探索米纳斯吉拉斯州跨性别者获得医疗保健服务的复杂性和挑战：一项在巴西国家卫生系统实施变性程序十年后的定性研究。
Exploring the complexities and challenges of healthcare access for transgender people in Minas Gerais state: a qualitative study a decade following the implementation of the transsexualization process in the Brazilian National Health System.
作者信息
Silva Samuel Araujo Gomes da, Miranda-Ribeiro Paula, Noronha Kenya Valeria Micaela de Souza, Guedes Gilvan Ramalho
机构信息
Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais, CEDEPLAR, Belo Horizonte, MG, Brazil.
出版信息
Epidemiol Serv Saude. 2024 Dec 13;33(spe1):e2024350. doi: 10.1590/S2237-96222024v33e2024350.especial.en. eCollection 2024.
OBJECTIVE
This article explores the complexities and challenges of healthcare access for transgender people in Minas Gerais.
METHODS
: This study is based on a subsample from the Manas Survey, comprised of 15 semi-structured interviews with transgender people, conducted between May 2018 and May 2020, analyzed using the content analysis method and organized into a thematic network.
RESULTS
: The results highlight the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health.
CONCLUSIONS
: Despite advances in transgender health policies, access barriers persist, underscoring the importance of training strategies, accurate record-keeping and the expansion of specialized services and the role of primary health care. The study makes progress by including the perceptions from residents of small and medium-sized cities across different regions of the state, aiming to improve access and care for the transgender population via the Brazilian National Health System in Minas Gerais.
MAIN RESULTS
The findings underscore the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health, in addition to including the perceptions of residents from small and medium-sized cities.
IMPLICATIONS FOR SERVICES
Improving the use of social name and gender identity in records. There is a need for training healthcare professionals in gender identity, expanding transgender-specific services and the role of primary health care (PHC) in this topic.
PERSPECTIVES
Expansion of specialized services and the role of PHC for this population, in order to improve access and care for the transgender population via the Brazilian National Health System in Minas Gerais state.
目的
本文探讨米纳斯吉拉斯州跨性别者获得医疗服务的复杂性和挑战。
方法
本研究基于马纳斯调查的一个子样本，该样本包括2018年5月至2020年5月期间对15名跨性别者进行的半结构化访谈，采用内容分析法进行分析，并组织成一个主题网络。
结果
结果突出了对适当结构的需求、对医疗保健专业人员的特定培训、支持网络的影响以及心理健康方面的挑战。
结论
尽管跨性别者健康政策取得了进展，但获取障碍依然存在，这凸显了培训策略、准确记录保存以及扩大专门服务和初级卫生保健作用的重要性。该研究取得了进展，纳入了该州不同地区中小城市居民的看法，旨在通过米纳斯吉拉斯州的巴西国家卫生系统改善跨性别群体的医疗服务获取和护理。
主要结果
研究结果强调了对适当结构的需求、对医疗保健专业人员的特定培训、支持网络的影响以及心理健康方面的挑战，此外还纳入了中小城市居民的看法。
对服务的启示
改善记录中社会姓名和性别认同的使用。需要对医疗保健专业人员进行性别认同方面的培训，扩大针对跨性别者的服务以及初级卫生保健在这一主题中的作用。
展望
扩大针对这一群体的专门服务和初级卫生保健的作用，以便通过米纳斯吉拉斯州的巴西国家卫生系统改善跨性别群体的医疗服务获取和护理。
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