(Dis)integrated Care: Barriers to Health Care Utilization for Trans Women Living With HIV
| Autor: | Lauren Munro, Zack Marshall, Robb Travers, Rebecca Hammond, Greta R. Bauer, Caleb Nault |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Canada
Community-Based Participatory Research Attitude of Health Personnel HIV Infections Social Welfare Dysfunctional family Affect (psychology) Transgender Persons Health Services Accessibility 03 medical and health sciences Discrimination Psychological 0302 clinical medicine Nursing Health care Transgender Humans Medicine 030212 general & internal medicine Qualitative Research Ontario Advanced and Specialized Nursing 030505 public health Social work business.industry Continuity of Patient Care Patient Acceptance of Health Care Service provider 3. Good health Integrated care Female 0305 other medical science business Transsexualism |
| Zdroj: | Journal of the Association of Nurses in AIDS Care. 28:708-722 |
| ISSN: | 1055-3290 |
| DOI: | 10.1016/j.jana.2017.06.001 |
| Popis: | Transgender (trans) women have been particularly impacted by HIV. To seek insights into the dynamics of health service utilization, interviews were conducted with trans women living with HIV (n = 14) as part of the Trans PULSE community-based research project in Ontario, Canada. Service providers (n = 10) were also interviewed to provide additional details about communication between trans women, social service providers, and clinicians. Results highlight how both problematic interactions with individuals and health systems navigation challenges affect access to services and impede the development of trans-specific HIV supports. Participants described discrimination, identified strategies for navigating a dysfunctional system, and outlined specific ways in which health and social services may be failing trans women living with HIV. Findings support the importance of coordinating HIV services and transition-related care, and providing training for service providers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|