Providers' Beliefs and Values: Understanding Their Approach to Gender-Affirming Care.

IF 2.5 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2025-01-01 DOI:10.1177/21501319241312574

Ahona Shirin, Maya Daniello, Laura Stamm

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Abstract

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.

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提供者的信仰和价值观：了解他们对性别确认护理的态度。

目的：本定性研究探讨了在当前社会和政治动态中，影响医疗保健提供者向跨性别和性别多样化（TGD）青年提供性别确认护理（GAC）的信念和价值观。方法：研究PI对不同GAC立法州的供应商进行了43次半结构化访谈。本文对41家供应商的反馈进行了分析。采用定性编码的专题方法进行数据分析。结果：出现了关键主题：治疗标准、伦理和道德考虑、专业和个人责任。供应商广泛认可GAC是基于证据的，对于减轻痛苦和促进自主至关重要。他们强调了尊重患者性别认同和将GAC视为救命之物的重要性。结论：尽管存在立法上的挑战，但该研究强调了提供者对TGD青年GAC医疗必要性的强烈共识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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