School of Medicine, University College Dublin, Dublin, Ireland.
St Columcille's Hospital, Dublin, Ireland.
PLoS One. 2024 Jun 3;19(6):e0298821. doi: 10.1371/journal.pone.0298821. eCollection 2024.
The overall aim of this scoping review was to identify, explore and map the existing literature pertaining to healthcare access for transgender and non-binary individuals.
The scoping review followed Arksey and O'Malley's methodological framework, and the reporting adhered to the guidelines provided by the PRISMA Extension for Scoping Reviews.
To gather relevant articles, a comprehensive search strategy was employed across four electronic databases, with the assistance of a university librarian. In addition, manual and internet searches were conducted for grey literature. From the initial search, a pool of 2,452 potentially relevant articles was retrieved, which was supplemented by an additional 23 articles from the supplemental search. After an independent review by two researchers, 93 articles were assessed, resulting in the inclusion of 41 articles in the review.
The literature highlights the identification of barriers and enablers, spanning across 32 individual data sets that affect healthcare accessibility for transgender and non-binary individuals. Leveque's five dimensions of healthcare access, namely approachability, acceptability, availability and accommodation, affordability, and appropriateness, were utilized to categorise these 42 factors. Some of the key themes that emerged in these dimensions include challenges in accessing information about services, concerns about acceptance from family and peers, past experiences of discrimination in healthcare settings, considerations related to cost and insurance, and the difficulty in finding appropriately trained competent providers.
The review focused on the most commonly researched aspects of healthcare access and identified gaps in research and opportunities for future studies. The findings provide recommendations for policy and practice, which could guide the development of interventions aimed at addressing the barriers faced by transgender individuals seeking gender-affirming care.
本范围综述的总体目的是确定、探索和绘制与跨性别和非二进制个体的医疗保健获取相关的现有文献。
本范围综述遵循 Arksey 和 O'Malley 的方法学框架，报告遵循 PRISMA 扩展范围综述指南。
为了收集相关文章，在大学图书馆员的协助下，我们在四个电子数据库中采用了全面的搜索策略。此外，还对灰色文献进行了手动和互联网搜索。从最初的搜索中，共检索到 2452 篇潜在相关文章，此外，从补充搜索中还额外检索到 23 篇文章。经过两位研究人员的独立审查，评估了 93 篇文章，最终有 41 篇文章被纳入综述。
文献强调了识别障碍和促进因素，跨越了 32 个单独的数据集，这些数据集影响了跨性别和非二进制个体的医疗保健可及性。Leveque 的医疗保健获取的五个维度，即可接近性、可接受性、可获得性和可适应性、可负担性和适宜性，被用来对这 42 个因素进行分类。这些维度中出现的一些关键主题包括获取服务信息的困难、对家庭和同伴接受的担忧、在医疗保健环境中经历的歧视经历、与成本和保险相关的考虑因素以及寻找受过适当培训的合格提供者的困难。
本综述重点关注医疗保健获取最常研究的方面，并确定了研究中的差距和未来研究的机会。研究结果为政策和实践提供了建议，这些建议可以为旨在解决寻求性别肯定护理的跨性别个体所面临障碍的干预措施的发展提供指导。
Zotero 插件
