New care models for transgender people in the Spanish Health System: demands, controversies and reflections
Por:
Gomez-Gil, E, de Antonio, I, Rodriguez, M, Almaraz, M, Murillo, F, Balaguer, M, Araque, N, Porta, M, Rabinovich, I, Garcia, R, Gonzalez, A and Grp GIDSEEN
Publicada:
16 nov 2020
Resumen:
Health care for transgender people in Spain has been progressively established since 1999 when the first multidisciplinary unit for the treatment of sex reassignment was created in Andalusia. In this document, the social changes. the demands and debates of users and professionals, the new models of health care for trans people, and reflections on the current situation, have been analysed.
The social openness in Spain regarding sexual and Render diversity has evolved quite positively. The health demands of the transgender users are not uniform and do not always match with the criteria of the professionals. In some Spanish regions, health care is distancing itself from the internationally recommended multidisciplinary model. The new healthcare models have been established under the aegis of primary care and or endocrinologist in the area, without a required psychological assessment. The main contributing factors for this change of model have been the pressure from some associations with demands for "depathologization - and "decentralization".
The professionals of gender units. while recognizing the need for a broader vision of trans reality, warn of the risk of treating trans people without the involvement of mental health specialists or by professionals in proximity with little experience. Moreover, the decentralization would not allow acting on large cohorts, which hinders the advance of knowledge and contrasted evaluations with neighbouring countries. In summary, the new health models. although intended to facilitate care through proximity, do not guarantee improvements in quality and difficult to make a comparative evaluation of the results.
Filiaciones:
Gomez-Gil, E:
IDIBAPS, Serv Psiquiatria, Inst Neurociencias, Hosp Clin, Barcelona, Spain
de Antonio, I:
Hosp Reg Univ, Serv Endocrinol, Malaga, Spain
Rodriguez, M:
Hosp Univ San Agustin Aviles, Serv Salud Mental, Asturias, Spain
Almaraz, M:
Hosp Reg Univ, Serv Endocrinol, Malaga, Spain
:
Hosp Peset, Serv Psicol, Valencia, Spain
:
Hosp Peset, Serv Endocrinol, Valencia, Spain
Araque, N:
Hosp Ramon & Cajal, Serv Psicol, Madrid, Spain
Porta, M:
Hop Clin, Serv Endocrinol, Barcelona, Spain
Rabinovich, I:
Hop Clin, Serv Endocrinol, Barcelona, Spain
Garcia, R:
Univ A Coruna, Dept Psicol, Ctr Invest Cient Avanzadas CICA, La Coruna, Spain
Gonzalez, A:
Univ Salamanca, Inst Invest Biomed Salamanca IDSAL, Serv Psiquiatria, Hosp Clin Univ, Salamanca, Spain
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