Perry Alyssa, DiPietro Mager Natalie
J Am Pharm Assoc (2003). 2023 Jul-Aug;63(4):1211-1216. doi: 10.1016/j.japh.2023.05.016. Epub 2023 May 18.
Community pharmacists have potential challenges to overcome to care for transgender and gender-diverse patients properly. The American Pharmacists Association and Human Rights Campaign released a resource guide in March 2021 with best practices for gender-affirming care, yet there are no reports of community pharmacists' awareness or implementation of the guide.
This study's primary objective was to assess community pharmacists' awareness of the guide. Secondary objectives were to determine whether their current practices align with the guide's recommendations and whether they are interested to learn more information.
An anonymous, institutional review board-approved survey developed from the guide's framework was e-mailed to 700 randomly selected Ohio community pharmacists. As an incentive, respondents could select a charitable organization to receive a donation.
Of the 688 pharmacists receiving the survey, 83 completed it (12%). Only 10% were aware of the guide. A range in self-reported ability to define key terms was found, from 95% for "transgender" to 14% for "intersectionality." Among the guide's suggested practices, collection of preferred names (61%) and consideration of transgender, gender-diverse, or nonheterosexual patients in their staff training (54%) were most often reported. Fewer than 50% reported pharmacy software with key gender-related data management capabilities. Most respondents indicated an interest in learning more about components of the guide, but gaps remained.
There is a need to raise awareness of the guide and to provide foundational knowledge, skills, and tools to ensure culturally competent care for transgender and gender-diverse patients and improve health equity.
社区药剂师在妥善照顾跨性别和性别多样化患者方面面临着一些需要克服的潜在挑战。美国药剂师协会和人权运动组织于2021年3月发布了一份资源指南，其中包含性别肯定性护理的最佳实践，但尚无关于社区药剂师对该指南的知晓情况或实施情况的报告。
本研究的主要目的是评估社区药剂师对该指南的知晓情况。次要目的是确定他们目前的做法是否与指南的建议一致，以及他们是否有兴趣了解更多信息。
根据该指南的框架制定了一份经机构审查委员会批准的匿名调查问卷，并通过电子邮件发送给700名随机挑选的俄亥俄州社区药剂师。作为激励措施，受访者可以选择一个慈善组织接受捐赠。
在收到调查问卷的688名药剂师中，有83人完成了调查（12%）。只有10%的人知晓该指南。自我报告的定义关键术语的能力存在差异，从“跨性别者”的95%到“交叉性”的14%。在该指南建议的做法中，最常报告的是收集首选名字（61%）以及在员工培训中考虑跨性别、性别多样化或非异性恋患者（54%）。报告具备关键性别相关数据管理功能的药房软件的比例不到50%。大多数受访者表示有兴趣了解该指南的更多内容，但仍存在差距。
有必要提高对该指南的认识，并提供基础知识、技能和工具，以确保为跨性别和性别多样化患者提供具有文化胜任力的护理，并改善健康公平性。
