Telemedicine and Inequities in Health Care Access: The Example of Transgender Health

Hamnvik, Ole-Petter R; Agarwal, Shailesh; AhnAllen, Christopher G.; Goldman, Anna L.; Reisner, Sari L.

doi:10.1089/trgh.2020.0122

Cited by 30 publications

(32 citation statements)

References 5 publications

(4 reference statements)

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“…In addition, in that study, which included only trans youth, participants expressed that they would prefer in-person visits, despite their positive views on virtual gender-related care [29]. Lack of a safe and confidential place for a virtual visit has also been previously described as a barrier in this population [39]; however, this was identified as a concern by only a small proportion of participants in our study. Further research centered on understanding the healthcare experience of trans youth will be of key importance to continue improving virtual care for this group.…”

Section: Discussionmentioning

confidence: 59%

“…Transgender people have been shown to have worse general and mental health outcomes than their cisgender counterparts. The reasons for this include stigma, discrimination, minority stress, and socioeconomic differences, among others [37][38][39][40]. The current global pandemic has accentuated health disparities among trans youth and other marginalized identities [18,19].…”

Section: Discussionmentioning

confidence: 99%

“…Further, with regards to supporting a vulnerable patient population, virtual care has the potential to overcome access barriers resulting from the limited number of multidisciplinary gender clinics and their locations in urban centers [39]. In a survey of over 1500 trans youth across Canada, transportation and cost were mentioned among the reasons for not getting adequate care by almost 30% of the group [16].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Usability of Virtual Visits for the Routine Clinical Care of Trans Youth during the COVID-19 Pandemic: Youth and Caregiver Perspectives

Silva

Fung

Irvine

et al. 2021

IJERPH

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We evaluated families’ perspectives on the usability of virtual visits for routine gender care for trans youth during the COVID-19 pandemic. An online survey, which included a validated telehealth usability questionnaire, was sent to families who had a virtual Gender Clinic visit between March and August 2020. A total of 87 participants completed the survey (28 trans youth, 59 caregivers). Overall, usability was rated highly, with mean scores between “quite a bit” and “completely” in all categories (usefulness, ease of use, interface and interaction quality, reliability, and satisfaction). Caregivers reported higher usability scores compared to trans youth [mean (SD) 3.43 (0.80) vs. 3.12 (0.93), p = 0.01]. All families felt that virtual visits provided for their healthcare needs. A total of 100% of youth and caregivers described virtual appointments as safer or as safe as in-person visits. A total of 94% of participants would like virtual visits after the pandemic; families would choose a mean of two virtual and one yearly in-person visit with a multidisciplinary team. Overall, virtual gender visits for trans youth had impressive usability. Participants perceived virtual visits to be safe. For the future, a combination of virtual and in-person multidisciplinary visits is the most desired model.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Usability of Virtual Visits for the Routine Clinical Care of Trans Youth during the COVID-19 Pandemic: Youth and Caregiver Perspectives

Silva

Fung

Irvine

et al. 2021

IJERPH

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“…As with all types of interventions, e-health, with its various sub-concepts, requires in-depth research on the effectiveness, acceptability, and feasibility of the treatment in question. Therefore, we see the need for researchers to consider, develop, and evaluate e-health services, including for TGD people [86][87][88]. This would also address the research obstacle of the lack of specific data for the TGD subpopulation of the LGBTQIA+ community [89,90].…”

Section: Implications and Future Directionsmentioning

confidence: 99%

Need for Inclusive Consideration of Transgender and Gender Diverse People in E-Health Services: A Systematic Review

Renner

Täuber

Nieder

2022

JCM

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Many transgender and gender diverse (TGD) people use the internet to find ways out of isolation, network, and share information on health-related topics. Thus, e-health services could reduce the health burden of TGD people and facilitate access to health care. Following the PRISMA guidelines, we conducted a systematic review on e-health approaches that could improve trans health care (i.e., services directly for TGD people or training programs for health care professionals, HCPs) and their effectiveness, acceptability, and feasibility. We searched PubMed, Web of Science, and PubPsych databases for publications from January 2000 to June 2021 with final updates before publication. The systematic review identified e-health services across 27 studies from 8 different countries. Few studies evaluated e-health services exclusively for TGD people. However, use of an e-health service was found to be effective and beneficial: TGD people improved in health-related outcomes, and HCPs improved in professional expertise. Service users find e-health services helpful and easy to integrate into their daily lives. Recommendations for further development of e-health services in trans health care are provided. In the future, given the rapidly evolving e-health research and care field, new treatment approaches for TGD people should be subject to ongoing evaluation and development.

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“…Telemedicine draws on these technologies to overcome geographical barriers and increase access to healthcare services, notably among disadvantaged and stigmatised populations. 31 Indeed, because the COVID-19 pandemic restricted physical interactions to reduce the spread of the virus, the use of ICT has been very useful in continuing to deliver healthcare. 32 …”

Section: Introductionmentioning

confidence: 99%

Protocol for a scoping review of the use of information and communication technology platforms for the delivery and utilisation of transgender healthcare

et al. 2022

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IntroductionIn recent years, there has been strong interest in making digital health and social tools more accessible, particularly among vulnerable and stigmatised groups such as transgender people. While transgender people experience unique physical, mental and sexual health needs, not much is currently known about the extent to which they use information and communication technologies such as short messaging service and videoconferencing to access health services. In this paper, we discuss our protocol for a scoping review of the literature about the delivery and utilisation of digitally mediated health services for transgender populations.Methods and analysisThis scoping review of the provision and experience of telemedicine among transgender people will follow the methodological framework developed by Arksey and O’Malley. The search will be conducted using three online databases, namely PubMed, CINAHL and Scopus, with additional literature explored using Google Scholar to identify grey literature. Relevant English-language studies will be shortlisted after completing a title and abstract review based on defined inclusion criteria. Following that, a final list of included studies will be compiled after a full-text review of the shortlisted articles has been completed. To enable the screening process, a team of researchers will be assigned refereed publications explicitly referring to the provision and experience of transgender healthcare through telemedicine. Screening performed independently will then collaboratively be reviewed to maintain consistency.Ethics and disseminationThe research is exempt from ethics approval since our analysis is based on extant research into the use of digital technologies in providing healthcare to transgender people. The results of this study will be disseminated through peer-reviewed academic publications and presentations. Our analysis will guide the design of further research and practice relating to the use of digital communication technologies to deliver healthcare services to transgender people.

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Telemedicine and Inequities in Health Care Access: The Example of Transgender Health

Cited by 30 publications

References 5 publications

Usability of Virtual Visits for the Routine Clinical Care of Trans Youth during the COVID-19 Pandemic: Youth and Caregiver Perspectives

Usability of Virtual Visits for the Routine Clinical Care of Trans Youth during the COVID-19 Pandemic: Youth and Caregiver Perspectives

Need for Inclusive Consideration of Transgender and Gender Diverse People in E-Health Services: A Systematic Review

Protocol for a scoping review of the use of information and communication technology platforms for the delivery and utilisation of transgender healthcare

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