Coventry Jessica, Lane Riki, Osadnik Christian
Department of Physiotherapy, Monash University, Frankston, Australia.
Department of General Practice, Monash University, Frankston, Australia.
Transgend Health. 2025 Feb 10;10(1):22-34. doi: 10.1089/trgh.2022.0222. eCollection 2025 Feb.
Transgender, gender diverse, and nonbinary (TGDNB) individuals access allied health care services for various reasons; however, barriers such as fear of discrimination and stigmatization exist. Little is known about the positive or negative features of health care encounters between allied health professionals and TGDNB individuals. This scoping review sought to (1) summarize current evidence describing health care encounters between allied health professionals and TGDNB individuals; (2) identify the extent of clinical practice guidance specific for allied health professionals; and (3) identify recommendations for improving allied health care for TGDNB individuals. A comprehensive search of four electronic databases and two grey literature sources was conducted from January 1, 2000 to September 26, 2021. Relevant data were extracted and summarized narratively, and recommendations were summarized via table. Thirty-five articles were included in this review. Barriers faced by TGDNB individuals in accessing allied health services included previous negative experiences, lack of clinician competence, financial barriers, travel times, lack of understanding of allied health scope and fear of stigmatization, and discrimination. No clinical guidelines were identified specific to allied health; however, eight key recommendations emerged from the synthesis: a need for TGDNB-specific referrals, resources and advocacy, clinician education, awareness and use of patient pronouns, gender neutral environments, inclusive and welcoming environments, gender-inclusive intake forms, confidentiality and privacy, and reduction of stigma and discrimination. Findings suggest that improvements to optimize allied health care experiences of TGDNB individuals are indicated and feasible. Significant scope remains for patient-centered research to improve health care experiences for TGDNB individuals.
跨性别、性别多元和非二元性别人士（TGDNB）出于各种原因寻求健康 allied 护理服务；然而，存在诸如害怕歧视和污名化等障碍。对于 allied 健康专业人员与 TGDNB 人士之间的医疗护理接触的积极或消极特征，人们了解甚少。本范围综述旨在：（1）总结描述 allied 健康专业人员与 TGDNB 人士之间医疗护理接触的现有证据；（2）确定针对 allied 健康专业人员的临床实践指南的程度；（3）确定改善针对 TGDNB 人士的 allied 健康护理的建议。从2000年1月1日至2021年9月26日，对四个电子数据库和两个灰色文献来源进行了全面搜索。提取相关数据并进行叙述性总结，建议通过表格进行总结。本综述纳入了35篇文章。TGDNB 人士在获得 allied 健康服务时面临的障碍包括以前的负面经历、临床医生能力不足、经济障碍、出行时间、对 allied 健康范围缺乏了解以及害怕污名化和歧视。未发现针对 allied 健康的特定临床指南；然而，综合分析得出了八项关键建议：需要有针对 TGDNB 的转诊、资源和宣传，临床医生教育，对患者代词的认识和使用，性别中立环境，包容和友好的环境，性别包容的 intake 表格，保密和隐私，以及减少污名化和歧视。研究结果表明，优化 TGDNB 人士的 allied 健康护理体验的改进措施是有必要且可行的。以患者为中心的研究仍有很大空间来改善 TGDNB 人士的医疗护理体验。 （注：原文中“allied health”可能是“联合健康”等意思，这里直接保留英文未翻译，因为不确定其准确含义，你可根据实际情况进一步调整。“intake”在文中可能有特定含义，推测为“接待、接纳相关”之类，也保留未翻译。）
