SynthesisFrontiers in endocrinology2021
Centralized and Decentralized Delivery of Transgender Health Care Services: A Systematic Review and a Global Expert Survey in 39 Countries.
Synthesis in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Centralized and Decentralized Delivery of Transgender Health Care Services: A Systematic Review and a Global Expert Survey in 39 Countries.Frontiers in endocrinology · 2021Pooled it
- Enabling and hindering aspects of the i²TransHealth e-health intervention for transgender and gender diverse people in Germany: a qualitative process evaluation.BMC health services research · 2026Trial
- Which transgender and gender diverse groups benefit most from E-health? Subgroup analyses of the randomized controlled trial iInternational journal of transgender health · 2026Article
- Optimizing the prevention of mother-to-child transmission of hepatitis B through integrated care models: a pilot study in Jiangsu Province, China.BMC public health · 2025Article
- Gender-Affirming Surgical History, Satisfaction, and Unmet Needs Among Transgender Adults.JAMA network open · 2025Article
- Laser hair removal to antiretrovirals: findings from a person-centred care model for transgender people in India.Journal of the International AIDS Society · 2025Article
- The Emotional Universe of Nonbinary Parents: A Hermeneutic Study.Healthcare (Basel, Switzerland) · 2025Article
- Waiting for transgender care and its effects on health and equality: a mixed-methods population study in the Netherlands.EClinicalMedicine · 2024Article
- Exploring the Relationship between (De-)Centralized Health Care Delivery, Client-Centeredness, and Health Outcomes-Results of a Retrospective, Single-Center Study of Transgender People Undergoing Vaginoplasty.Healthcare (Basel, Switzerland) · 2023Article
- Alterations in the inferior fronto-occipital fasciculus - a specific neural correlate of gender incongruence?Psychological medicine · 2023Article
- Association of Affirming Care with Chronic Disease and Preventive Care Outcomes among Lesbian, Gay, Bisexual, Transgender, and Queer Older Adults.American journal of preventive medicine · 2023Article
- Article
- 'Don't think that we die from AIDS': Invisibilised uncertainty and global transgender health.Sociology of health & illness · 2023Article
- Instruments used to assess gender-affirming healthcare access: a scoping review protocol.HRB open research · 2023Article
- Need for Inclusive Consideration of Transgender and Gender Diverse People in E-Health Services: A Systematic Review.Journal of clinical medicine · 2022Review
- A qualitative metasummary of detransition experiences with recommendations for psychological support.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Transgender health care is delivered in both centralized (by one interdisciplinary institution) and decentralized settings (by different medical institutions spread over several locations). However, the health care delivery setting has not gained attention in research so far. Based on a systematic review and a global expert survey, we aim to investigate its role in transgender health care quality. Methods: We performed two studies. In 2019, we systematically reviewed the literature published in databases (Cochrane, MEDLINE, EMBASE, Web of Science) from January 2000 to April 2019. Secondly, we conducted a cross-sectional global expert survey. To complete the evidence on the question of (de-)centralized delivery of transgender health care, we performed a grey literature search for additional information than the systematic review and the expert survey revealed. These analyses were conducted in 2020. Results: Eleven articles met the inclusion criteria of the systematic review. 125 participants from 39 countries took part in the expert survey. With insights from the grey literature search, we found transgender health care in Europe was primarily delivered centralized. In most other countries, both centralized and decentralized delivery structures were present. Comprehensive care with medical standards and individual access to care were central topics associated with the different health care delivery settings. Discussion: The setting in which transgender health care is delivered differs between countries and health systems and could influence different aspects of transgender health care quality. Consequently, it should gain significant attention in clinical practice and future health care research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.