探索药剂师对提供LGBTI医疗保健的理解与经验。
Exploring pharmacists' understanding and experience of providing LGBTI healthcare.
作者信息
Langdon Elizabeth, Kavanagh Phillip, Bushell Mary
机构信息
Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, Canberra, Australia.
Discipline of Psychology, Faculty of Health, University of Canberra, Bruce, Canberra, Australia.
出版信息
Explor Res Clin Soc Pharm. 2022 Apr 9;6:100134. doi: 10.1016/j.rcsop.2022.100134. eCollection 2022 Jun.
BACKGROUND
Lesbian, gay, bisexual, transgender and intersex (LGBTI) people experience health and wellness challenges additional to and separate from those of the wider population. Extant research has identified that LGBTI patients support education for healthcare providers to improve their access to appropriate care. Community pharmacists have a role in providing appropriate care to LGBTI patients.
AIMS
This study explores the experiences of Australian community pharmacists in providing LGBTI healthcare.
METHODS
Ten pharmacists were interviewed using a semi-structured interview guide and the major themes were identified using Braun and Clark's thematic analysis.
RESULTS
Analysis revealed a demand for professional education in several areas of LGBTI healthcare, especially gender-affirming hormone replacement therapy and safe communication with this group. Barriers to privacy and confidentiality were revealed, including time constraints, Covid-19 social distancing requirements, and the lack of appropriate consultation rooms. Further there is a need to engage LGBTI patients through greater inclusive advertising.
CONCLUSIONS
While there is some improvement, more must be done to promote inclusive pharmacy care for LGBTI people. This study demonstrates a demand from Australian pharmacists for increased professional education on LGBTI related healthcare.
背景
女同性恋、男同性恋、双性恋、跨性别者和双性人（LGBTI）群体面临着一些健康挑战，这些挑战与更广泛人群所面临的不同且额外存在。现有研究表明，LGBTI患者支持对医疗服务提供者进行教育，以改善他们获得适当护理的机会。社区药剂师在为LGBTI患者提供适当护理方面发挥着作用。
目的
本研究探讨澳大利亚社区药剂师在提供LGBTI医疗保健方面的经验。
方法
使用半结构化访谈指南对10名药剂师进行访谈，并采用布劳恩和克拉克的主题分析法确定主要主题。
结果
分析显示，在LGBTI医疗保健的几个领域对专业教育有需求，特别是性别确认激素替代疗法以及与该群体进行安全沟通。揭示了隐私和保密方面的障碍，包括时间限制、新冠疫情社交距离要求以及缺乏合适的咨询室。此外，需要通过更具包容性的广告来吸引LGBTI患者。
结论
虽然有一些改进，但仍需采取更多措施来促进对LGBTI群体的包容性药房护理。本研究表明澳大利亚药剂师对增加LGBTI相关医疗保健方面的专业教育有需求。
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