Barriers and Challenges in Caring for Transgender People: Implications for Clinical Practice and the Experience From a Specialized Center

Abstract

Background: Transgender people often experience social exclusion and transphobic attitudes, which have an adverse impact on their socioeconomic life and health status. Within health services, ­discriminatory practices and mistreatment derive from the lack of cultural competence by ­healthcare providers.Objective: This article features existing barriers in the provision of healthcare to transgender populations and suggests approaches to manage the relevant challenges.Methods: A thorough review of the literature was performed, and the operation of a specialized unit wass presented.Results: Health professionals are often unskilled or unwilling to offer transgender care, while most healthcare service institutions do not offer specialized treatments. Incomplete health insurance coverage and shortages of personal income impede trans individuals’ access to healthcare. Certain practices and policies are needed for scientifically and culturally competent services.Conclusions: The social vulnerability and the unique health needs of transgender persons urgently call for accessible and effective care for gender minority individuals. The integration of gender identity issues into continuous medical and nursing education is a key component of transgender-friendly care.Implications for Nursing: The integration of diversity as a core value in health services, the ability of health personnel to deliver transgender care, and the provision of insurance coverage solely based on medical needs are necessary steps to achieve social justice in healthcare.