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首页> 外文期刊>Journal of health care for the poor and underserved >Gender-affirming Surgeries in the Era of Insurance Coverage: Developing a Framework for Psychosocial Support and Care Navigation in the Perioperative Period
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Gender-affirming Surgeries in the Era of Insurance Coverage: Developing a Framework for Psychosocial Support and Care Navigation in the Perioperative Period

机译：在保险时代的性别肯定的手术中：在围手术期间制定心理社会支持和护理导航的框架

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摘要

Transgender people have a gender identity different from their birth-assigned sex. Transgender people may seek gender-affirming surgeries to align their body with their identified gender. With increasing visibility of transgender identities, and recognition of the importance of gender-affirming care, has come a policy shift toward mandated coverage or provision of blanket exclusions of these procedures by insurance companies and Medicaid. The World Professional Association for Transgender Health provides guidance to mental health professionals evaluating patients for gender-affirming surgeries, including making a diagnosis and assessing for capacity to consent. However the expansion of covered gender-affirming surgeries to safety-net populations has highlighted the need for an expanded presurgical process which includes a psychosocial assessment and care navigation. The proposed framework expands the preoperative assessment to include these components, and can be used to guide both health systems and insurance providers in the development of transgender medicine programs.
机译：变性人与他们出生的性别不同的性别身份不同。跨性别人员可能会寻求性别肯定的手术，以使他们的身体与识别的性别保持一致。随着变性人身份的可见性，并对性别肯定关怀的重要性的认可，通过保险公司和医疗补助在政策转变为授权或提供这些程序的毯子排除。世界跨性别健康专业协会为精神卫生专业人员评估了对性别肯定的手术患者的精神卫生专业人员提供了指导，包括进行诊断和评估同意的能力。然而，涵盖的性别肯定的手术向安全净群体的扩张强调了需要扩大的预设过程，其中包括心理社会评估和护理导航。拟议的框架扩大了术前评估，包括这些组件，可用于指导卫生系统和保险提供者在转型医学计划的发展中。

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