College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.
School of Social Work, University of Montreal, Montréal, Canada.
Health Sociol Rev. 2021 Mar;30(1):58-71. doi: 10.1080/14461242.2020.1845223. Epub 2020 Nov 13.
Access to medical care is significant for many transgender young people and their families, which involves interactions with healthcare professionals. While a trans affirming model is used across Australian paediatric gender clinics, this does not automatically mean that all transgender young people and their parents experience the care they receive as affirming. This article considers the experiences and views of transgender young people (aged 11-17) and their parents in relation to healthcare professionals inside and outside of gender clinics in Australia. Ten qualitative interviews were conducted with parent-child dyads in two Australian states. Key themes relating to healthcare professionals were: differing levels of healthcare professional knowledge and affirmation, quality of service is dependent on individual healthcare professionals, and lack of connected services and referral pathways. The discussion explores specific issues arising from the findings that suggest implications for training for healthcare professionals so as to be better equipped to provide trans affirming clinical care.
医疗保健的可及性对许多跨性别年轻人及其家庭至关重要，这涉及与医疗保健专业人员的互动。虽然澳大利亚儿科性别诊所普遍采用跨性别认同模式，但这并不意味着所有跨性别年轻人及其父母都能感受到他们所接受的护理是认同性的。本文考虑了澳大利亚性别诊所内外的跨性别年轻人（11-17 岁）及其父母的经历和观点。在澳大利亚的两个州进行了十次与父母-子女二人组的定性访谈。与医疗保健专业人员相关的主要主题有：医疗保健专业人员知识和认同程度的差异、服务质量取决于个别医疗保健专业人员，以及缺乏连贯的服务和转介途径。讨论探讨了从调查结果中出现的具体问题，这些问题表明需要对医疗保健专业人员进行培训，以使他们能够更好地提供跨性别认同的临床护理。
