Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.

<h4>Background</h4>Transgender and gender diverse (TGD) people experience significant barriers to accessing affirming health services. There is a paucity of literature examining how both community members and health care professionals (HCPs) understand potential causes and solutions for...

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Autores principales:	Stephanie Loo, Anthony N Almazan, Virginia Vedilago, Brooke Stott, Sari L Reisner, Alex S Keuroghlian
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/eeea49d59d9d491e8a6a107e4e49c403
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spelling	oai:doaj.org-article:eeea49d59d9d491e8a6a107e4e49c4032021-12-02T20:18:05ZUnderstanding community member and health care professional perspectives on gender-affirming care-A qualitative study.1932-620310.1371/journal.pone.0255568https://doaj.org/article/eeea49d59d9d491e8a6a107e4e49c4032021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255568https://doaj.org/toc/1932-6203<h4>Background</h4>Transgender and gender diverse (TGD) people experience significant barriers to accessing affirming health services. There is a paucity of literature examining how both community members and health care professionals (HCPs) understand potential causes and solutions for these barriers, particularly in non-urban settings.<h4>Objective</h4>We present the first systematic examination of perspectives from community members and HCPs regarding barriers to and solutions for promoting access to gender-affirming health care.<h4>Design</h4>Study activities were conducted through the Plan and Act for Transgender Health (PATH) Project, a health needs assessment of TGD people. Community members in the catchment area were recruited to participate in focus group discussions about access to gender-affirming health care and optimal health service delivery models in March-October 2019. HCPs were recruited to participate in focus group discussions or in-depth interviews about experiences working with TGD clients. Data were analyzed using an inductive grounded theory approach.<h4>Setting</h4>25 rural counties in Massachusetts, New York, Connecticut, Vermont, and New Hampshire.<h4>Participants</h4>Study participants included 61 adult TGD community members and 23 HCPs working in the catchment area.<h4>Results</h4>Both community members and HCPs spoke of the need for connectedness and linkages among disparate health system components for gender-affirming health care. Participants expressed this priority through calls for systems-level improvements within existing services (e.g., expanded data collection, expanded mental health services, inclusive and affirming health care environments, and TGD staff). They also expressed the need for expanded TGD community outreach and engagement (e.g., incorporation of a patient feedback process, TGD health navigators, and resource mapping).<h4>Limitations</h4>Findings specifically reflect the perspectives of community members and HCPs in the rural New England area. Furthermore, the study sample was predominantly White non-Hispanic.<h4>Conclusion</h4>Interventions to achieve accessible gender-affirming health care must address the diverse perspectives and needs of both community members and HCPs.Stephanie LooAnthony N AlmazanVirginia VedilagoBrooke StottSari L ReisnerAlex S KeuroghlianPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255568 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Stephanie Loo Anthony N Almazan Virginia Vedilago Brooke Stott Sari L Reisner Alex S Keuroghlian Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
description	<h4>Background</h4>Transgender and gender diverse (TGD) people experience significant barriers to accessing affirming health services. There is a paucity of literature examining how both community members and health care professionals (HCPs) understand potential causes and solutions for these barriers, particularly in non-urban settings.<h4>Objective</h4>We present the first systematic examination of perspectives from community members and HCPs regarding barriers to and solutions for promoting access to gender-affirming health care.<h4>Design</h4>Study activities were conducted through the Plan and Act for Transgender Health (PATH) Project, a health needs assessment of TGD people. Community members in the catchment area were recruited to participate in focus group discussions about access to gender-affirming health care and optimal health service delivery models in March-October 2019. HCPs were recruited to participate in focus group discussions or in-depth interviews about experiences working with TGD clients. Data were analyzed using an inductive grounded theory approach.<h4>Setting</h4>25 rural counties in Massachusetts, New York, Connecticut, Vermont, and New Hampshire.<h4>Participants</h4>Study participants included 61 adult TGD community members and 23 HCPs working in the catchment area.<h4>Results</h4>Both community members and HCPs spoke of the need for connectedness and linkages among disparate health system components for gender-affirming health care. Participants expressed this priority through calls for systems-level improvements within existing services (e.g., expanded data collection, expanded mental health services, inclusive and affirming health care environments, and TGD staff). They also expressed the need for expanded TGD community outreach and engagement (e.g., incorporation of a patient feedback process, TGD health navigators, and resource mapping).<h4>Limitations</h4>Findings specifically reflect the perspectives of community members and HCPs in the rural New England area. Furthermore, the study sample was predominantly White non-Hispanic.<h4>Conclusion</h4>Interventions to achieve accessible gender-affirming health care must address the diverse perspectives and needs of both community members and HCPs.
format	article
author	Stephanie Loo Anthony N Almazan Virginia Vedilago Brooke Stott Sari L Reisner Alex S Keuroghlian
author_facet	Stephanie Loo Anthony N Almazan Virginia Vedilago Brooke Stott Sari L Reisner Alex S Keuroghlian
author_sort	Stephanie Loo
title	Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
title_short	Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
title_full	Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
title_fullStr	Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
title_full_unstemmed	Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
title_sort	understanding community member and health care professional perspectives on gender-affirming care-a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/eeea49d59d9d491e8a6a107e4e49c403
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Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.

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