Incorporating a pharmacist into an interprofessional team providing transgender care under a medical home model

Newsome, Cheyenne; Colip, Leslie; Sharon, Nathaniel G.; Conklin, Jessica

doi:10.2146/ajhp160322

Cited by 18 publications

(16 citation statements)

References 10 publications

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“…A total of 15 studies describing interactions of pharmacists with TG patients were included in this scoping review. A variety of study types were found including empirical research [23][24][25][26][27][28] (n = 6, 40%), practice reports [29][30][31] (n = 3, 20%), commentaries [32][33][34] (n = 3, 20%), editorials 35,36 (n = 2, 13%), and reports with opinions 37 (n = 1, 7%). All studies (n = 15, 100%) originated in the United States of America (USA), with no studies from any other country, including Australia, identified.…”

Section: Resultsmentioning

confidence: 99%

“…All studies (n = 15, 100%) originated in the United States of America (USA), with no studies from any other country, including Australia, identified. The publication dates ranged between the years 2016 and 2019, with most of the studies published in the years 2017 29,30,[33][34][35] (n = 5, 30%) and 2019 23,24,[26][27][28]31,37 (n = 8, 53%).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies 23,25,27 investigated attitudes, perceptions and knowledge of community pharmacists in the provision of TG care. Three studies [29][30][31] described the role of a pharmacist in an interdisciplinary healthcare model, while only two studies 26,27 out of the six empirical studies, evaluated perceptions of TG patients towards receiving care from pharmacists. Another study identified perceptions of LGBTQIA patients towards influenza vaccine uptake from various settings, including pharmacy.…”

Section: Resultsmentioning

confidence: 99%

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Pharmacists’ role in transgender healthcare: A scoping review

Chaudhary

Ray

Glass

2021

Research in Social and Administrative Pharmacy

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Background: Transgender patients have unique healthcare needs, providing pharmacists with the opportunity to play an important role in transgender care through addressing the healthcare disparities observed in this patient group.Objective: This scoping review aimed to explore the role of pharmacists in transgender healthcare. Methods: Six databases were searched from inception: Emcare, Informit, MEDLINE (Ovid), PubMed, Scopus, and Web of Science. The first author performed screening and data extraction in consensus with co-authors. Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) was utilised to report this review. Themes related to the role of pharmacists in transgender healthcare were identified. Results: A total of 356 studies were identified; however, only 15 studies, all from the USA met the selection criteria and were included in this review. Study types included empirical research, practice reports and opinion pieces such as commentaries, editorials, and reports. Pharmacists were found to practise in two different care settings: community and interdisciplinary clinics, performing various roles in transgender healthcare, including patient education and counselling, management of cross-sex hormonal therapy, patient advocacy and provision of preventative care. They were also responsible for the provision of culturally sensitive care in an inclusive and welcoming environment. Although pharmacists considered their role important, they lacked confidence in their knowledge to provide appropriate care to this patient group. Conclusion: This review has highlighted that there is a need for education in transgender care for both pharmacists and pharmacy students, so that they are both confident and comfortable to play a meaningful role in transgender care. Pharmacists' involvement in addressing the health disparities experienced will contribute to improving the overall health outcomes for this group.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Pharmacists’ role in transgender healthcare: A scoping review

Chaudhary

Ray

Glass

2021

Research in Social and Administrative Pharmacy

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“…65 Pharmacists can benefit the treatment team and the TG person by (1) increasing access to medications through contact with various pharmaceutical industry programs, federal, state, and local agencies, (2) by ensuring the most cost-effective medications are dispensed, (3) discussing the most appropriate dosage regimens and formulations, (4) discussing the risks and benefits of cross-sex hormone therapy, (5) carefully monitoring of patients for efficacy and safety, and (6) suggesting risk-reduction strategies (smoking cessation and weight loss). 25,29 Finally, updating treatment protocols as new data emerges is a unique role for pharmacists. 77 Other indirect considerations for pharmacists in the health care aspects for TG individuals are positive reinforcement of therapies, assisting in social transitions, and possible medication effects (e.g., anticholinergic drugs and dry mouth) on voice and speech pattern training.…”

Section: The Pharmacist's Role In the Health Care Needs Of Tg Individmentioning

confidence: 99%

The Evolving Role of Pharmacists in Transgender Health Care

Redfern

Jann

2019

Transgender Health

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Pharmacists are increasingly part of a multifaceted team providing health care to members of the often marginalized transgender (TG) community. Some pharmacists, however, may feel unprepared to care for and interact with TG individuals. By providing comprehensive, respectful, and gender-affirming support, improving physical pharmacy environments with policies and procedures, pharmacists can be trustworthy providers for TG patients. This review focuses primarily on the health issues of TG persons and the pharmacist's role in promoting health, identifying barriers to health care, and providing health care resources for TG persons. The evolution of psychiatric diagnostic criteria, access to health care, and inclusion of TG, lesbian, gay, and bisexual topics in the educational curriculum are presented. Cultural competency and diversity training that addresses gender identity and sexual orientation issues should be important interdisciplinary and interprofessional activities for all health care professional education programs. Pharmacists play a key role in the health care needs of TG persons that include appropriate laboratory monitoring, complex pharmacotherapeutic challenges, and providing unbiased gender-affirming interactions. The pharmacy's physical environment, staff training, and policies and procedures can offer unique services to TG persons.

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“…Moreover, most of the LGBT materials that have historically been provided focused on cultural awareness and empathy, rather than pharmacotherapy and medical treatments. In addition to providing suggestions for content, previous work has shown the importance of incorporating information related to a pharmacist’s role in increasing access to care for this population [16,17]. The Healthy People 2020 initiative from The Department of Health and Human Services aims to improve the “health, safety, and well-being of LGBT individuals” [18].…”

Section: Introductionmentioning

confidence: 99%

Addition of Care for Transgender-Related Patient Care into Doctorate of Pharmacy Curriculum: Implementation and Preliminary Evaluation

2018

Self Cite

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The number of transgender and gender-diverse patients seeking medical care in the United States is increasing. For many of these patients, pharmacotherapy is a part of their gender-affirming transition. Effective instructional methods and resources for teaching pharmacy students about this patient population’s social considerations and medical treatments is lacking. Three hours of educational material on caring for transgender patients was added to a third-year course in a four-year Doctorate of Pharmacy program in the United States. The content included cultural, empathy, and medical considerations. Students in the course were given a survey to assess their perception of each instructional method’s effectiveness and self-assess their confidence in providing competent gender-affirming care to transgender people before and after the learning session. The survey response rate was 36% (54/152). Students’ self-assessed confidence to provide competent care to people who are transgender increased significantly. Before the learning session, the median confidence level was 4/10 (Interquartile range (IQR) 3–6), after the class session, the median confidence increased to 7/10 (IQR 6–8, p < 0.01). Students rated the pre-class video, jeopardy game, and patient panel as most helpful to improving their skills. The addition of transgender-related patient care material into the Doctorate of Pharmacy curriculum significantly increased the students’ confidence to provide competent care to people who are transgender.

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Incorporating a pharmacist into an interprofessional team providing transgender care under a medical home model

Abstract: A pharmacist in an interprofessional team staffing a clinic for TGNC people has assumed multiple responsibilities and helped improve patient care.

Cited by 18 publications

References 10 publications

Pharmacists’ role in transgender healthcare: A scoping review

Pharmacists’ role in transgender healthcare: A scoping review

The Evolving Role of Pharmacists in Transgender Health Care

Addition of Care for Transgender-Related Patient Care into Doctorate of Pharmacy Curriculum: Implementation and Preliminary Evaluation

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