建構多元性別友善的醫療服務

Fostering LGBT-Friendly Healthcare Services

衛漢庭(Han-Ting Wei) ； 陳牧宏(Mu-Hong Chen) ； 顧文瑋(Wen-Wei Ku)

《護理雜誌》 62卷1期 (2015/02) Pp. 22-28

https://doi.org/10.6224/JN.62.1.22

摘要

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。

關鍵字

同志 ； 多元性別 ； 多元性別友善醫療服務

並列摘要

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.

並列關鍵字

LGBT ； gender diversity ； LGBT friendly healthcare

參考文獻

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.

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.

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.

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.

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.