Therapeutic itinerary of transsexual people in light of human rights

• Published in: Nursing ethics Vol. 28; no. 5; pp. 704 - 713
• Main Authors: Florêncio, Larissa Luise Ferreira, de Souza, Karla Romana, Oliveira, Elizandra Cassia da Silva, Cabral, Juliana da Rocha, Silva, Felicialle Pereira da, Silva, Raphael Alves da, Frazão, Iracema da Silva, de Oliveira, Regina Célia, Abrão, Fátima Maria da Silva
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01-08-2021; SAGE PUBLICATIONS, INC
• Subjects: Access; Content analysis; Ethics; Health care access; Health services; Help seeking behavior; Human rights; Light therapy; Medical ethics; Patient communication; Prejudice; Reorganization; Research ethics; Sociocultural factors; Stigma; Teams; Transgender persons; Transsexuality; Universal Declaration of Human Rights; healthcare-seeking behavior; transgender people; human rights; Access to health services
• ISSN: 0969-7330; 1477-0989
• DOI: 10.1177/0969733020968864

Background:
The therapeutic itinerary is not limited to the identification and availability of health services offered, but relates to the different individual searches and sociocultural and economic possibilities of each patient. In this study, we discuss the therapeutic itinerary of transsexual people seeking healthcare, from the user’s perspective.
Objective:
The aim of this study was to discuss the therapeutic itinerary of transsexual people seeking healthcare, from the user’s perspective.
Design and participants:
Individual interviews were performed with 10 transsexuals at the Trans Space of a University Hospital of Pernambuco, using the Universal Declaration of Human Rights as the theoretical reference and the Bardin’s thematic content analysis as the reference methodological framework.
Ethical considerations:
This study was approved by the Human Research Ethics Committee at the Federal University of Pernambuco under protocol no. 91284218.5.0000.5208.
Findings:
The comprehensive care for transsexual people was evidenced through four categories analyzed: low demand of transsexuals in health services; use of social name in health services; care permeated by prejudiced and discriminatory attitudes; and health system and professionals who are not able to meet transgender health issues.
Discussion:
Transsexual people are stigmatized and experience prejudice in their daily health, in a way they do not enjoy fundamental rights, as if they had fewer rights, or infringe the principle of universality of access to health. Thus, for effective and comprehensive care, the health team must keep up to date on the public policies existing in the healthcare of transsexual people and reconstruct what they understand by gender.
Conclusion:
Knowledge about the therapeutic itinerary of transgender people may support evaluation processes of health service networks to ensure the access to and reorganization of these services. Understanding this dynamic allows fostering discussions about the structure of health services at all care levels for the care of this population.