探索米纳斯吉拉斯州变性人获得医疗保健的复杂性和挑战:巴西国家卫生系统实施变性过程十年后的定性研究。

IF 2.5 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024v33e2024350.especial.en
Samuel Araujo Gomes da Silva, Paula Miranda-Ribeiro, Kenya Valeria Micaela de Souza Noronha, Gilvan Ramalho Guedes
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引用次数: 0

摘要

目的:本文探讨了米纳斯吉拉斯州变性人获得医疗保健的复杂性和挑战。方法:本研究基于玛纳斯调查的子样本,包括2018年5月至2020年5月期间对15名跨性别者进行的半结构化访谈,采用内容分析法进行分析,并组织成主题网络。结果::结果强调需要适当的结构、对保健专业人员的具体培训、支助网络的影响和心理健康方面的挑战。结论::尽管跨性别保健政策取得进展,但获取障碍仍然存在,这突出了培训战略、准确记录保存和扩大专门服务以及初级保健作用的重要性。该研究通过纳入该州不同地区中小城市居民的看法取得了进展,旨在通过米纳斯吉拉斯州的巴西国家卫生系统改善跨性别人群的获取和护理。主要结果:调查结果强调,除了纳入中小城市居民的看法外,还需要适当的结构、对保健专业人员的具体培训、支持网络的影响和心理健康方面的挑战。对服务的影响:改善记录中社会姓名和性别身份的使用。有必要对保健专业人员进行性别认同方面的培训,扩大针对跨性别者的服务,以及初级保健在这方面的作用。展望:扩大这一人群的专业服务和初级保健的作用,以便通过米纳斯吉拉斯州的巴西国家卫生系统改善对跨性别人群的获取和护理。
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Exploring the complexities and challenges of healthcare access for transgender people in Minas Gerais state: a qualitative study a decade following the implementation of the transsexualization process in the Brazilian National Health System.

Objective: This article explores the complexities and challenges of healthcare access for transgender people in Minas Gerais.

Methods: : This study is based on a subsample from the Manas Survey, comprised of 15 semi-structured interviews with transgender people, conducted between May 2018 and May 2020, analyzed using the content analysis method and organized into a thematic network.

Results: : The results highlight the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health.

Conclusions: : Despite advances in transgender health policies, access barriers persist, underscoring the importance of training strategies, accurate record-keeping and the expansion of specialized services and the role of primary health care. The study makes progress by including the perceptions from residents of small and medium-sized cities across different regions of the state, aiming to improve access and care for the transgender population via the Brazilian National Health System in Minas Gerais.

Main results: The findings underscore the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health, in addition to including the perceptions of residents from small and medium-sized cities.

Implications for services: Improving the use of social name and gender identity in records. There is a need for training healthcare professionals in gender identity, expanding transgender-specific services and the role of primary health care (PHC) in this topic.

Perspectives: Expansion of specialized services and the role of PHC for this population, in order to improve access and care for the transgender population via the Brazilian National Health System in Minas Gerais state.

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来源期刊
Epidemiologia e Servicos de Saude
Epidemiologia e Servicos de Saude PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.90
自引率
0.00%
发文量
88
审稿时长
21 weeks
期刊最新文献
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