a richer understanding of transgender and gender-nonconforming patients and to deliver better patient care in general.
作为一种护理模式的知情同意，已发展成为世界跨性别健康专业协会《护理标准》第7版所推荐的标准护理模式的替代方案。该标准强调心理健康专业人员在诊断性别焦虑症以及评估性别肯定性医疗治疗的适宜性和准备情况方面的重要作用。相比之下，性别肯定性治疗的知情同意模式旨在承认并更好地支持患者在选择护理方案时的个人自主权以及能力，而无需心理健康专业人员的必要参与。临床医生采用知情同意模式将使他们既能更深入地了解跨性别和性别不一致的患者，又能总体上提供更好的患者护理。
