J Am Pharm Assoc (2003). 2019 Jul-Aug;59(4S):S62-S66. doi: 10.1016/j.japh.2019.03.014. Epub 2019 Jun 13.
The objective of this study was to determine whether community-based pharmacists in North Carolina have the personal confidence, comfort level, and resources needed to care appropriately for and interact with transgender patients.
Using the North Carolina Board of Pharmacy database, a link to a 25-item questionnaire was e-mailed to all actively licensed community pharmacists in North Carolina. Survey items included pharmacist demographics, prior or current education on transgender health care, comfort regarding care provision for transgender patients, and the ability to care for transgender patients at the practice site. Questionnaire items were developed in collaboration with a pharmacist who actively participates in the care of transgender patients. The questionnaire was pilot-tested among a convenience sample of student pharmacists and pharmacists for feedback on validity and question structure. The survey was open for 30 days with a reminder sent on day 15. Upon survey completion, participants had the option to be entered into a drawing to receive a gift card incentive.
In total, 342 surveys were completed of 4784 surveys distributed, yielding a 7.1% response rate. Three percent of survey respondents reported receiving education on treating transgender patients during their respective pharmacy school curricula, and 12% of respondents sought other forms of transgender education (i.e., continuing education). Seventy-one percent of respondents viewed the role of the pharmacist as important in the care of transgender patients. Sixty-six percent of respondents were comfortable welcoming transgender patients into their practice sites, and 36% were comfortable asking for pronouns.
Survey participants reported a lack of formal or postgraduate education, which describes a need for accessible education on transgender care. North Carolina community-based pharmacists believe that it is within their role as pharmacists to provide gender-affirming care, but they may need additional training to feel comfortable in providing this care.
本研究旨在确定北卡罗来纳州的社区药剂师是否具有适当照顾和与跨性别患者互动所需的个人信心、舒适度和资源。
使用北卡罗来纳州药剂师委员会数据库，向北卡罗来纳州所有活跃持照的社区药剂师发送一封电子邮件链接，其中包含一份 25 项的调查问卷。调查项目包括药剂师的人口统计学特征、有关跨性别保健教育的既往或当前教育、对为跨性别患者提供护理的舒适度以及在实践地点为跨性别患者提供护理的能力。调查问卷项目是与一位积极参与跨性别患者护理的药剂师合作开发的。该问卷在一组学生药剂师和药剂师中进行了试点测试，以获取有效性和问题结构方面的反馈。调查开放了 30 天，并在第 15 天发送了提醒。完成调查后，参与者可以选择参与抽奖，有机会获得礼品卡奖励。
共完成了 342 份调查，共发放了 4784 份调查，响应率为 7.1%。3%的调查受访者报告在各自的药学课程中接受过治疗跨性别患者的教育，12%的受访者寻求其他形式的跨性别教育（即继续教育）。71%的受访者认为药剂师在跨性别患者的护理中发挥着重要作用。66%的受访者愿意欢迎跨性别患者进入他们的实践场所，36%的受访者愿意询问代词。
调查参与者报告缺乏正规或研究生教育，这表明需要提供易于获取的跨性别护理教育。北卡罗来纳州的社区药剂师认为，作为药剂师提供性别肯定护理是他们的职责，但他们可能需要额外的培训才能在提供这种护理时感到舒适。
