Patient and healthcare professional perspectives on the Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC): analysis of open-ended responses from patients and healthcare professionals.
BMJ Open Qual
; 13(2)2024 Apr 03.
Article
em En
| MEDLINE
| ID: mdl-38569665
ABSTRACT
IMPORTANCE Several international calls have been made for evidence-based patient-reported outcome measure (PROM) implementation for gender-affirming care. The Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC) is a resource which can help guide PROM implementation efforts, developed using a three-phase participatory research approach with transgender and gender-diverse (TGD) patients and gender-affirming healthcare professionals. However, thoughts and perspectives from TGD patients and gender-affirming healthcare professionals on the PG-PROM-GAC need to be investigated. OBJECTIVE:
Investigate patient and healthcare professional perspectives on the PG-PROM-GAC through analysis of open-ended survey results.DESIGN:
Qualitative study analysing open-ended responses from TGD patients and gender-affirming healthcare professionals.SETTING:
Participants were recruited from a UK National Health System (NHS) gender clinic.PARTICIPANTS:
Patients receiving care at an NHS gender clinic and healthcare professionals working at an NHS gender clinic were eligible for participation. Eligible participants were invited to participate in this study via email. INTERVENTION Participants were sent an open-ended survey to collect responses on the PG-PROM-GAC. MAIN OUTCOMES ANDMEASURES:
Data were thematically analysed by two independent researchers and interpreted following guidance from established methods in implementation science.RESULTS:
A total of 64 TGD patients and 9 gender-affirming healthcare professionals responded to the open-ended survey (mean (SD) age 35 (16) and 48 (8), respectively). Four main themes emerged from the data overall opinions and support for the PG-PROM-GAC, presentation of the PG-PROM-GAC, impact of gender clinic resources on PROM implementation and impact of PROM selection on implementation. Data were used to iterate the PG-PROM-GAC in response to participant feedback. CONCLUSIONS AND RELEVANCE The PG-PROM-GAC is an acceptable and feasible resource that can be used by clinicians, researchers and policymakers to guide PROM implementation for gender-affirming care settings, helping to align gender-affirming care with patient needs.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Instituições de Assistência Ambulatorial
/
Assistência à Saúde Afirmativa de Gênero
Limite:
Adult
/
Humans
Idioma:
En
Revista:
BMJ Open Qual
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Reino Unido