PDF(Pubmed)
Abstract：
UNASSIGNED: Despite growing acceptance of LGBT + individuals, an underlying stigma persists even in healthcare, resulting in substandard care and worse healthcare outcomes for LGBT + individuals.
UNASSIGNED: To examine and compare the experiences and expectations regarding primary healthcare among LGBT + individuals and general practitioners (GPs) in Slovenia.
UNASSIGNED: We conducted an online national qualitative study using open-ended questions. To reach LGBT + population snowball method of recruitment was employed by sharing the questionnaire through LGBT + organisations, while GPs were invited by email of Association of family doctors in Slovenia. Anonymous data was collected from October to December 2021 and the questionnaires of 25 GPs and 90 LGBT + individuals of various ages, backgrounds, gender identities and sexual orientations were reviewed using thematic analysis.
UNASSIGNED: Both LGBT + participants and GPs expressed a desire for equal treatment. However, while all GPs claimed to treat all patients equally, LGBT + participants reported more varied experiences. Specific knowledge, especially on LGBT + terminology and healthcare, was perceived as lacking among GPs, leading LGBT + individuals to seek advice from specialists or community counselling. Systemic barriers, including societal stigmatisation and limited formal education on LGBT + issues, were identified, highlighting the need for designated safe spaces and improved GP training. Safety emerged as a central theme, crucial for fostering trust and disclosure between patients and healthcare providers.
UNASSIGNED: The study underscores the significance of a sense of safety in the patient-doctor relationship and highlights the need for improved training and attitudes to provide inclusive and affirming healthcare for LGBT + individuals.
Primary care settings must prioritise creating safe and non-judgmental environments for better LGBT + healthcare.Addressing formal GP education on LGBT + terminology, identities, and healthcare needs is crucial to provide inclusive care.Overcoming systemic barriers, such as societal prejudice and homophobia, requires creating visible safe space signals in primary care settings.
UNASSIGNED: To examine and compare the experiences and expectations regarding primary healthcare among LGBT + individuals and general practitioners (GPs) in Slovenia.
UNASSIGNED: We conducted an online national qualitative study using open-ended questions. To reach LGBT + population snowball method of recruitment was employed by sharing the questionnaire through LGBT + organisations, while GPs were invited by email of Association of family doctors in Slovenia. Anonymous data was collected from October to December 2021 and the questionnaires of 25 GPs and 90 LGBT + individuals of various ages, backgrounds, gender identities and sexual orientations were reviewed using thematic analysis.
UNASSIGNED: Both LGBT + participants and GPs expressed a desire for equal treatment. However, while all GPs claimed to treat all patients equally, LGBT + participants reported more varied experiences. Specific knowledge, especially on LGBT + terminology and healthcare, was perceived as lacking among GPs, leading LGBT + individuals to seek advice from specialists or community counselling. Systemic barriers, including societal stigmatisation and limited formal education on LGBT + issues, were identified, highlighting the need for designated safe spaces and improved GP training. Safety emerged as a central theme, crucial for fostering trust and disclosure between patients and healthcare providers.
UNASSIGNED: The study underscores the significance of a sense of safety in the patient-doctor relationship and highlights the need for improved training and attitudes to provide inclusive and affirming healthcare for LGBT + individuals.
Primary care settings must prioritise creating safe and non-judgmental environments for better LGBT + healthcare.Addressing formal GP education on LGBT + terminology, identities, and healthcare needs is crucial to provide inclusive care.Overcoming systemic barriers, such as societal prejudice and homophobia, requires creating visible safe space signals in primary care settings.
摘要：
■尽管越来越接受LGBT+个人，即使在医疗保健领域，潜在的污名仍然存在，导致LGBT+个体的不合格护理和更糟糕的医疗保健结果。
■研究和比较斯洛文尼亚LGBT+个人和全科医生（GP）对初级保健的经验和期望。
■我们使用开放式问题进行了一项在线全国性定性研究。为了达到LGBT+人口，采用了滚雪球式招聘方法，通过LGBT+组织分享问卷，而全科医生是通过斯洛文尼亚家庭医生协会的电子邮件邀请的。匿名数据于2021年10月至12月收集，问卷包括25名全科医生和90名不同年龄的LGBT+个人，背景,性别认同和性取向使用主题分析进行审查.
■LGBT+参与者和全科医生都表达了平等对待的愿望。然而,虽然所有全科医生都声称平等对待所有患者，LGBT+参与者报告了更多不同的经历。具体的知识,特别是在LGBT+术语和医疗保健方面，被认为是全科医生中缺乏的，领导LGBT+个人向专家或社区咨询寻求建议。系统性障碍，包括对LGBT+问题的社会污名化和有限的正规教育，被确认,强调需要指定的安全空间和改进的GP培训。安全成为中心主题，对于培养患者和医疗保健提供者之间的信任和披露至关重要。
该研究强调了患者与医生关系中安全感的重要性，并强调需要改进培训和态度，为LGBT+个人提供包容性和肯定的医疗保健。
初级保健机构必须优先考虑为更好的LGBT+医疗保健创造安全和非判断性的环境。关于LGBT+术语的正式GP教育，身份,医疗保健需求对于提供包容性护理至关重要。克服系统性障碍，比如社会偏见和同性恋恐惧症，需要在初级保健设置中创建可见的安全空间信号。
■研究和比较斯洛文尼亚LGBT+个人和全科医生（GP）对初级保健的经验和期望。
■我们使用开放式问题进行了一项在线全国性定性研究。为了达到LGBT+人口，采用了滚雪球式招聘方法，通过LGBT+组织分享问卷，而全科医生是通过斯洛文尼亚家庭医生协会的电子邮件邀请的。匿名数据于2021年10月至12月收集，问卷包括25名全科医生和90名不同年龄的LGBT+个人，背景,性别认同和性取向使用主题分析进行审查.
■LGBT+参与者和全科医生都表达了平等对待的愿望。然而,虽然所有全科医生都声称平等对待所有患者，LGBT+参与者报告了更多不同的经历。具体的知识,特别是在LGBT+术语和医疗保健方面，被认为是全科医生中缺乏的，领导LGBT+个人向专家或社区咨询寻求建议。系统性障碍，包括对LGBT+问题的社会污名化和有限的正规教育，被确认,强调需要指定的安全空间和改进的GP培训。安全成为中心主题，对于培养患者和医疗保健提供者之间的信任和披露至关重要。
该研究强调了患者与医生关系中安全感的重要性，并强调需要改进培训和态度，为LGBT+个人提供包容性和肯定的医疗保健。
初级保健机构必须优先考虑为更好的LGBT+医疗保健创造安全和非判断性的环境。关于LGBT+术语的正式GP教育，身份,医疗保健需求对于提供包容性护理至关重要。克服系统性障碍，比如社会偏见和同性恋恐惧症，需要在初级保健设置中创建可见的安全空间信号。
