University of Nebraska at Kearney, Kearney, Nebraska, USA.
University of Nebraska-Lincoln, Lincoln, Nebraska, USA.
Qual Health Res. 2020 Feb;30(3):409-422. doi: 10.1177/1049732319860265. Epub 2019 Jul 22.
Transgender and gender diverse (TGD) individuals face a long-term, multifaceted process if they choose to begin a gender affirmation journey. Decisions to go on hormone therapy and/or have a surgical procedure necessitate the TGD individual to set up an appointment with a health care provider. However, when TGD patients interact with health care practitioners, problems can arise. This article documents and categorizes the types of unmet expectations that are common in the TGD patient-health care provider social dynamic in the Central Great Plains of the United States. Utilizing a community-based participatory research model, qualitative in-depth interviews were conducted with 27 TGD individuals about their health care experiences. From this, the researchers identified four main themes of unmet expectations: probing, gatekeeping, stigmatizing stance, and misgendering/deadnaming. Steps that can be taken by both the health care provider and the TGD individual to have a more successful encounter are discussed.
跨性别和性别多样化（TGD）个体如果选择开始性别确认之旅，将面临长期的、多方面的过程。决定开始激素治疗和/或手术程序需要 TGD 个体预约医疗保健提供者。然而，当 TGD 患者与医疗保健从业者互动时，可能会出现问题。本文记录并分类了在美国中部大平原地区 TGD 患者-医疗保健提供者社会动态中常见的未满足期望的类型。利用基于社区的参与式研究模型，对 27 名 TGD 个体进行了关于他们的医疗保健经验的定性深入访谈。由此，研究人员确定了未满足期望的四个主要主题：探究、把关、污名化立场和错误性别称呼/旧名。讨论了医疗保健提供者和 TGD 个体可以采取的措施，以获得更成功的互动。
