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題名：建構多元性別友善的醫療服務
書刊名：護理雜誌
作者：衛漢庭／陳牧宏／顧文瑋
作者(外文)：Wei, Han-ting／Chen, Mu-hong／Ku, Wen-wei
出版日期：2015
卷期：62:1
頁次：頁22-28
主題關鍵詞：同志；多元性別；多元性別友善醫療服務；LGBT；Gender diversity；LGBT friendly healthcare
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(7) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:18
多元性別屬於社會當中的性少數，長期因為污名與歧視的存在，造成了多元性別就醫者在醫療環境中的困擾與不便。美國2014年的大規模調查顯示，56%的同志就醫者以及70%的跨性別就醫者曾在醫療場合中遭受歧視。建構多元性別有善的醫療環境，不但是性別主流化進階的具體實體，更是健康人權的落實。一個能夠落實多元性別友善的社會，更可以反映出社會對於弱勢與少數的包容與接受程度，也代表著尊重與彈性。從日益精緻化的醫療轉型角度來看，隨著多元性別友善的整體氛圍逐漸落實，背後亦充滿了龐大的醫療商機與更為多元的醫療照護型態的轉變。因此，本文由看見多元性別開始，從政策面、空間營造、臨床問診、以及教育研究各面向談起，從台灣本土角度結合許多重要的世界趨勢，探討建構多元性別友善醫療服務以及多元性別友善護理的具體方法。
LGBT (lesbian, gay, bisexual, transgender) patients suffer from stigma and discrimination when seeking healthcare. A large LGBT healthcare survey revealed that 56% of gay patients and 70% of transgender patients suffered some type of discrimination while seeking healthcare in 2014. The fostering of LGBT-friendly healthcare services is not just an advanced step of gender mainstreaming but also a fulfillment of health equality and equity. Additionally, LGBT-friendly healthcare services are expected to provide new opportunities for healthcare workers. Therefore, proactive government policies, education, research, and clinical practice should all encourage the development of these healthcare services. We look forward to a well-developed LGBT-friendly healthcare system in Taiwan.
期刊論文
1.Altman, D.、Aggleton, P.、Williams, M.、Kong, T.、Reddy, V.、Harrad, D.、Parker, R.(2012)。Men who have sex with men: Stigma and discrimination。The Lancet，380(9839)，439-445。  new window
2.Barnes, D. M.、Meyer, I. H.(2012)。Religious affiliation, internalized homophobia, and mental health in lesbians, gay men, and bisexuals。American Journal of Orthopsychiatry，82(4)，505-515。  new window
3.Chapman, R.、Watkins, R.、Zappia, T.、Nicol, P.、Shields, L.(2012)。Nursing and medical students' attitude, knowledge and beliefs regarding lesbian, gay, bisexual and transgender parents seeking health care for their children。Journal of Clinical Nursing，21(7/8)，938-945。  new window
4.Conron, K. J.、Mimiaga, M. J.、Landers, S. J.(2010)。A population-based study of sexual orientation identity and gender differences in adult health。American Journal of Public Health，100(10)，1953-1960。  new window
5.Costa, A. B.、Peroni, R. O.、Bandeira, D. R.、Nardi, H. C.(2013)。Homophobia or sexism? A systematic review of prejudice against nonheterosexual orientation in Brazil。International Journal of Psychology，48(5)，900-909。  new window
6.Feldman, M. B.、Meyer, I. H.(2007)。Eating disorders in diverse lesbian, gay, and bisexual populations。International Journal of Eating Disorders，40(3)，218-226。  new window
7.Fine, L. E.(2011)。Minimizing heterosexism and homophobia: Constructing meaning of out campus LGB life。Journal of Homosexuality，58(4)，521-546。  new window
8.Hatzenbuehler, M. L.、Keyes, K. M.、Hasin, D. S.(2009)。State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations。American Journal of Public Health，99(12)，2275-2281。  new window
9.Makadon, H. J.(2011)。Ending LGBT invisibility in health care: The first step in ensuring equitable care。Cleveland Clinic Journal of Medicine，78(4)，220-224。  new window
10.Matthews, A. K.、Brandenburg, D. L.、Johnson, T. P.、Hughes, T. L.(2004)。Correlates of underutilization of gynecological cancer screening among lesbian and heterosexual women。Preventive Medicine，38(1)，105-113。  new window
11.Newcomb, M. E.、Mustanski, B.(2010)。Internalized homophobia and internalizing mental health problems: A meta-analytic review。Clinical Psychology Review，30(8)，1019-1029。  new window
12.Ryan, H.、Wortley, P. M.、Easton, A.、Pederson, L.、Greenwood, G.(2001)。Smoking among lesbians, gays, and bisexuals: A review of the literature。American Journal of Preventive Medicine，21(2)，142-149。  new window
13.Sanchez, N. F.、Rabatin, J.、Sanchez, J. P.、Hubbard, S.、Kalet, A.(2006)。Medical students' ability to care for lesbian, gay, bisexual, and transgendered patients。Family Medicine，38(1)，21-27。  new window
14.Socías, M.、Marshall, B.、Arístegui, I.、Romero, M.、Cahn, P.、Kerr, T.、Sued, O.(2014)。Factors associated with healthcare avoidance among transgender women in Argentina。International Journal for Equity in Health，13(1)，81。  new window
其他
1.臺北市社區心理衛生中心(2014)。同志友善醫療手冊，http://mental.health.gov.tw/WebForm/External/DownloadFileList.aspx?Type=01。  延伸查詢new window
2.Gay and Lesbian Medical Association(2006)。Guidelines for care of lesbian, gay, bisexual and transgender patients，http://glma.org/_data/n_0001/resources/live/GLMA%20guidelines%202006%20FINAL.pdf。  new window
3.Human Rights Campaign。Healthcare equality index，http://www.hrc.org/hei。  new window
4.The Fenway Institute。Center for population reserach in LGBT health，http://www.icpsr.umich.edu/icpsrweb/FENWAY/findings/index.jsp#b006。  new window
5.United Nations。Development，http://www.un.org/en/development/。  new window
6.White House。2011 Presidential Citizens Medal Recipients，http://www.whitehouse.gov/citizensmedal/2011-winners。  new window
7.World Medical Association。WMA declaration of Geneva，http://www.wma.net/en/30publications/10policies/g1/index.html。  new window
 
 
 
 
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