迈向包容性的医疗保健：药师对 LGBTQIA+ 群体的学术准备和医疗服务提供的看法。

Toward inclusive health care: Pharmacists' perceptions on academic preparedness and health care provision for the LGBTQIA+ community.

出版信息

J Am Pharm Assoc (2003). 2024 May-Jun;64(3):102066. doi: 10.1016/j.japh.2024.102066. Epub 2024 Mar 6.

DOI:10.1016/j.japh.2024.102066

Abstract

BACKGROUND

The community of lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other identities (LGBTQIA+), comprising sexual and gender minorities, frequently encounters violence, discrimination, and numerous obstacles in accessing health care services. Pharmacists have the potential to significantly contribute to the health care provision for this community.

OBJECTIVE

To assess pharmacists' perceptions regarding academic preparedness and health care provision for the LGBTQIA+ community in Brazil.

METHODS

An online cross-sectional survey was conducted from August 2022 to February 2023, focusing on the academic training of pharmacists and the provision of health care to the LGBTQIA+ community in Brazil. Data collection was achieved through a 28-question online questionnaire, comprising both closed-ended questions, and Likert-type items. The study variables were subjected to an exploratory descriptive analysis.

RESULTS

We received 261 complete and valid responses. A majority of pharmacists indicated that they provided health care to the LGBTQIA+ community (n = 161, 61.7%); however, they lacked formal education on LGBTQIA+ health care during their pharmacy program (n = 256, 98.1%). Most participants strongly agreed that pharmacists play a crucial role in promoting health care for this community (n = 213, 81.6%). However, only a small percentage felt confident in addressing issues related to the effectiveness and safety of hormone use for transgender patients (n = 38, 14.6%). Furthermore, less than a third believed that the health care provided by pharmacists should be differentiated for patients within and outside of the LGBTQIA+ community (n = 76, 29.1%).

CONCLUSION

The results of this study underscore the necessity and significance of incorporating this topic both in pharmacy training and continuing education. This approach is crucial to enhance and bolster the clinical practice of pharmacists.

摘要

背景

由性少数群体和性别多样化群体组成的女同性恋、男同性恋、双性恋、跨性别、酷儿、间性、无性和其他身份（LGBTQIA+）群体，在获得医疗保健服务方面经常面临暴力、歧视和众多障碍。药剂师有潜力为这个群体的医疗保健提供重要支持。

目的

评估巴西药剂师对 LGBTQIA+群体的学术准备和医疗保健服务的看法。

方法

2022 年 8 月至 2023 年 2 月期间，进行了一项在线横断面调查，重点是巴西药剂师的学术培训以及为 LGBTQIA+群体提供医疗保健服务。数据收集通过一个 28 个问题的在线问卷完成，包括封闭式问题和李克特量表项目。研究变量进行了探索性描述性分析。

结果

我们收到了 261 份完整有效的回复。大多数药剂师表示他们为 LGBTQIA+群体提供医疗保健服务（n=161，61.7%）；然而，他们在药房课程中缺乏关于 LGBTQIA+健康护理的正规教育（n=256，98.1%）。大多数参与者强烈同意药剂师在促进该群体的医疗保健方面发挥着至关重要的作用（n=213，81.6%）。然而，只有一小部分人对解决与跨性别患者激素使用的有效性和安全性相关的问题感到有信心（n=38，14.6%）。此外，不到三分之一的人认为药剂师提供的医疗保健应该针对 LGBTQIA+群体内外的患者有所区分（n=76，29.1%）。