Exploring health care experiences of transgender people living in Texas

2020 ◽  
Vol 68 (4) ◽  
pp. 476-483
Author(s):  
Sherry Garrett Hendrickson ◽  
Claire V. Contreras ◽  
Erika Schiller ◽  
David Walsh
Keyword(s):  
Health Care ◽  
Transgender People ◽  
Health Care Experiences

scholarly journals Transgender Athletes' Experiences With Health Care in the Athletic Training Setting

2020 ◽  
Author(s):  
Emily Elizabeth Munson ◽  
Kristine A. Ensign
Keyword(s):  
Health Care ◽  
Athletic Training ◽  
Athletic Trainers ◽  
Social Environments ◽  
Transgender People ◽  
Health Care Experiences ◽  
Inclusive Language ◽  
Clinician Education ◽  
Data Collection And Analysis ◽  
Positive Experiences

Context The term transgender refers to individuals whose gender identity does not match their sex assigned at birth. Transgender people often report negative health care experiences, leading many to avoid seeking care. The experiences of transgender athletes with athletic trainers (ATs) are currently unknown. Objective To identify barriers transgender athletes may encounter when seeking care and to describe common experiences they have had with ATs. Design Qualitative phenomenologic study. Setting Individual phone interviews. Participants Nine transgender participants from high school (n = 2), collegiate (n = 4), club (n = 2), and semiprofessional (n = 1) athletics (age = 23.56 ± 5.32 years). Participants were either current athletes or had been athletes within the past 5 years. They consisted of transgender men (n = 3), transgender women (n = 3), and nonbinary or genderqueer people (n = 4), with 1 participant identifying as both a transgender man and nonbinary. Data Collection and Analysis Participants completed semistructured phone interviews that addressing positive and negative experiences, avoidance, and perceived AT knowledge of transgender concerns. The interviews were analyzed for themes and evaluated with a peer reviewer. Member checking was conducted to validate the findings. Results Three main themes emerged. Education described ATs' knowledge of transgender concerns and receptiveness to learning. Primacy of the patient addressed ATs' behaviors when interacting with transgender athletes. Environment involved how social environments affected transgender athletes' comfort with ATs. Participants commonly perceived a lack of clinician education on transgender needs, which combined with a lack of support or hostile environment to lead to discomfort and avoidance. Respecting privacy, demonstrating support, and being open to education led to positive experiences. Conclusion Athletic trainers can improve their care of transgender athletes in several areas. Information about transgender people should be included in athletic training curriculums. Athletic trainers can also use inclusive language, signal that facilities are safe for all, and be familiar with resources for transgender athletes.

Trauma, mental health, and health care experiences of lesbian and bisexual women in Rwanda.

2021 ◽  
Author(s):  
Tonda L. Hughes ◽  
Ellen D. B. Riggle ◽  
Patricia Moreland ◽  
Rebecca White ◽  
Darius Gishoma
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Bisexual Women ◽  
Health Care Experiences ◽  
And Bisexual

Impact of Health Plan Deductibles and Health Insurance Marketplace Enrollment on Health Care Experiences

2018 ◽  
Vol 77 (5) ◽  
pp. 483-497
Author(s):  
Weiwei Chen ◽  
Timothy F. Page
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
The United States ◽  
Health Plans ◽  
Medical Needs ◽  
Care Access ◽  
Health Care Experiences ◽  
Monitoring Survey ◽  
Using Data ◽  
The Impact

High-deductible health plans (HDHPs) have become increasingly prevalent among employer-sponsored health plans and plans offered through the Health Insurance Marketplace in the United States. This study examined the impact of deductible levels on health care experiences in terms of care access, affordability, routine checkup, out-of-pocket cost, and satisfaction using data from the Health Reform Monitoring Survey. The study also tested whether the experiences of Marketplace enrollees differed from off-Marketplace individuals, controlling for deductible levels. Results from multivariable and propensity score weighted regression models showed that many of the outcomes were adversely affected by deductible levels and Marketplace enrollment. These results highlight the importance of efforts to help individuals choose the plan that fits both their medical needs and their budgets. The study also calls for more attention to improving provider acceptance of HDHPs and Marketplace plans as these plans become increasingly common over time.

scholarly journals Queering whole person care in a pandemic

2022 ◽  
Vol 9 (1) ◽  
pp. 56-57
Author(s):  
Jane Shulman ◽  
David Kenneth Wright
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
The Past ◽  
Health Care Experiences ◽  
The People ◽  
Whole Person ◽  
Care Approach ◽  
The Face ◽  
Nursing Educator

How can health care providers (HCPs) working with 2SLGBTQ+ patients enact a whole person care approach during the SARS-CoV-2 pandemic and its aftermath, and in such desperate times, is it even reasonable to expect them to? In this presentation, a nurse/nursing educator and a health care researcher/frequent patient discuss their observations and experiences of whole person care during the SARS-CoV-2 pandemic. The conversation highlights that in the immediate chaos early on, and in the face of exhaustion, trauma, and burnout as the pandemic progressed, attending to the whole personhood of patients was/is paramount for HCPs and for the people they treat. The presenters reflect on the amplified significance of a whole person approach for 2SLGBTQ+ people who may have had negative health care experiences in the past, and may fear that they will not receive equitable care in the chaotic context of a pandemic. A whole person care approach is perhaps most necessary when it is also most difficult. In a period of such profound distress, a deeper sense of connectedness to patients may help HCPs manage feelings of helplessness they are likely to encounter, and surely helps the people they treat. The goal of this presentation is to begin a discussion about the ways that whole person approaches benefit 2SLGBTQ+ patients as well as their HCPs, with the hope that it will spark ideas for attendees to develop in their own practices.

scholarly journals Humanization on the embracement of lesbians, gays, bisexuals, transvestites and transsexuals in primary care: bioethical thoughts for nursing

2011 ◽  
Vol 5 (4) ◽  
pp. 1064 ◽  
Author(s):  
Patrícia Juliana de Sousa ◽  
Fátima Maria Da Silva Abrão ◽  
Aurélio Molina da Costa ◽  
Luiz Oscar Cardoso Ferreira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Equal Opportunity ◽  
Extensive Literature ◽  
State University ◽  
Transgender People ◽  
Primary Health ◽  
Bisexual And Transgender ◽  
Lgbt People ◽  
The Right

ABSTRACT Objective: to reflect on how nursing may employ the bioethics knowledge inside their practice to assistance and humanize the embracement on primary health care to Lesbian, Gay, Bisexual, and Transgender people (LGBT). Methodology: a reflective essay based on extensive literature review and consolidated through discussions during classes, as also seminars and Bioethics readings extracted from the discipline  "Fundamentals of Ethics and Bioethics in Health Care” from Masters of Science in Nursing’s Associate Program of Pernambuco State University and Paraiba State University, Brazil. Results: the bioethics knowledge can subscribe the real recognition of citizenship for all people, especially the most vulnerable ones, providing a space for reflections in the direction of harmony and equal opportunity among LGBT and health professionals. Conclusion: the theoretical framework of bioethics can help and support registered Nurses to promote humanized care for embracement of LGBT people in primary health services, in that it gives them sense of dignity and respect through the tolerance and acceptance of the right of diversity. Descriptors: user embracement; primary health care; homosexuality; bioethics; nursing. RESUMO Objetivo: refletir sobre como a Enfermagem pode utilizar o referencial da Bioética para fundamentar sua prática e assistência em relação à garantia de um acolhimento humanizado a Lésbicas, Gays, Bissexuais, Travestis e Transexuais (LGBT) nos serviços de saúde da atenção básica. Metodologia: ensaio reflexivo baseado em revisão bibliográfica e consolidado por meio de discussões e seminários realizados na disciplina Fundamentos da Ética e Bioética na Saúde e Enfermagem do Programa de Mestrado Associado de Pós-Graduação em Enfermagem UPE/UEPB. Resultados: a Bioética contribui para o reconhecimento da plena cidadania de todos os seres humanos principalmente dos mais vulneráveis, deste modo, proporcionando um espaço de reflexão na busca da convivência e da oportunidade entre usuários LGBT e profissionais da saúde. Conclusão: o referencial teórico da Bioética pode ajudar a respaldar e promover o acolhimento humanizado de LGBT pela Enfermagem nos serviços da atenção básica por meio da tolerância com a diversidade e respeito à dignidade humana destes cidadãos. Descritores: acolhimento; atenção básica; homossexualidade; bioética; enfermagem. RESUMEN Objectivo: refletir cómo las enfermeras pueden emplear los conocimientos de bioética dentro de su práctica  para  la asistencia y humanización de la acogida dentro la atención primaria de la salud de lesbianas, gays, bisexuales y personas transgénero. Metodología: ensayo reflexivo basado en  revisión de la literatura y consolidado através de discusiones y seminarios  durante las clases, así como seminarios y lecturas de Bioética extraídos de la disciplina "Fundamentos de la Ética y Bioética en la Atención Sanitaria" del Programa Master en Enfermeria Asociado de las Universades de los estados de Pernambuco y Paraiba, Brazil. resultados: la Bioética puede sostener um reconocimiento real de la ciudadanía de las personas, especialmente los más vulnerables, proporcionando un espacio de reflexión en el sentido de la armonía y la igualdad de oportunidades entre los LGBT y profesionales de la salud. Conclusión: el marco teórico de la bioética puede sustener a las enfermeras  para una atención más humanizada  de la acogida a los LGBT dentro de los servicios de salud primaria, garantizando a estas personas un sentido de dignidad y respeto a través de la tolerancia y la aceptación del derecho de la diversidad. Descriptores: acogimiento; atención primaria de salud; homosexualidad; bioética; enfermería.

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