Affirming and Inclusive Care Training for Medical Students and Residents to Reduce Health Disparities Experienced by Sexual and Gender Minorities: A Systematic Review.

IF 2 4区 医学 Q1 Social Sciences Transgender Health Pub Date : 2023-08-01 DOI:10.1089/trgh.2021.0148
Robert Lyle Cooper, Aramandla Ramesh, Asa E Radix, Jayne S Reuben, Paul D Juarez, Cheryl L Holder, Allyson S Belton, Katherine Y Brown, Leandro A Mena, Patricia Matthews-Juarez
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引用次数: 7

Abstract

Purpose: Providing inclusive and comprehensive gender-affirming care is critical to reducing health disparities (gaps in care) experienced by sexual and gender minorities (SGM). Currently, little is known about how medical students and residents are being trained to address the health needs of SGM persons or of the most effective methods.

Methods: We conducted a systematic review of the research literature from 2000 to 2020 on the effectiveness of teaching medical students and residents on knowledge, attitudes, and skills in addressing the health of SGM persons and the strength of the research sample, design, and methods used.

Results: We identified a total of 36 articles that assessed the impact of medical student and resident education on knowledge, comfort, attitudes, confidence, and skills in working with SGM patients. All studies utilized quasi-experimental designs, and found efficacious results. No study examined the impact of training on patient outcomes.

Conclusion: Future studies will need to be powered and designed to assess the impact of training on patient outcomes.

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医学生和住院医师的肯定和包容性护理培训,以减少性和性别少数群体经历的健康差异:系统回顾。
目的:提供包容和全面的性别肯定护理对于缩小性和性别少数群体(SGM)所经历的健康差距(护理差距)至关重要。目前,关于如何培训医学生和住院医生以满足性生殖障碍者的健康需求或最有效的方法,人们知之甚少。方法:我们对2000年至2020年的研究文献进行了系统回顾,探讨了医学生和住院医生在解决SGM患者健康问题方面的知识、态度和技能的有效性,以及研究样本、设计和使用的方法的强度。结果:我们共发现了36篇文章,评估了医学生和住院医师教育对与SGM患者一起工作的知识、舒适度、态度、信心和技能的影响。所有的研究都采用了准实验设计,并发现了有效的结果。没有研究考察训练对患者预后的影响。结论:未来的研究需要加强和设计,以评估培训对患者预后的影响。
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来源期刊
Transgender Health
Transgender Health Social Sciences-Gender Studies
CiteScore
4.30
自引率
10.00%
发文量
122
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