Perspectivas dos profissionais de saúde quanto aos cuidados da população transgênero na Atenção Primária à Saúde: uma revisão de escopo
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Data
2025-03-20
Autores
Souza, Jayne Menezes de
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Universidade Federal do Espírito Santo
Resumo
Introduction: Studies show that transgender individuals face significant barriers in the context of primary health care. The literature has explored the perspectives and experiences of transgender individuals regarding the care they receive; however, there is still no comprehensive view of health professionals' perspectives on this care. Objective: To map the perspectives of health professionals regarding the care of the transgender population in primary health care. Methods: A scoping review was conducted following the methodological processes proposed by the JBI Manual for Evidence Synthesis and the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A systematic search was carried out in May 2024 in the following databases: PubMed/Medline, Embase, Web of Science, Cinahl, Scielo, Virtual Health Library, the International Journal of Transgender Health, and the gray literature. Descriptors related to "Health Personnel," "Transgender Persons," and "Primary Health Care" were used. Subsequently, two reviewers independently selected the studies through title and abstract screening, followed by full-text analysis based on eligibility criteria. Data were extracted independently by two reviewers, and the professionals' perspectives were jointly analyzed by the review team and categorized. The data were presented descriptively. Results: A total of 1,022 studies were identified in the initial search, of which 11 articles met the eligibility criteria and were included in this review. Most studies were conducted in North American countries (n = 7; 63.6%) and had a qualitative design (n = 9; 81,8%). The analysis of healthcare professionals' perspectives resulted in the following categories: "Professional Attitude," addressed in 11 studies (100%), "Healthcare Network" (n = 10; 90,9%), "Training" (n = 9; 81,9%), and "Stigma" (n = 7; 63,3%). The main professionals participating in the studies were physicians and nurses. Strategies cited by professionals for promoting transgender care in primary health care focused on the professional and/or the healthcare team. Conclusion: The perspectives of professionals on the care of the transgender population in primary health care revealed that various aspects related to the Health Care Network, Training, Stigma, and Professional Attitudes influence this care. Significant challenges were identified, which may compromise the quality of care. Strategies focused on professionals and teams can be implemented to promote inclusive care
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Profissionais de Saúde , Pessoas transgênero , Atenção Primária à Saúde , Health Professionals , Transgender Persons , Primary Health Care