Evidence map›Paper›PMID 38540611›Full record

ArticleHealthcare (Basel, Switzerland)2024

Βarriers and Gaps to Medical Care for Transgender Individuals: A TRANSCARE Scoping Review with a Focus on Greece.

Marilena Anastasaki, Agapi Angelaki, Philippos Paganis, Elena Olga Christidi, Nancy Papathanasiou, Eleni Panagiota Stoupa, Evika Karamagioli, Emmanouil Pikoulis, Christos Lionis, TRANSCARE Group

Open access · goldAbstract readScoping Review
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Gender Incongruence: An Overview of Current Status and Perspectives.Advances in experimental medicine and biology · 2026
    Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Marilena AnastasakiClinic of Social and Family Medicine, School of Medicine, University of Crete, 710 03 Heraklion, Greece.ORCID 0000-0003-2306-1626
Agapi AngelakiClinic of Social and Family Medicine, School of Medicine, University of Crete, 710 03 Heraklion, Greece.ORCID 0000-0002-8385-8429
Philippos PaganisOrlando LGBT+, 11527 Athens, Greece.
Elena Olga ChristidiOrlando LGBT+, 11527 Athens, Greece.
Nancy PapathanasiouOrlando LGBT+, 11527 Athens, Greece.
Eleni Panagiota StoupaPost Graduate Programme of Global Health-Disaster Medicine, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Evika KaramagioliPost Graduate Programme of Global Health-Disaster Medicine, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Emmanouil PikoulisPost Graduate Programme of Global Health-Disaster Medicine, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Christos LionisClinic of Social and Family Medicine, School of Medicine, University of Crete, 710 03 Heraklion, Greece.ORCID 0000-0002-9324-2839
TRANSCARE Group
National and Kapodistrian University of Athens · GRUniversity of Crete · GR

Funding

European Union 881952
6 · The paper itself

Abstract

Trans people face substantial barriers to care worldwide. In Greece, limited evidence regarding trans health and actions to improve accessibility in healthcare services is available. This study aims to identify barriers to care for transgender populations in order to discuss the potential gaps in healthcare providers' training in this direction. A scoping review was conducted in PubMed. Study eligibility criteria included: (a) reporting on at least one barrier to care for trans individuals or at least one educational need for healthcare providers; (b) free full text availability; and (c) publishing from 2015 and afterwards. Discrepancies in study inclusion were discussed between the research team until consensus was reached. Out of 560 identified references, 69 were included in this study, with only three reporting empirical research from Greece. Several individual-, interpersonal-, and institutional-level barriers to healthcare for trans individuals were identified. These included discriminatory treatment by healthcare providers, a lack of knowledgeable providers trained on trans-specific healthcare issues, lack of trusted and safe healthcare environments, health coverage-related issues, and healthcare systems that do not take into account particular transgender health issues during care provision. Improving access to care for transgender people is a multidimensional issue that should be addressed at the societal, healthcare, and research levels. Actions for future professional education initiatives should focus on respecting transgender identity, protecting confidentiality, creating trusted provider-patient relationships, and providing sufficient competency on trans-specific healthcare issues.

Indexed as

barriers to careprimary caretransgender care

Identifiers

PMID38540611
PMCPMC10970254
OpenAlexW4392746249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.