Sequeira Gina M, Kidd Kacie M, Slekar Alana, Kahn Nicole F, Costello Lisa M, Negrin Isabela, Huzurbazar Snehalata, Narumanchi Janani
Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Department of Pediatrics, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Telemed J E Health. 2024 Jun;30(6):e1798-e1804. doi: 10.1089/tmj.2023.0537. Epub 2024 Mar 21.
To examine how specialist-to-pediatric primary care provider (PPCP) consultative support may impact PPCP comfort in providing gender-affirming care. PPCPs in West Virginia completed an electronic survey. -tests compared comfort providing gender-affirming care and rank-sum tests compared the practicality of four consultative support modalities by time in practice and specialty. Of 51 participants, 47.1% had been in practice for <10 years and 59.6% were trained in pediatrics. PPCPs with <10 years in practice and those trained in pediatrics were more comfortable providing gender-affirming care than those in practice >10 years and those trained in family medicine. PPCPs felt that telemedicine was more practical than tele-education, although they reported all consultative support modalities would increase comfort providing this care. Access to consultative support can increase PPCP comfort providing gender-affirming care, although certain modalities may be more effective for PPCPs with varying levels of experience and specialty training.
为研究专科医生对儿科初级保健提供者（PPCP）的咨询支持如何影响PPCP提供性别肯定性护理时的舒适度。西弗吉尼亚州的PPCP完成了一项电子调查。t检验比较了提供性别肯定性护理的舒适度，秩和检验按执业时间和专业比较了四种咨询支持方式的实用性。在51名参与者中，47.1%的人执业时间不足10年，59.6%的人接受过儿科培训。执业时间不足10年的PPCP和接受过儿科培训的PPCP比执业超过10年的PPCP和接受过家庭医学培训的PPCP在提供性别肯定性护理时更自在。PPCP认为远程医疗比远程教育更实用，尽管他们表示所有咨询支持方式都会提高提供此类护理时的舒适度。获得咨询支持可以提高PPCP提供性别肯定性护理时的舒适度，尽管某些方式可能对经验水平和专业培训不同的PPCP更有效。
