"Completely out-at-sea" with "two-gender medicine": a qualitative analysis of physician-side barriers to providing healthcare for transgender patients.

BMC Health Services Research
John W SnelgroveGreta R Bauer

Abstract

Members of the transgender community have identified healthcare access barriers, yet a corresponding inquiry into healthcare provider perspectives has lagged. Our aim was to examine physician perceptions of barriers to healthcare provision for transgender patients. This was a qualitative study with physician participants from Ontario, Canada. Semi-structured interviews were used to capture a progression of ideas related to barriers faced by physicians when caring for trans patients. Qualitative data were then transcribed verbatim and analysed with an emergent grounded theory approach. A total of thirteen (13) physician participants were interviewed. Analysis revealed healthcare barriers that grouped into five themes: Accessing resources, medical knowledge deficits, ethics of transition-related medical care, diagnosing vs. pathologising trans patients, and health system determinants. A centralising theme of "not knowing where to go or who to talk to" was also identified. The findings of this study show that physicians perceive barriers to the care of trans patients, and that these barriers are multifactorial. Access barriers impede physicians when referring patients to specialists or searching for reliable treatment information....Continue Reading

References

Jun 8, 2001·American Journal of Public Health·E Lombardi
Jun 8, 2001·American Journal of Public Health·A M AveryL K Sudderth
Aug 13, 2002·Journal of Health Services Research & Policy·Martin GullifordMeryl Hudson
Apr 14, 2004·Community Mental Health Journal·Karen MasonSteve Fisher
Jun 19, 2004·Journal of Sex & Marital Therapy·W BocktingK Scheltema
Apr 22, 2005·Psychological Medicine·Yolanda L S SmithPeggy T Cohen-Kettenis
Apr 26, 2005·Health & Social Work·Gretchen P Kenagy
Nov 22, 2007·Journal of LGBT Health Research·Leslie E Fisher, Swagata Banik
May 1, 2008·American Journal of Public Health·Kenneth H MayerStewart Landers
Oct 2, 2008·Journal of Homosexuality·Katherine RachlinEmilia Lombardi
Jul 22, 2009·The Journal of Sexual Medicine·Ciro ImbimboVincenzo Mirone
Sep 8, 2009·The Journal of the Association of Nurses in AIDS Care : JANAC·Daniel G Cobos, Jonathan Jones
Sep 8, 2009·The Journal of the Association of Nurses in AIDS Care : JANAC·Greta R BauerMichelle Boyce
Sep 8, 2009·The Journal of the Association of Nurses in AIDS Care : JANAC·Joseph P De Santis
Sep 8, 2009·The Journal of the Association of Nurses in AIDS Care : JANAC·Rita M Melendez, Rogério M Pinto
Jan 1, 2007·Journal of LGBT Health Research·Emilia Lombardi

❮ Previous
Next ❯

Citations

Jan 15, 2013·ISRN Nursing·Judith A Macdonnell, Alisa Grigorovich
Feb 25, 2014·Clinical Biochemistry·Tiffany K Roberts, Corinne R Fantz
Feb 26, 2016·Current Opinion in Endocrinology, Diabetes, and Obesity·Joshua D SaferJae Sevelius
Sep 28, 2014·International Journal for Equity in Health·María SocíasOmar Sued
Nov 26, 2015·Social Science & Medicine·Jaclyn M White HughtoJohn E Pachankis
Sep 1, 2014·LGBT Health·Vipul ShuklaJoan Duggan
Jul 15, 2015·Journal of General Internal Medicine·Jennifer PotterDana J Pardee
Mar 1, 2013·Prevention Science : the Official Journal of the Society for Prevention Research·Michele Peake AndrasikUNKNOWN NIAID HIV Vaccine Trials Network
Jul 26, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Johanna OlsonLeslie F Clark
Jan 27, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Stanley R VanceStephen M Rosenthal
Apr 30, 2016·Seminars in Ophthalmology·Matthew W HollarLouise A Mawn
May 18, 2016·BMC Pregnancy and Childbirth·Trevor MacDonaldElizabeth Myler
May 29, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Samantha J GridleyDavid J Breland
Jun 8, 2017·Future Oncology·Alec W GibsonShilpen Patel
Jan 25, 2017·Health & Social Care in the Community·Ayla R F Lefkowitz, Jenevieve Mannell
Apr 28, 2017·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Maya KailasJoshua D Safer
Mar 16, 2018·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Pamela FergussonRémy Huberdeau
Aug 3, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Amanda HinrichsRebekah Pratt
Aug 3, 2018·LGBT Health·Celia B FisherBrian Mustanski
Nov 2, 2018·LGBT Health·Hilary GoldhammerAlex S Keuroghlian
Nov 27, 2018·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Warren Kealy-BatemanCalina Ouliaris
Oct 27, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Karen Hughes MillerReena Karani
Aug 26, 2017·The Journal of the Association of Nurses in AIDS Care : JANAC·Lauren MunroRobb Travers
Jan 8, 2019·Culture, Health & Sexuality·Alexander LeeBridget Haire
May 8, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Quintin A HuntJenifer K McGuire
Jul 13, 2019·African Journal of Primary Health Care & Family Medicine·Zamasomi P B LuvunoGugu Mchunu

❮ Previous
Next ❯

Methods Mentioned

BETA
hysterectomy
hormone replacement

Software Mentioned

Weft QDA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.