Author:
Koehler Andreas,Strauss Bernhard,Briken Peer,Szuecs Daria,Nieder Timo O.
Abstract
IntroductionTransgender health care is delivered in both centralized (by one interdisciplinary institution) and decentralized settings (by different medical institutions spread over several locations). However, the health care delivery setting has not gained attention in research so far. Based on a systematic review and a global expert survey, we aim to investigate its role in transgender health care quality.MethodsWe performed two studies. In 2019, we systematically reviewed the literature published in databases (Cochrane, MEDLINE, EMBASE, Web of Science) from January 2000 to April 2019. Secondly, we conducted a cross-sectional global expert survey. To complete the evidence on the question of (de-)centralized delivery of transgender health care, we performed a grey literature search for additional information than the systematic review and the expert survey revealed. These analyses were conducted in 2020.ResultsEleven articles met the inclusion criteria of the systematic review. 125 participants from 39 countries took part in the expert survey. With insights from the grey literature search, we found transgender health care in Europe was primarily delivered centralized. In most other countries, both centralized and decentralized delivery structures were present. Comprehensive care with medical standards and individual access to care were central topics associated with the different health care delivery settings.DiscussionThe setting in which transgender health care is delivered differs between countries and health systems and could influence different aspects of transgender health care quality. Consequently, it should gain significant attention in clinical practice and future health care research.
Subject
Endocrinology, Diabetes and Metabolism
Reference64 articles.
1. Non-Binary or Genderqueer Genders;Richards;Int Rev Psychiatry,2016
2. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7;Coleman;Int J Transgend Health,2012
3. S3-Leitlinie Zur Diagnostik, Beratung Und Behandlung Im Kontext Von Geschlechtsinkongruenz, Geschlechtsdysphorie Und Trans-Gesundheit [S3-Guideline on Diagnosis, Counselling and Treatment in the Context of Gender Incongruence, Gender Dysphoria and Trans Health];Nieder;Z Sex Forsch,2019
4. A Systematic Review of the Effects of Hormone Therapy on Psychological Functioning and Quality of Life in Transgender Individuals;White Hughto;Transgend Health,2016
5. Hormonal Therapy and Sex Reassignment: A Systematic Review and Meta-Analysis of Quality of Life and Psychosocial Outcomes;Murad;Clin Endocrinol,2010
Cited by
14 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献