Pryor Ryan E, Vickroy William
Midwifery Institute, Midwifery and Women's Health Programs, Jefferson (Philadelphia University + Thomas Jefferson University), Philadelphia, Pennsylvania.
School of Natural Science, Hampshire College, Amherst, Massachusetts.
Transgend Health. 2019 Feb 8;4(1):18-23. doi: 10.1089/trgh.2018.0049. eCollection 2019.
aTHeNA (a Trans Health Needs Assessment) is a pilot study exploring the perspectives and experiences of trans people in western Massachusetts on and with health care. This study examines research strategies and best practices to improve trans health care by prioritizing the knowledge and recommendations of trans and gender nonbinary people. aTHeNA is composed of a focus group of eight trans and gender nonbinary individuals held in western Massachusetts in January of 2016 and qualitative analysis of that focus group to synthesize themes. aTHeNA utilized an interdisciplinary approach. Concepts of respect, care, self-definition, and intersectionality informed study design and analysis. Key participant recommendations include providing medical care that recognizes and values client self-knowledge, elimination of gender markers in insurance billing, and comprehensive health care team education across inpatient and outpatient settings. Focus group participants outlined the limitations of current services and envisioned possibilities for a more ideal system. Further research is needed to incorporate trans perspectives into health literature.
雅典娜（跨性别健康需求评估）是一项试点研究，旨在探索马萨诸塞州西部跨性别者在医疗保健方面的观点和经历。本研究通过优先考虑跨性别者和性别非二元者的知识与建议，审视改善跨性别医疗保健的研究策略和最佳实践。雅典娜项目由2016年1月在马萨诸塞州西部举行的一次由八名跨性别者和性别非二元者组成的焦点小组以及对该焦点小组进行定性分析以综合主题构成。雅典娜项目采用了跨学科方法。尊重、关怀、自我定义和交叉性的概念为研究设计和分析提供了指导。主要参与者的建议包括提供认可并重视客户自我认知的医疗服务、消除保险计费中的性别标识，以及在住院和门诊环境中对医疗团队进行全面教育。焦点小组参与者概述了当前服务的局限性，并设想了一个更理想系统的可能性。需要进一步开展研究，将跨性别者的观点纳入健康文献。
