Leeies Murdoch, Hrymak Carmen, Collister David, Christie Emily, Doucette Karen, Sherzoi Ogai, Carta Tricia, Sutha Ken, Whitley Cameron T, Lee Tzu-Hao, Weiss Matthew J, Dhanani Sonny, Ho Julie
Transplant Manitoba, Gift of Life Program, Shared Health Manitoba, Winnipeg, MB, Canada.
Section of Critical Care Medicine, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Can J Anaesth. 2025 Jul 15. doi: 10.1007/s12630-025-03011-4.
Sexual and gender minoritized persons (SGMs) experience inequities, harms, and gaps in care in organ and tissue donation and transplantation (OTDT) systems. The experiences of SGMs navigating OTDT have not been published from their own perspectives.
We conducted semistructured interviews, transcribed verbatim, and performed a formal qualitative best-fit framework synthesis and inductive thematic analysis with an SGM OTDT patient and caregiver advisory team (N = 12/13) to characterize their self-described experiences.
Emergent themes included: 1) stigma, discriminatory criteria, and inertia to change; 2) OTDT patient and community relations; 3) benefits, strength, and resilience of the SGM community; and 4) SGM priorities and opportunities for improvement. Each theme and its respective subthemes are presented with representative quotes.
Our novel findings detail the ways that SGMs experience OTDT health care, highlighting the harms of discriminatory donor risk assessment criteria and the need for equitable policy revision. Opportunities to enhance inclusive care include institutional acknowledgement of inequities and transparent communication, target training for health care providers, and intersectional SGM and OTDT caregiver support networks.
性少数和性别少数群体（SGMs）在器官和组织捐赠与移植（OTDT）系统中经历着不公平、伤害以及护理方面的差距。SGMs在OTDT中的经历尚未从他们自身的角度发表过。
我们进行了半结构化访谈，逐字转录，并与一个SGM OTDT患者及护理者咨询团队（N = 12/13）进行了正式的定性最佳拟合框架综合分析和归纳主题分析，以描述他们自我描述的经历。
出现的主题包括：1）耻辱感、歧视性标准和变革的惰性；2）OTDT患者与社区关系；3）SGM群体的益处、力量和复原力；4）SGM的优先事项和改进机会。每个主题及其各自的子主题都配有代表性引述。
我们的新发现详细阐述了SGMs体验OTDT医疗保健的方式，突出了歧视性捐赠者风险评估标准的危害以及公平政策修订的必要性。加强包容性护理的机会包括机构对不公平现象的承认和透明沟通、针对医疗保健提供者的目标培训，以及交叉性的SGM和OTDT护理者支持网络。
