Shared care and gender identity support in Primary Care

The perspectives and experiences of parents/carers of young trans people

Bibliographic Data

ID4218583
AuthorsZ Davy (0000-0001-5833-188X, De Montfort University, corresponding author), Jack A Benson (0009-0009-3105-3635, York St John University), Jack Benson (York St John University), Abby Barras (0000-0003-2941-3207, Mermaids, UK)
Year2024
Volume28
Issue2
Pages235-252
Publication date2024-03-01
Open AccessYes
TypeARTICLE
VenueHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL)
Journal identifiersISSN: 1363-4593 • E-ISSN: 1461-7196
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634593221138616
PMID36433767
OpenAlexW4310297345
LanguageEN
References cited38

This article addresses the complex issues surrounding trans youths' shared care perceived by parents in primary care settings in the UK. The analyses in this article draws on qualitative data derived from an online survey of 153 parents with trans children. Through the conceptual framework of healthcare assemblages, findings suggest that quality shared care for trans youth is based upon transient service relationships inherent in their healthcare-primary care, gender identity services, endocrinologists, and Adolescent Mental Health Services (CAHMS)-and, as such, this complexity must be understood better by GPs in order for quality shared care to be administered. We explored various blockages to quality shared care within primary care surgeries that produced limit situations, such as lack of knowledge, training, or experience with trans healthcare. One other key factor was that there were strong external forces that were limiting trans youths' quality shared care in the form of abject depictions from beyond the consultation, which all produced negative effects. Despite these blockages, we also demonstrate how and where quality shared care is received. For instance, we show that continuity of care or treatment after an initial diagnosis or assessment contributes to quality shared care as too does personalized care to those youths receiving it. Overall, this research provides insights into the complex perceptions of parents about what quality shared care is and ought to be for trans youth

Family medicine · Health care · Perception · Primary care · Qualitative research · Shared care · Sociology · Feminist Theory and Gender Studies · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Reproductive Health and Technologies

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Open DOIOpen Access