BM (UK), FRACGP, Medical Educator, Northern Territory General Practice Education (NTGPE), Charles Darwin University, NT; General Practitioner, Pandanus Medical NT, NT.
Aust J Gen Pract. 2020 Jul;49(7):385-390. doi: 10.31128/AJGP-01-20-5197.
In recent years there has been a significant increase in the number of trans, gender diverse and non-binary (TGDNB) people accessing healthcare. For many of these individuals the first port of call will be to their local general practitioner (GP). The TGDNB community is a high-priority population with the highest suicide rates of any population group in Australia. There is evidence that mental health outcomes improve significantly when individuals are able to access gender-affirming hormones.
The aim of this article is to provide GPs working in Australia with a practical guide to prescribe gender-affirming hormone therapy to TGDNB patients.
GPs are ideally placed to provide care for TGDNB patients in the primary care setting. Gender incongruence is no longer viewed as a mental health disorder. In recent years there has been a move away from mandatory psychiatric assessment to more contemporary patient-centred models of care.
近年来，越来越多的跨性别、性别多样化和非二进制（TGDNB）人士开始寻求医疗保健。对于这些人来说，他们的第一站通常是当地的全科医生（GP）。TGDNB 群体是一个高优先级的群体，其自杀率是澳大利亚所有群体中最高的。有证据表明，当个人能够获得性别肯定激素时，心理健康状况会显著改善。
本文的目的是为在澳大利亚工作的全科医生提供一份实用指南，指导他们为 TGDNB 患者开具性别肯定激素治疗的处方。
全科医生是在初级保健环境中为 TGDNB 患者提供护理的理想人选。性别不一致不再被视为一种精神健康障碍。近年来，人们已经从强制性的精神科评估转向更现代的以患者为中心的护理模式。
