The Patient’s Perspective

Ruoss, Andrew V.; Short, William R.; Kovarik, Carrie L.

doi:10.1016/j.det.2019.10.003

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Being culturally sensitive to different sections of the community such as Lesbian Gay Bisexual Transgender and Queer (LGBTQ) populations is important for the success of any community interventions in health. [ 59 ] This would need institutional policy changes and medical staff trained in cultural competency. Patient experience as identified by the community is an important starting point for the development of such effective and inclusive policies.…”

Section: Factors Affecting the Effectiveness Of Community Interventio...mentioning

confidence: 99%

Community Dermatology: Current Status and the Way Forward

Asokan

2023

Indian Dermatology Online Journal

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Community health interventions in dermatology have the potential to deliver healthcare to large populations. Such interventions can bridge the gap between increasing demands from vast populations and limited availability and asymmetric geographical distribution of specialist doctors. This narrative review aims to delineate various areas in which community dermatology initiatives are useful, the different approaches used, and the factors which could determine their effectiveness. We did a PubMed search using the search terms, “Community Health Services”[Mesh]) AND “Dermatology”[Mesh]. A further literature search was performed by cross-referencing these articles. In addition to its primary purpose of increasing access, community involvement can augment medical education, foster research, and help to develop more patient-centered clinical guidelines, understand disease trends and influences of the environment on various diseases, and formulate population-centered health policy. Task shifting, development of culture-sensitive and gender-sensitive community healthcare teams, disease-specific patient support groups, and use of advances in technology such as telemedicine are some of the important methods used in community dermatology. Task shifting may be performed at different levels – general practitioners, pharmacists, nurses, and community health workers. Community interventions harness volunteerism among health professionals as well as various stakeholders in the community. Partnering with non-governmental organizations, involving members of the community, and being a part of a long-term public health program help to sustain community interventions. The interventions should adapt to the ethical and cultural norms of the community. Continuity of care, fidelity, and evidence support are crucial for the success of community interventions in dermatology.

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Section: Factors Affecting the Effectiveness Of Community Interventio...mentioning

confidence: 99%

Community Dermatology: Current Status and the Way Forward

Asokan

2023

Indian Dermatology Online Journal

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“…40 Comprehensive training related to cultural competence and humility training, in addition to clear communication with the patient, can help ensure that clinician bias does not affect the treatment plan. 40 After careful communication regarding the patient's preferences, each treatment plan is uniquely tailored to the individual. When performing injectable facial remodeling procedures in transgender patients, clinicians should consider different injection sites and properties of dermal fillers and toxins.…”

Section: Part 2: Technical Recommendations For the Use Of Minimally Invasive Injectable Procedures For Facial Remodeling In Transgender Pmentioning

confidence: 99%

“… 36 , 39 Clinicians need to be aware of their subliminal biases relating to race, gender, and sexual orientation, which can affect patient care. 40 Comprehensive training related to cultural competence and humility training, in addition to clear communication with the patient, can help ensure that clinician bias does not affect the treatment plan. 40 After careful communication regarding the patient’s preferences, each treatment plan is uniquely tailored to the individual.…”

Section: Part 2: Technical Recommendations For the Use Of Minimally Invasive Injectable Procedures For Facial Remodeling In Transgender Pmentioning

confidence: 99%

Considerations for the Use of Minimally Invasive Aesthetic Procedures for Facial Remodeling in Transgender Individuals

Boulle¹,

Furuyama²,

Heydenrych³

et al. 2021

CCID

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There is increasing demand among transgender individuals for minimally invasive aesthetic procedures, such as injectable facial fillers and neurotoxins, for facial remodeling and transformation. These procedures may increase transgender individuals' satisfaction with their appearance and allow them to more effectively harmonize their physical appearance with their perception of self. There is currently a lack of information in the medical literature regarding guidelines for the use of these products in transgender patients. In this report, the authors provide experience-based treatment considerations and recommendations for use of minimally invasive facial aesthetic procedures in transgender patients, including case studies illustrating the use of these procedures for both male-to-female and female-tomale transitioning patients. This report highlights the success of minimally invasive methods for assisting transgender patients in achieving their facial remodeling goals. Clinicians play an integral role in the transitioning process for transgender patients, and facial transformation is a key element of this process. When conducted with sensitivity and attention to individual patient goals at varying stages of transition, facial procedures can be of great benefit in enhancing patients' self-perception and overall quality of life.

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“…There is a growing body of research investigating client-centeredness in the provision of transition-related interventions [ 25 , 26 , 27 , 28 , 29 ]. However, approaches based on specific models and studies investigating the potential intersections with systemic factors (e.g., centralized and decentralized health care delivery) are still rare.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Relationship between (De-)Centralized Health Care Delivery, Client-Centeredness, and Health Outcomes—Results of a Retrospective, Single-Center Study of Transgender People Undergoing Vaginoplasty

et al. 2023

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Introduction: Transgender health care interventions (e.g., gender-affirming surgery) support transgender and gender-diverse people to transition to their gender and are delivered in both centralized (by one interdisciplinary institution) and decentralized settings (by different institutions spread over several locations). In this exploratory study, we investigated the relationship between centralized and decentralized delivery of transgender health care, client-centeredness, and psychosocial outcomes. Methods: A retrospective analysis of 45 clients undergoing vaginoplasty at one medical center was conducted. Mann–Whitney U tests assessed differences regarding five dimensions of client-centeredness and psychosocial outcomes between the health care delivery groups. To address shortcomings regarding the small sample size, we applied a rigorous statistical approach (e.g., Bonferroni correction) to ensure that we only identified predictors that were actually related to the outcomes. Results: All aspects of client-centered care were scored average or high. Decentralized delivery of care was more client-centered in terms of involvement in care/shared decision-making and empowerment. However, participants from decentralized health care delivery settings scored lower on psychosocial health (p = 0.038–0.005). Conclusions: The factor of (de-)centralized health care delivery appears to have a significant impact on the provision of transgender health care and should be investigated by future research.

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The Patient’s Perspective

Cited by 5 publications

References 8 publications

Community Dermatology: Current Status and the Way Forward

Community Dermatology: Current Status and the Way Forward

Considerations for the Use of Minimally Invasive Aesthetic Procedures for Facial Remodeling in Transgender Individuals

Exploring the Relationship between (De-)Centralized Health Care Delivery, Client-Centeredness, and Health Outcomes—Results of a Retrospective, Single-Center Study of Transgender People Undergoing Vaginoplasty

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