Nuevos modelos de atención sanitaria para las personas transgénero en el Sistema Sanitario Español: demandas, controversias y reflexiones.
Por:
Gómez-Gil E, Esteva de Antonio I, Fernández Rodríguez M, Almaraz Almaraz M, Hurtado Murillo F, Gómez Balaguer M, Asenjo Araque N, Mora Porta M, Halperin Rabinovich I, Fernández García R, Montejo González ÁL and Gidseen G
Publicada:
16 nov 2020
Ahead of Print:
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 gender 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:
Gómez-Gil E:
Servicio de Psiquiatría. Instituto de Neurociencias. Hospital Clínic. IDIBAPS. Barcelona. España
Esteva de Antonio I:
Servicio de Endocrinología. Hospital Regional Universitario. Málaga. España
Fernández Rodríguez M:
Servicio de Salud Mental. Hospital Universitario San Agustín de Avilés. Asturias. España
Almaraz Almaraz M:
Servicio de Endocrinología. Hospital Regional Universitario. Málaga. España
:
Servicio de Psicología. Hospital Peset. Valencia. España
:
Servicio de Endocrinología. Hospital Peset. Valencia. España
Asenjo Araque N:
Servicio de Psicología. Hospital Ramón y Cajal. Madrid. España
Mora Porta M:
Servicio de Endocrinología. Hopital Clínic. Barcelona. España
Halperin Rabinovich I:
Servicio de Endocrinología. Hospital Peset. Valencia. España
Fernández García R:
Centro de Investigaciones Científicas Avanzadas (CICA). Departamento de Psicología. Universidade da Coruña. A Coruña. España
Montejo González ÁL:
Servicio de Psiquiatría. Hospital Clínico Universitario. Universidad de Salamanca. Instituto de Investigación Biomédica de Salamanca (IBSAL). Salamanca. España
Gidseen G:
Grupo de Identidad y Diferenciación Sexual de la Sociedad Española de Endocrinología y Nutrición (SEEN). España
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