Transgender bireylerin birinci basamak sa�l�k bak�m ilkeleri

Deniz, Muzaffer Serdar; �zdemir, Didem; Cakir, Bekir

Cilt : 21 Say� : 1 Y�l :

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Ankara Medical Journal Transgender bireylerin birinci basamak sa�l�k bak�m ilkeleri [Ankara Med J]

Ankara Med J. 2021; 21(1): 203-216 | DOI: 10.5505/amj.2021.80000

Transgender bireylerin birinci basamak sa�l�k bak�m ilkeleri

Muzaffer Serdar Deniz¹, Didem �zdemir², Bekir Cakir²
¹Sa�l�k Bilimleri �niversitesi T.C.Sa�l�k Bakanl�� Ankara �ehir Hastanesi Endokrinoloji ve Metabolizma Hastal�klar� Klini�i
²Ankara Y�ld�r�m Beyaz�t �niversitesi T�p Fak�ltesi �� hastal�klar� Anabilim Dal�, Endokrinoloji ve Metabolizma Hastal�klar� B.D.

Cinsiyet �e�itlili�ine ili�kin g�r�nen art��, genel sa�l�k �al��anlar�n�n bu grupla kar��la�ma olas�l��n�n da artmas�na yol a�m��t�r. Birinci basamak sa�l�k hizmetinde �al��an hekimlerin nitelikli ve kapsaml� bir sa�l�k hizmeti verebilmeleri i�in hastalar�n cinsel y�nelimlerinin ve cinsiyet kimliklerinin fark�nda olmalar� ve yakla��mlar� �nemlidir. Trans bireylerin sa�l�k gereksinimleri ve sa�l�k hizmetlerine eri�imde ya�ad�klar� sorunlar dikkate al�nd��nda birinci basamakta bu ki�ilerin y�netimi olduk�a �nem kazanmaktad�r. Birinci basamak sa�l�k hizmetlerinde trans erkekler ve trans kad�nlar i�in birincil, ikincil ve ��nc�l koruma sa�lanabilmektedir. �deal olarak, trans bireylere sunulan sa�l�k hizmetleri birinci basamakta sa�l�k hizmeti veren hekimler ile psikiyatristler, endokrinologlar ve cerrahlar� i�eren multidisipliner yakla��m� gerektirmektedir. Bu derlemenin amac�, g�ncel k�lavuzlardan yararlanarak trans bireylerin y�netimi ile ilgili esaslar� ve sunulmas� gereken sa�l�k hizmetlerini �zetlemek ve bu konuda birinci basamakta sa�l�k hizmeti veren hekimlere yard�mc� olmakt�r.

Anahtar Kelimeler: Transgender, birinci basamak sa�l�k hizmeti, tarama programlar�, komplikasyonlar.

Primary health care principles for transgender individuals

Muzaffer Serdar Deniz¹, Didem �zdemir², Bekir Cakir²
¹Health Sciences University Republic of Turkey Ministry of Health Ankara City Hospital Endocrinology and Metabolic Diseases Clinic
²Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara Yildirim Beyazit University

The sharp rise in gender diversity has led to an increased likelihood of general health workers encountering this group of patients. Awareness and approach of physicians working in primary health care about the sexual orientation and gender identity of the patients are important to provide a qualified and comprehensive health service. In this context, considering the health needs of transgender individuals and the problems they experience in accessing health services, the management of these people in primary care requires special attention. Primary, secondary and tertiary prevention services can be provided for trans men and trans women in primary health care. Ideally, a multidisciplinary approach including primary care physicians, psychiatrists, endocrinologists, and surgeons should be adopted for healthcare services for transgender people. The aim of this review is to determine the principles of the management of transgender people and the health services that should be provided to them using current guidelines and to assist physicians in providing primary healthcare services to these patients.

Keywords: Transgender, primary health care, screening programs, complications.

Sorumlu Yazar: Muzaffer Serdar Deniz, T�rkiye
Makale Dili: T�rk�e

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