Department of Social Sciences and Medical Humanities, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia.
Department of Public Health, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia.
Int J Environ Res Public Health. 2022 Dec 9;19(24):16529. doi: 10.3390/ijerph192416529.
Transgender and gender-diverse people have greater health risks due to increased social stress and face a disadvantaged position in the healthcare system as a result of the stigma associated with their gender identity. Due to the lack of research in Croatia on the position of transgender people in the healthcare system, this research was intended to supplement the knowledge about the experiences of hospital staff in the Croatian healthcare system when caring for patients with transgender identities. Qualitative research was conducted using an interview method. The participants ( = 10) were healthcare managers or hospital care team members. The collected data were processed through thematic analysis. The results show that some participants had had no encounters with transgender patients and those who had described them as unproblematic or had only encountered them at a level of basic healthcare. They also described how they perceive transgender people and their life circumstances. The participants described how they envision potential encounters with this group of patients and what they consider necessary to improve the position of this group within the healthcare system. In the discussion part of the article, we assess the need for additional training regarding hospital staff, especially in terms of diversity competence, and for an increase in the visibility of transgender patients.
跨性别者和性别多样化者由于社会压力增加而面临更大的健康风险,并且由于与他们的性别认同相关的污名化,他们在医疗保健系统中处于不利地位。由于克罗地亚在医疗保健系统中关于跨性别者地位的研究不足,因此这项研究旨在补充有关克罗地亚医疗保健系统中医院工作人员照顾跨性别者身份患者的经验的知识。采用访谈法进行定性研究。参与者(=10)为医疗保健管理人员或医院护理团队成员。通过主题分析处理收集到的数据。结果表明,一些参与者没有遇到过跨性别患者,那些遇到过的患者被描述为没有问题,或者只在基本医疗保健层面遇到过。他们还描述了他们如何看待跨性别者及其生活环境。参与者描述了他们如何设想与这群患者的潜在接触,以及他们认为需要为改善这群人在医疗保健系统中的地位而做些什么。在文章的讨论部分,我们评估了医院工作人员,特别是在多样性能力方面,以及增加跨性别患者可见度方面,额外培训的必要性。