Mandatory training in gender-affirming healthcare would improve the medical experience for transgender patients, according to a study published in the Journal of Adolescent Health.

The study team analyzed survey and in-person interview responses from transgender teens in the Seattle area and found six barriers to healthcare treatment in trans youth:

  • Few pediatric providers trained in gender-affirming care
  • A lack of consistency in applying protocols
  • Inconsistent use of the patients’ preferred name or pronoun
  • Gatekeeping and uncoordinated care
  • Limited or delayed access to transitional hormones and medications
  • Insurance barriers

Medical providers are often untrained in the anatomy and needs of transgender patients, FierceHealthcare previously reported. Transgender patients may also be harassed in medical settings–according to the National Transgender Discrimination Survey, 28 percent of patients surveyed said they’d experienced it. In an extreme example, the Daily Beast reports that a trans patient in Pakistan died from gunshot wounds after a local hospital kept her waiting for more than a hour, and then had trouble choosing to place her in the men’s or women’s ward.


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