Department of History of Medicine and Ethics, Hacettepe University Faculty of Medicine, Sıhhiye, 06100, Ankara, Turkey.
Department of History of Medicine and Ethics, Ankara University Faculty of Medicine, Morphology Building, Ahmet Adnan Saygun Cad. No.35, Altındag, 06230, Ankara, Turkey.
J Bioeth Inq. 2018 Dec;15(4):497-509. doi: 10.1007/s11673-018-9874-5. Epub 2018 Oct 2.
When accessing healthcare services, LGBT+ individuals are often exposed to segregating and marginalizing discourses. Knowledge about how such experiences are reflected in the moral world of LGBT+ individuals living in Turkey is limited. This study examined LGBT+ individuals' lived experiences when utilizing healthcare services. The findings are discussed in terms of moral discourses related to LGBT+ individuals' gender identity and sexual orientation. A qualitative field study was conducted using semi-structured interviews with fifty-five LGBT+ individuals from Turkish cities who were in contact with various non-governmental organizations that conduct studies on gender identity and sexual orientation. A questionnaire was administered with items on participants' demographic information, experiences, behavioural patterns, and knowledge regarding healthcare services. The data were analysed thematically. The findings were evaluated within the framework of "access to healthcare service" theme related to "healthcare service demand" context. Additionally, the "interaction with physicians" theme was addressed in the context of "physician-patient/counselee relationship." LGBT+ individuals state that they are exposed to stigmatizing and segregating discourses by healthcare professionals, which might pose an obstacle for adaptive health-seeking behaviours. These results suggest that physicians' professional approach has a considerable influence on LGBT+ individuals' capacity for utilizing healthcare services.
当 LGBT+群体寻求医疗保健服务时，他们常常面临着歧视和边缘化的言论。关于这些经历在土耳其生活的 LGBT+群体的道德世界中是如何反映的，相关知识有限。本研究探讨了 LGBT+群体在使用医疗保健服务时的真实体验。研究结果从与 LGBT+群体的性别认同和性取向相关的道德话语方面进行了讨论。本研究采用定性实地研究方法，对来自土耳其城市的 55 名与开展性别认同和性取向研究的非政府组织有过接触的 LGBT+个体进行了半结构式访谈。调查内容包括参与者的人口统计学信息、经历、行为模式以及他们对医疗保健服务的了解。采用主题分析法对数据进行了分析。研究结果在与“医疗服务需求”背景相关的“获得医疗服务”主题框架内进行了评估。此外，在“医患/咨询者关系”背景下还探讨了“与医生的互动”主题。LGBT+群体表示，他们在寻求医疗服务时会受到医疗保健专业人员的污名化和隔离言论的影响，这可能会对他们寻求适应性健康行为产生障碍。这些结果表明，医生的专业方法对 LGBT+群体利用医疗保健服务的能力有重大影响。
