Stewart Mary, Bedi Aman, Gray Dash, Cotter Joseph, Ooi Catriona
MBBS, MPH, Senior Medical Officer @ Research and Education, Family Planning NSW, NSW.
BN, GradCertSc Med (S RH), Clinical Nurse Specialist @ Sexual Health/HIV, Northern Sydney Sexual Health, Northern Sydney Local Health District, Sydney, NSW.
Aust J Gen Pract. 2025 Mar;54(3):143-151. doi: 10.31128/AJGP-06-24-7324.
It is important for general practitioners (GPs) to understand the barriers and facilitators that transgender, gender-diverse and non-binary patients (TGDNB) experience when accessing health care. The aim of this study was to explore the experiences of patients accessing and receiving gender-affirming care.
Patients who attended a sexual health clinic for gender-affirming care (GAC) were invited to participate in a feedback questionnaire that explored the referral process, access to care and perceptions of the clinic.
Few patients found out about the service from their GP. Many patients had difficulty accessing GAC but, once aware of services, most had no difficulty obtaining a GP referral. Difficulties accessing GAC included a lack of knowledge from medical professionals, lengthy and complicated processes, cost, confidentiality concerns and being misgendered. Patients found inclusive signage helpful and appreciated being asked about pronouns and chosen name. There was a high level of satisfaction with GAC.
GPs should be aware of strategies to ensure TGDNB patients feel safe accessing healthcare, including the availability of specialist services and referral pathways.
对于全科医生（GP）而言，了解跨性别、性别多样化和非二元性别患者（TGDNB）在获得医疗保健时所面临的障碍和促进因素非常重要。本研究的目的是探讨患者获得和接受性别肯定性护理的经历。
邀请到性健康诊所接受性别肯定性护理（GAC）的患者参与一份反馈问卷，该问卷探讨了转诊过程、获得护理的途径以及对诊所的看法。
很少有患者从他们的全科医生那里得知这项服务。许多患者在获得性别肯定性护理方面存在困难，但是，一旦了解到相关服务，大多数患者在获得全科医生转诊方面没有困难。获得性别肯定性护理的困难包括医疗专业人员缺乏相关知识、流程冗长复杂、费用、对保密性的担忧以及被错误称呼性别。患者发现包容性的标识很有帮助，并且很感激被询问代词和所选名字。对性别肯定性护理的满意度很高。
全科医生应该了解一些策略，以确保跨性别、性别多样化和非二元性别患者在获得医疗保健时感到安全，包括提供专科服务和转诊途径。
