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在电子健康记录中使用选定的名字,以促进跨性别包容性。

Use of chosen names in electronic health records to promote transgender inclusivity.

机构信息

Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

出版信息

J Am Med Inform Assoc. 2023 May 19;30(6):1219-1221. doi: 10.1093/jamia/ocad047.

DOI:10.1093/jamia/ocad047
PMID:36943291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10198525/
Abstract

Transgender people have a right to be called by their chosen names. However, the current electronic health record (EHR)-even with dramatic changes in recent years-does not allow for proper documentation to accurately and sensitively capture the experiences of transgender patients. This article suggests that EHRs should be modified to allow for distinctions in legal and chosen name fields, recognize the wide-ranging experiences and needs of transgender patients, and promote inclusive, identity-sensitive health care. Healthcare professionals should insist that technology be used in service of the full humanity of their patients.

摘要

跨性别者有权被称呼他们选择的名字。然而,当前的电子健康记录(EHR)——即使近年来发生了巨大的变化——也不允许进行适当的记录,以准确和敏感地捕捉跨性别患者的经历。本文建议对 EHR 进行修改,以允许在法律和选择的名字字段中进行区分,承认跨性别患者广泛的经历和需求,并促进包容、认同敏感的医疗保健。医疗保健专业人员应坚持要求技术服务于患者的全部人性。

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本文引用的文献

1
Transgender data collection in the electronic health record: Current concepts and issues.电子健康记录中的跨性别数据采集:当前概念和问题。
J Am Med Inform Assoc. 2022 Jan 12;29(2):271-284. doi: 10.1093/jamia/ocab136.
2
Providing Inclusive Care for Transgender Patients: Capturing Sex and Gender in the Electronic Medical Record.为跨性别患者提供包容的护理:在电子病历中记录性别。
J Appl Lab Med. 2021 Jan 12;6(1):210-218. doi: 10.1093/jalm/jfaa214.
3
Preferred Names, Preferred Pronouns, and Gender Identity in the Electronic Medical Record and Laboratory Information System: Is Pathology Ready?电子病历和实验室信息系统中的首选姓名、首选代词及性别认同:病理学准备好了吗?
J Pathol Inform. 2017 Oct 3;8:42. doi: 10.4103/jpi.jpi_52_17. eCollection 2017.
4
Inclusion of Sexual Orientation and Gender Identity in Stage 3 Meaningful Use Guidelines: A Huge Step Forward for LGBT Health.将性取向和性别认同纳入第三阶段有意义使用指南:LGBT 健康的巨大进步。
LGBT Health. 2016 Apr;3(2):100-2. doi: 10.1089/lgbt.2015.0136. Epub 2015 Dec 24.