WHITMAN-WALKER INSTITUTE, WASHINGTON, DC, USA.
JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH, BALTIMORE, MD, USA.
J Law Med Ethics. 2022;50(3):456-470. doi: 10.1017/jme.2022.87.
Many transgender people need specific medical services to affirm their gender. Gender-affirming health care services may include mental health support, hormone therapy, and reconstructive surgeries. Scant information is available about the utilization or costs of these services among transgender people, which hinders the ability of insurance regulators, health plans, and other health care organizations to plan and budget for the health care needs of this population and to ensure that transgender people can access medically necessary gender-affirming care. This study used almost three decades of commercial insurance claims from a proprietary database containing data on more than 200 million people to identify temporal trends in the provision of gender-affirming hormone therapy and surgeries and to quantify the costs of these services.
许多跨性别者需要特定的医疗服务来确认自己的性别。性别肯定健康护理服务可能包括心理健康支持、激素治疗和重建手术。关于跨性别者对这些服务的利用或费用的信息很少，这阻碍了保险监管机构、健康计划和其他医疗保健组织规划和预算这一人群的医疗需求的能力，并确保跨性别者能够获得医疗上必要的性别肯定护理。本研究使用了近三十年的商业保险索赔数据，这些数据来自一个拥有超过 2 亿人的专有数据库，以确定提供性别肯定激素治疗和手术的时间趋势，并量化这些服务的成本。
