PATHA's vision for transgender healthcare under the current health reforms.

Autor:	Veale JF; Senior Lecturer and Rutherford Discovery Fellow, Transgender Health Research Lab, School of Psychology, University of Waikato, Kirikiriroa Hamilton., Bullock JJ; Clinical Psychologist, Endocrine Department, Te Whatu Ora, Te-Whanganui-a-Tara Wellington., Byrne J; Research Associate, Transgender Health Research Lab, School of Psychology, University of Waikato, Kirikiriroa Hamilton., Clunie M; Project Lead, Te Ngākau Kahukura, Tāmaki-makau-rau Auckland., Hamilton T; Counsellor, TKH Therapy, Te Tai Tokerau Northland., Horton J; Transgender Health Key Worker, Auckland Sexual Health Service, Te Whatu Ora, Tāmaki-makau-rau Auckland., Kristensen Z; Senior Psychiatric Registrar, Auckland City Hospital, Te Whatu Ora, Tāmaki-makau-rau Auckland., Macdonald JL; Education Lead, Te Ngākau Kahukura, Tāmaki-makau-rau Auckland., Oliphant J; Clinical Director, Auckland Sexual Health Service, Te Whatu Ora, Tāmaki-makau-rau Auckland., Reid D; Secretary, Professional Association for Transgender Health Aotearoa (PATHA), Ahuriri Napier., Shalom Abidi DS; General Practitioner, Invercargill Medical Centre, Waihōpai Invercargill., Stephenson CJ; General Practitioner, The 502 Rangatahi Ora, Porirua, Te-Whanganui-a-Tara Wellington., Withey-Rila C; Assistant Research Fellow, Department of Anthropology, University of Otago, Ōtepoti Dunedin., Wolfgramm P; Doctor of Clinical Psychology Candidate, School of Psychology, Faculty of Science, The University of Auckland Waipapa Taumata Rau, Tāmaki-makau-rau Auckland., Yang RY; Plastic Surgeon, Wakefield Hospital, Te-Whanganui-a-Tara Wellington., Carroll R; Senior Lecturer and General Practitioner, Department of Primary Health Care and General Practice, University of Otago, Te-Whanganui-a-Tara Wellington.
Jazyk:	angličtina
Zdroj:	The New Zealand medical journal [N Z Med J] 2023 Apr 28; Vol. 136 (1574), pp. 24-31. Date of Electronic Publication: 2023 Apr 28.
DOI:	10.26635/6965.6058
Abstrakt:	Aim: The Aotearoa New Zealand healthcare system does not adequately meet the needs of transgender people. Due to healthcare reforms and increases in funding and awareness of transgender health, the Ministry of Health has met with the Professional Association for Transgender Health Aotearoa (PATHA) to discuss ways to improve the healthcare system. We developed a vision for a transgender healthcare document to enable a process for our members to collaborate and to increase transparency about what advice PATHA has provided to the Ministry. Method: Feedback from PATHA's committees was incorporated into a draft document, which was then sent to all PATHA members for further feedback and collaboration. Results: PATHA proposes improvements to transgender healthcare that are centred around a new transgender health resourcing hub, which should operate according to a Te Tiriti o Waitangi framework, provide national coordination of a distributed model of care, provide resourcing (including education) for primary care and actively work to increase provision and equity of gender-affirming surgeries. In order to be effective, the new resourcing hub would utilise peer health navigators, provide education and professional development, promote healing-focussed care and incorporate transgender community leadership and accountability. Conclusions: These improvements would allow for the best practices from existing regional programmes to be implemented throughout the healthcare system. The proposed changes align with the goals of the healthcare reforms to make healthcare for transgender people more equitable, accessible and cohesive. Competing Interests: Nil (© PMA.)
Databáze:	MEDLINE
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