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首页> 外文期刊>Journal of health services research & policy >Specialization and minority health care: hormone therapy for trans people in England
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Specialization and minority health care: hormone therapy for trans people in England

机译：专业化和少数群体医疗：英格兰跨人民的激素治疗

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摘要

Specialization serves an important purpose in health services, ensuring resources are used efficiently and patients can access specialized skills and interventions. However, specialization also results in services being concentrated in fewer locations, with less patient choice. Focussing upon the example of gender-identity services for trans people in England, this paper outlines contemporary debates regarding hormone prescription pathways and argues that concepts of 'specialization' in health care may at times disadvantage minority populations who have needs that are uncommon but not clinically complex. Supplying gender-identity services in specialized clinics has sometimes been presented as avoiding discrimination that may occur in wider health services, but may reinforce perceptions that other health providers do not need to engage with trans populations. Primary care-led models for providing trans health care operate internationally and are being explored in the UK. However, reform processes may be helped by further critical attention to the purposes and implications of specialization.
机译：专业化是卫生服务的一个重要目的，确保资源得到有效利用，患者可以获得专业技能和干预措施。然而，专业化也导致服务集中在更少的地点，患者的选择更少。本文以英国跨性别人群的性别认同服务为例，概述了关于激素处方途径的当代争论，并认为医疗保健中的“专业化”概念有时可能会使少数群体处于不利地位，他们的需求不常见，但临床上并不复杂。在专门诊所提供性别认同服务有时被视为避免在更广泛的卫生服务中可能出现的歧视，但可能会强化其他卫生服务提供者不需要与跨人群接触的观念。初级保健主导的跨医疗保健模式在国际上运作，英国正在探索。然而，对专业化的目的和影响的进一步批判性关注可能有助于改革进程。

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