提供者的信念与价值观：理解他们对性别肯定治疗的方法。
Providers' Beliefs and Values: Understanding Their Approach to Gender-Affirming Care.
作者信息
Shirin Ahona, Daniello Maya, Stamm Laura
机构信息
University of Rochester, Rochester, NY, USA.
出版信息
J Prim Care Community Health. 2025 Jan-Dec;16:21501319241312574. doi: 10.1177/21501319241312574.
OBJECTIVES
This qualitative study explored the beliefs and values influencing healthcare providers' delivery of gender-affirming care (GAC) to transgender and gender-diverse (TGD) youth amidst current social and political dynamics.
METHODS
The study PI conducted 43 semi-structured interviews with providers across states with varying GAC legislation. Responses from 41 providers were analyzed in this paper. A thematic approach to data analysis was employed using qualitative coding.
RESULTS
Key themes emerged: criteria for treatment, ethical and moral considerations, and professional and personal responsibility. Providers widely endorsed GAC as evidence-based and essential for alleviating distress and promoting autonomy. They emphasized the importance of respecting patients' gender identities and viewing GAC as life-saving.
CONCLUSION
Despite legislative challenges, the study highlights a strong consensus among providers on the medical necessity of GAC for TGD youth.
目标
这项定性研究探讨了在当前社会和政治动态背景下，影响医疗服务提供者为跨性别和性别多样化（TGD）青少年提供性别肯定护理（GAC）的信念和价值观。
方法
研究负责人对不同州的医疗服务提供者进行了43次半结构化访谈，这些州的性别肯定护理立法各不相同。本文分析了41位提供者的回复。采用定性编码的主题分析法进行数据分析。
结果
出现了关键主题：治疗标准、伦理和道德考量以及专业和个人责任。提供者广泛认可性别肯定护理是基于证据的，对于减轻痛苦和促进自主性至关重要。他们强调尊重患者性别认同以及将性别肯定护理视为救命措施的重要性。
结论
尽管存在立法挑战，但该研究突出了提供者之间就性别肯定护理对TGD青少年的医疗必要性达成的强烈共识。
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