Delays in gender affirming healthcare due to COVID-19 are mitigated by expansion of telemedicine - 06/03/23
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Abstract |
Background |
Gender-affirming healthcare is vital for transgender and gender diverse (TGD) patients, and during the pandemic, accessing healthcare became challenging. Hypothesizing that many had procedures postponed, we sought to characterize the impact of the pandemic on TGD patients.
Methods |
A mixed-methods approach was employed, combining surveys and interviews; Duke patients were identified by ICD-10 codes, while non-Duke (national) patients were recruited through online social media.
Results |
All specialties increased telemedicine usage during the pandemic. Duke surgical patients reported a nearly three-fold increase in telemedicine access. COVID-19 symptoms were reported by 24% of Duke and 20% of national patients; barriers to urgent care included the fear of discrimination (27%).
Conclusion |
Delays were experienced in all domains of care, mitigated in part by telemedicine. Nearly one-third of patients cite discrimination as a barrier to care. Though pandemic-related expansion of telemedicine may be a marker of success, significant barriers still complicate delivery of healthcare.
Le texte complet de cet article est disponible en PDF.Highlights |
• | During the pandemic, our cohort of transgender and gender-diverse patients reported delays in all domains of gender care. |
• | Nearly one-third of patients still cite discrimination as a barrier to accessing urgent care facilities. |
• | Increased access to telemedicine was reported for gender affirming care, playing a key role in patients' health and wellness during the pandemic. |
Keywords : Transgender, COVID-19, Telehealth, Gender affirming care, Trans health, Delays
Plan
Vol 225 - N° 2
P. 367-373 - février 2023 Retour au numéro
Article précédent
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Bienvenue sur EM-consulte, la référence des professionnels de santé.