ArticleHealthcare (Basel, Switzerland)2022
Care of Transgender Patients: A General Practice Quality Improvement Approach.
Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- "Providers had no idea what to do with me": A mixed-methods analysis of detransition/retransition support, care, and information needs among sexual and gender minority individuals.International journal of transgender health · 2026Article
- A Latent Class Analysis of Interrupted Gender Transitions and Detransitions in the USA and Canada.Archives of sexual behavior · 2025Article
- Article
- The Emotional Universe of Nonbinary Parents: A Hermeneutic Study.Healthcare (Basel, Switzerland) · 2025Article
- Gender Dysphoria and Detransitioning in Adults: An Analysis of Nine Patients from a Gender Identity Clinic from Finland.Archives of sexual behavior · 2025Article
- Introducing Novel Methods to Identify Fraudulent Responses (Sampling With Sisyphus): Web-Based LGBTQ2S+ Mixed-Methods Study.Journal of medical Internet research · 2025Article
- Towards Best-Practice Healthcare for Transgender Patients: Quality Improvement in United Kingdom General Practice.Healthcare (Basel, Switzerland) · 2025Article
- Demands for Health Care and Barriers to Health Care Access Among Transgender and Nonbinary People in Chile: A Nationwide Survey.Transgender health · 2025Article
- Grappling with the complexities of gender transition interruptions: Toward conceptual clarity on "detransitioning" experiences.International journal of transgender health · 2025Review
- Supporting autonomy in young people with gender dysphoria: psychotherapy is not conversion therapy.Journal of medical ethics · 2024Article
- Discontinuing hormonal gender reassignment: a nationwide register study.BMC psychiatry · 2024Article
- Differences in Subjective Transition Outcomes Between Transgender and Gender-Diverse Individuals Who Completed Mandatory Psychiatric Assessment and Those Who Received Gender-Affirmative Medical Treatment in Croatia: A Cross-Sectional Online Survey.Archives of sexual behavior · 2024Article
- Psychodynamic psychotherapy for gender dysphoria is not conversion therapy.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2024Article
- Puberty Suppression for Pediatric Gender Dysphoria and the Child's Right to an Open Future.Archives of sexual behavior · 2024Article
- Detransition and Desistance Among Previously Trans-Identified Young Adults.Archives of sexual behavior · 2024Article
- [Dysphoria and psychiatric comorbidity in transgender people seeking medical care for somatic transition].Revista medica del Instituto Mexicano del Seguro Social · 2023Article
- Transition Regret and Detransition: Meanings and Uncertainties.Archives of sexual behavior · 2023Article
- Inequalities in cancer screening participation between adults with and without severe mental illness: results from a cross-sectional analysis of primary care data on English Screening Programmes.British journal of cancer · 2023Article
- The Detransition Rate Is Unknown.Archives of sexual behavior · 2023Article
- Gender detransition: A critical review of the literature.Actas espanolas de psiquiatria · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Primary care must ensure high quality lifelong care is offered to trans and gender minority patients who are known to have poor health and adverse healthcare experiences. This quality improvement project aimed to interrogate and audit the data of trans and gender minority patients in one primary care population in England. A new data collection instrument was created examining pathways of care, assessments and interventions undertaken, monitoring, and complications. General practitioners identified a sample from the patient population and then performed an audit to examine against an established standard of care. No appropriate primary care audit standard was found. There was inconsistency between multiple UK gender identity clinics' (GIC) individual recommended schedules of care and between specialty guidelines. Using an international, secondary care, evidence-informed guideline, it appeared that up to two-thirds of patients did not receive all recommended monitoring standards, largely due to inconsistencies between GIC and international guidance. It is imperative that an evidence-based primary care guideline is devised alongside measurable standards. Given the findings of long waits, high rates of medical complexity, and some undesired treatment outcomes (including a fifth of patients stopping hormones of whom more than half cited regret or detransition experiences), this small but population-based quality improvement approach should be replicated and expanded upon at scale.
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