Protocolo de atención en salud del paciente transgénero

ilustraciones, gráficas

Autores:: Vargas Samaca, Diana Catalina
Belalcázar Obando, Gishella Genith

Tipo de recurso:

Fecha de publicación:: 2022

Institución:: Universidad Nacional de Colombia

Repositorio:: Universidad Nacional de Colombia

Idioma:: spa

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dc.title.spa.fl_str_mv	Protocolo de atención en salud del paciente transgénero
dc.title.translated.eng.fl_str_mv	Health care protocol for transgender patients
title	Protocolo de atención en salud del paciente transgénero
spellingShingle	Protocolo de atención en salud del paciente transgénero 610 - Medicina y salud::616 - Enfermedades 610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría 610 - Medicina y salud::615 - Farmacología y terapéutica Transgénero incongruencia de género disforia de género salud Transgender gender incongruity gender dysphoria health Inclusión social Exclusión social Grupo desfavorecido Grupo sexual minoritario
title_short	Protocolo de atención en salud del paciente transgénero
title_full	Protocolo de atención en salud del paciente transgénero
title_fullStr	Protocolo de atención en salud del paciente transgénero
title_full_unstemmed	Protocolo de atención en salud del paciente transgénero
title_sort	Protocolo de atención en salud del paciente transgénero
dc.creator.fl_str_mv	Vargas Samaca, Diana Catalina Belalcázar Obando, Gishella Genith
dc.contributor.advisor.none.fl_str_mv	Vargas Fiesco, Diana Carolina Ruiz Parra, Ariel Iván
dc.contributor.author.none.fl_str_mv	Vargas Samaca, Diana Catalina Belalcázar Obando, Gishella Genith
dc.subject.ddc.spa.fl_str_mv	610 - Medicina y salud::616 - Enfermedades 610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría 610 - Medicina y salud::615 - Farmacología y terapéutica
topic	610 - Medicina y salud::616 - Enfermedades 610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría 610 - Medicina y salud::615 - Farmacología y terapéutica Transgénero incongruencia de género disforia de género salud Transgender gender incongruity gender dysphoria health Inclusión social Exclusión social Grupo desfavorecido Grupo sexual minoritario
dc.subject.proposal.spa.fl_str_mv	Transgénero incongruencia de género disforia de género salud
dc.subject.proposal.eng.fl_str_mv	Transgender gender incongruity gender dysphoria health
dc.subject.unesco.spa.fl_str_mv	Inclusión social Exclusión social Grupo desfavorecido Grupo sexual minoritario
description	ilustraciones, gráficas
publishDate	2022
dc.date.issued.none.fl_str_mv	2022
dc.date.accessioned.none.fl_str_mv	2023-01-12T16:56:38Z
dc.date.available.none.fl_str_mv	2023-01-12T16:56:38Z
dc.type.spa.fl_str_mv	Trabajo de grado - Especialidad Médica
dc.type.driver.spa.fl_str_mv	info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv	info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv	Text
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dc.identifier.uri.none.fl_str_mv	https://repositorio.unal.edu.co/handle/unal/82896
dc.identifier.instname.spa.fl_str_mv	Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv	Repositorio Institucional Universidad Nacional de Colombia
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url	https://repositorio.unal.edu.co/handle/unal/82896 https://repositorio.unal.edu.co/
identifier_str_mv	Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv	spa
language	spa
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Elsevier Inc.; 2018 Dec 1;66:24–38. Kcomt L. Profound health-care discrimination experienced by transgender people: rapid systematic review. Soc Work Health Care. Routledge; 2019 Feb 7;58(2):201–19. Bauer GR, Hammond R, Travers R, Kaay M, Hohenadel KM, Boyce M. “I Don’t Think This Is Theoretical; This Is Our Lives”: How Erasure Impacts Health Care for Transgender People. J Assoc Nurses AIDS Care. 2009 Sep;20(5):348–61. Gonzales G, Henning-Smith C. Barriers to Care Among Transgender and Gender Nonconforming Adults. Milbank Q. Blackwell Publishing Inc.; 2017 Dec 1;95(4):726–48. Coleman E, Radix AE, Bouman WP, Brown GR, de Vries ALC, Deutsch MB, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgender Heal. Informa UK Limited; 2022 Aug 19;23(sup1):S1–259. Abeln B, Love R. Considerations for the Care of Transgender Individuals. Nurs Clin North Am. W.B. Saunders; 2019 Dec 1;54(4):551–9. Morenz AM, Goldhammer H, Lambert CA, Hopwood R, Keuroghlian AS. A blueprint for planning and implementing a transgender health program. Ann Fam Bradford J, Reisner SL, Honnold JA, Xavier J. Experiences of transgender-related discrimination and implications for health: Results from the Virginia transgender health initiative study. Am J Public Health. 2013 Oct;103(10):1820–9. Sundus A, Shahzad S, Younas A. Ethical and culturally competent care of transgender patients: A scoping review. Nurs Ethics. SAGE Publications Ltd; 2021 Sep 1;28(6):1041–60. Dubin SN, Nolan IT, Streed CG, Greene RE, Radix AE, Morrison SD. Transgender health care: Improving medical students’ and residents’ training and awareness. Adv Med Educ Pract. Dove Medical Press Ltd; 2018;9:377–91. Meerwijk EL, Sevelius JM. Transgender population size in the United States: A meta-regression of population-based probability samples. Am J Public Health. American Public Health Association Inc.; 2017 Feb 1;107(2):e1–8. Guha M. Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition). Ref Rev [Internet]. 2014 Mar 11;28(3):36–7. Available from: https://www.emerald.com/insight/content/doi/10.1108/RR-10-2013-0256/full/html Davy Z, Toze M. What is gender dysphoria? A critical systematic narrative review. Transgender Heal. Mary Ann Liebert Inc.; 2018 Nov 1;3(1):159–69. Cohen-Kettenis PT van GS. Sex reassignment of adolescent transsexuals: a follow-up study. J Am Acad child Adolesc psychiatry. 1997;36(2):263–71. Bockting WO, Miner MH, Swinburne Romine RE, Hamilton A, Coleman E. Stigma, mental health, and resilience in an online sample of the US transgender population. Am J Public Health. 2013 May;103(5):943–51. Olson J, Forbes C, Belzer M. Management of the transgender adolescent. Arch Pediatr Adolesc Med. 2011 Feb;165(2):171–6. Winter S, Diamond M, Green J, Karasic D, Reed T, Whittle S, et al. Transgender people: health at the margins of society. Lancet. Lancet Publishing Group; 2016 Jul 1;388(10042):390–400. Olson-Kennedy J, Rosenthal SM, Hastings J WL. Health considerations for gender non-conforming children and transgender adolescents. UCSF Cent Excell Transgender Heal. 2022;1–28. Lykens JE, Leblanc AJ, Bockting WO. Healthcare experiences among young adults who identify as genderqueer or nonbinary. LGBT Heal. Mary Ann Liebert Inc.; 2018 Apr 1;5(3):191–6. Fridell SR, Owen-Anderson A, Johnson LL, Bradley SJ, Zucker KJ. The playmate and play style preferences structured interview: A comparison of children with gender identity disorder and controls. Arch Sex Behav. 2006 Dec;35(6):729–37. Grossman AH, D’Augelli AR. Transgender Youth and Life-Threatening Behaviors. Suicide Life-Threatening Behav. Wiley; 2007 Oct;37(5):527–37. Fraser L, Knudson G. Education Needs of Providers of Transgender Population. Endocrinol Metab Clin North Am. W.B. Saunders; 2019 Jun 1;48(2):465–77. Malpas J. Between pink and blue: A multi-dimensional family approach to gender nonconforming children and their families. Fam Process. 2011 Dec;50(4):453–70. Hembree WC, Cohen-Kettenis PT, Gooren L, Hannema SE, Meyer WJ, Murad MH, et al. Endocrine treatment of gender- dysphoric/ gender-incongruent persons: An endocrine society∗clinical practice guideline. J Clin Endocrinol Metab. Oxford University Press; 2017;102(11):3869–903. Getahun D, Nash R, Flanders WD, Baird TC, Becerra-Culqui TA, Cromwell L, et al. Cross-sex hormones and acute cardiovascular events in transgender persons: A cohort study. Ann Intern Med. American College of Physicians; 2018 Aug 21;169(4):205–13. T’Sjoen G, Van Caenegem E, Wierckx K. Transgenderism and reproduction. Curr Opin Endocrinol Diabetes Obes. 2013 Dec;20(6):575–9. Gooren LJ, van Trotsenburg MAA, Giltay EJ, van Diest PJ. Breast Cancer Development in Transsexual Subjects Receiving Cross- Sex Hormone Treatment. J Sex Med. Blackwell Publishing Ltd; 2013;10(12):3129–34. Wierckx K, Gooren L, T’Sjoen G. Clinical review: Breast development in trans women receiving cross-sex hormones. J Sex Med. Blackwell Publishing Ltd; 2014;11(5):1240–7. Murad MH, Elamin MB, Garcia MZ, Mullan RJ, Murad A, Erwin PJ, et al. Hormonal therapy and sex reassignment: A systematic review and meta-analysis of quality of life and psychosocial outcomes. Clin Endocrinol (Oxf). 2010 Feb;72(2):214–31. Hembree WC, Cohen-Kettenis P, Delemarre-Van De Waal HA, Gooren LJ, Meyer WJ, Spack NP, et al. Endocrine treatment of transsexual persons: An endocrine society clinical practice guideline. J Clin Endocrinol Metab. Endocrine Society; 2009;94(9):3132–54. Mueller A, Kiesewetter F, Binder H, Beckmann MW, Dittrich R. Long-term administration of testosterone undecanoate every 3 months for testosterone supplementation in female-to-male transsexuals. J Clin Endocrinol Metab. Endocrine Society; 2007;92(9):3470–5. Weinand JD, Safer JD. Hormone therapy in transgender adults is safe with provider supervision; A review of hormone therapy sequelae for transgender individuals. J Clin Transl Endocrinol. Elsevier; 2015;2(2):55–60. Fertility preservation in patients undergoing gonadotoxic therapy or gonadectomy: a committee opinion. Fertil Steril. Elsevier Inc.; 2019 Dec 1;112(6):1022–33. Kailas M, Lu HMS, Rothman EF, Safer JD. Prevalence and types of gender-affirming surgery among a sample of transgender endocrinology patients prior to state expansion of insurance coverage. Endocr Pract. American Association of Clinical Endocrinologists; 2017 Jul 1;23(7):780–6. Monstrey SJ, Ceulemans P, Hoebeke P. Sex reassignment surgery in the female-to-male transsexual. Semin Plast Surg. 2011;25(3):229–43. Wierckx K, Elaut E, Van Caenegem E, Van De Peer F, Dedecker D, Van Houdenhove E, et al. Sexual desire in female-to-male transsexual persons: Exploration of the role of testosterone administration. Eur J Endocrinol. 2011 Aug;165(2):331–7. Tankersley AP, Grafsky EL, Dike J, Jones RT. Risk and Resilience Factors for Mental Health among Transgender and Gender Nonconforming (TGNC) Youth: A Systematic Review. Clin Child Fam Psychol Rev. Springer; 2021 Jun 1;24(2):183–206. Sausa LA, Keatley JA, Operario D. Perceived risks and benefits of sex work among transgender women of color in San Francisco. Arch Sex Behav. 2007 Dec;36(6):768–77. Nuttbrock L, Hwahng S, Bockting W, Rosenblum A, Mason M, MacRi M, et al. Psychiatric impact of gender-related abuse across the life course of male-to-female transgender persons. J Sex Res. 2010 Jan;47(1):12–23. NCAVP. Lesbian, Gay, Bisexual, Transgender, Queer, and HIV-Affected Intimate Partner Violence in 2015: A Report from the National Coalition of Anti-Violence Programs. 2016;84. Testa RJ, Sciacca LM, Wang F, Hendricks ML, Goldblum P, Bradford J, et al. Effects of violence on transgender people. Prof Psychol Res Pract. 2012;43(5):452–9. Wilson EC, Garofalo R, Harris RD, Herrick A, Martinez M, Martinez J, et al. Transgender female youth and sex work: HIV risk and a comparison of life factors related to engagement in sex work. AIDS Behav. 2009 Oct;13(5):902–13. Hoffman B. An overview of depression among transgender women. Depress Res Treat. Hindawi Publishing Corporation; 2014;2014. Busa S, Janssen A, Lakshman M. A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder. Transgender Heal. Mary Ann Liebert Inc.; 2018 Feb 1;3(1):27–33. Gallagher HM, Rabian BA, McCloskey MS. A brief group cognitive-behavioral intervention for social phobia in childhood. J Anxiety Disord. 2004;18(4):459–79. De Vries ALC, Doreleijers TAH, Steensma TD, Cohen-Kettenis PT. Psychiatric comorbidity in gender dysphoric adolescents. J Child Psychol Psychiatry Allied Discip. 2011 Nov;52(11):1195–202. Guzman-Parra J, Paulino-Matos P, De Diego-Otero Y, Perez-Costillas L, Villena-Jimena A, Garcia-Encinas MA, et al. Substance use and social anxiety in transsexual individuals. J Dual Diagn. Routledge; 2014 Jul 3;10(3):162–7. Pampati S, Johns MM, Szucs LE, Bishop MD, Mallory AB, Barrios LC, et al. Sexual and Gender Minority Youth and Sexual Health Education: A Systematic Mapping Review of the Literature. J Adolesc Heal. Elsevier Inc.; 2021 Jun 1;68(6):1040–52. Holmberg M, Arver S DC. Supporting sexuality and improving sexual function in transgender persons. Nat Rev Urol. 2019;16(2):121–39. Defreyne J, Van de Bruaene LL, Rietzschel E, Van Schuylenbergh J, T’Sjoen GGR. Effects of gender-affirming hormones on lipid, metabolic, and cardiac surrogate blood markers in transgender persons. Clin Chem. American Association for Clinical Chemistry Inc.; 2019 Jan 1;65(1):119–34. Connelly PJ, Freel EM, Perry C, Ewan J, Touyz RM, Currie G, et al. Gender-affirming hormone therapy, vascular health and cardiovascular disease in transgender adults. Hypertension. Lippincott Williams and Wilkins; 2019 Dec 1;74(6):1266–74. Maraka S, Ospina NS, Rodriguez-Gutierrez R, Davidge-Pitts CJ, Nippoldt TB, Prokop LJ, et al. Sex steroids and cardiovascular outcomes in transgender individuals: A systematic review and meta-analysis. J Clin Endocrinol Metab. Oxford University Press; 2017;102(11):3914–23. Stevenson MO, Tangpricha V. Osteoporosis and Bone Health in Transgender Persons. Endocrinol Metab Clin North Am. W.B. Saunders; 2019 Jun 1;48(2):421–7. Davidge-Pitts C, Clarke BL. Transgender bone health. Maturitas. Elsevier Ireland Ltd; 2019 Sep 1;127:35–42. Bourns A. Guidelines for gender-affirming primary care with trans and non- binary patientsNo Title. 2019;4. Available from: https://www.rainbowhealthontario.ca/wp-content/uploads/2021/06/Guidelines-FINA L-4TH-EDITION-c.pdf Choi JY, Kim TJ. Fertility Preservation and Reproductive Potential in Transgender and Gender Fluid Population. Biomedicines. MDPI; 2022 Sep 1;10(9). Mayhew AC, Gomez-Lobo V. Fertility options for thetransgender and gender nonbinary patient. J Clin Endocrinol Metab. Endocrine Society; 2020 Oct 1;105(10):1–11. Obedin-Maliver J, Makadon HJ. Transgender men and pregnancy. Obstet Med. Royal Society of Medicine Press Ltd; 2016 Mar 1;9(1):4–8. Brandt JS, Patel AJ, Marshall I, Bachmann GA. Transgender men, pregnancy, and the “new” advanced paternal age: A review of the literature. Maturitas. Elsevier Ireland Ltd; 2019 Oct 1;128:17–21. Krempasky C, Harris M, Abern L, Grimstad F. Contraception across the transmasculine spectrum. Am J Obstet Gynecol. Mosby Inc.; 2020 Feb 1;222(2):134–43. Mancini I, Alvisi S, Gava G, Seracchioli R, Meriggiola MC. Contraception across transgender. Int J Impot Res. Springer Nature; 2020 Nov 1;33(7):710–9. Labanca T, Mañero I, Pannunzio M. Transgender patients: Considerations for routine gynecologic care and cancer screening. Int J Gynecol Cancer. BMJ Publishing Group; 2020 Dec 1;30(12):1990–6. Sterling J, Garcia MM. Cancer screening in the transgender population: A review of current guidelines, best practices, and a proposed care model. Transl Androl Urol. AME Publishing Company; 2021 Dec 1;9(6):2771–85. Randolph JF. Gender-affirming hormone therapy for transgender females. Clin Obstet Gynecol. Lippincott Williams and Wilkins; 2018 Dec 1;61(4):705–21. Radix A. Hormone Therapy for Transgender Adults. Urol Clin North Am. W.B. Saunders; 2019 Nov 1;46(4):467–73. Hamidi O, Davidge-Pitts CJ. Transfeminine Hormone Therapy. Endocrinol Metab Clin North Am. W.B. Saunders; 2019 Jun 1;48(2):341–55. Zubiaurre-Elorza L, Cerdán S, Uribe C, Pérez-Laso C, Marcos A, Rodríguez Del Cerro MC, et al. The Effects of Testosterone on the Brain of Transgender Men. Androgens. Mary Ann Liebert Inc.; 2021 Dec 1;2(1):252–60. Irwig MS. Testosterone therapy for transgender men. Lancet Diabetes Endocrinol. Lancet Publishing Group; 2017 Apr 1;5(4):301–11. Weinforth G, Fakin R, Giovanoli P, Nuñez DG. Quality of life following male-to-female sex reassignment surgery. Dtsch Arztebl Int. Deutscher Arzte-Verlag GmbH; 2019 Apr 12;116(15):253–60. Horbach SER, Bouman MB, Smit JM, Özer M, Buncamper ME, Mullender MG. Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques. J Sex Med. Blackwell Publishing Ltd; 2015 Jun 1;12(6):1499–512. Selvaggi G, Ceulemans P, De Cuypere G, VanLanduyt K, Blondeel P, Hamdi M, et al. Gender identity disorder: General overview and surgical treatment for vaginoplasty in male-to-female transsexuals. Plast Reconstr Surg. Lippincott Williams and Wilkins; 2005;116(6):1742. Vukadinovic V, Stojanovic B, Majstorovic M, Milosevic A. The role of clitoral anatomy in female to male sex reassignment surgery. Sci World J. ScientificWorld Ltd.; 2014;2014. Djordjevic ML, Stojanovic B, Bizic M. Metoidioplasty: Techniques and outcomes. Transl Androl Urol. AME Publishing Company; 2019 Jun 1;8(3):248–53. Takamatsu A, Harashina T. Labial ring flap: a new flap for metaidoioplasty in female-to-male transsexuals. J Plast Reconstr Aesthetic Surg. 2009 Mar;62(3):318–25. Perovic S V., Djordjevic ML. Metoidioplasty: A variant of phalloplasty in female transsexuals. BJU Int. 2003 Dec;92(9):981–5. Djordjevic ML, Majstorovic M, Stanojevic D, Bizic M, Kojovic V, Vukadinovic V, et al. Combined Buccal Mucosa Graft and Dorsal Penile Skin Flap for Repair of Severe Hypospadias. Urology. 2008 May;71(5):821–5. Djordjevic ML, Bencic M, Kojovic V, Stojanovic B, Bizic M, Kojic S, et al. Musculocutaneous latissimus dorsi flap for phalloplasty in female to male gender affirmation surgery. World J Urol. Springer Verlag; 2019 Apr 1;37(4):631–7. Djordjevic ML. Novel surgical techniques in female to male gender confirming surgery. Transl Androl Urol. AME Publishing Company; 2018 May 1;7(4):628–38.
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dc.publisher.spa.fl_str_mv	Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv	Bogotá - Medicina - Especialidad en Obstetricia y Ginecología
dc.publisher.faculty.spa.fl_str_mv	Facultad de Medicina
dc.publisher.place.spa.fl_str_mv	Bogotá, Colombia
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institution	Universidad Nacional de Colombia
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spelling	Atribución-NoComercial-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Vargas Fiesco, Diana Carolinaded1d8bafe735f3fbb80fbd9320130b3Ruiz Parra, Ariel Iván00309c70bee143c21fe60f69605a0c2eVargas Samaca, Diana Catalina1732432430bac95b4b0a400788b6ce35Belalcázar Obando, Gishella Genithf8d9297ae51b7277259119775e7986c42023-01-12T16:56:38Z2023-01-12T16:56:38Z2022https://repositorio.unal.edu.co/handle/unal/82896Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, gráficasEste protocolo es diseñado con el fin de implementarse en instituciones de salud para la adecuada atención del paciente transgénero, quienes han sido objeto de discriminación tanto en el ámbito social como en lo que respecta a la salud. comprometiendo la integridad de la persona, así como la violación de su derecho fundamental a la salud que se entiende según la Organización Mundial de la Salud como el bienestar no solo físico, sino también social y mental de cualquier persona: por lo tanto, es imperativo la oportuna y clara información sobre el abordaje en salud de los pacientes transgénero con el fin de brindar el mejor cuidado a esta población marginada desde el conocimiento y la empatía. (Texto tomado de la fuente)This protocol is designed to be implemented in Health Institutions for the proper care of transgender patients, who have been subjected to discrimination the social sphere, as well as in the fild of health, compromising the integrity of the persons and violating their fundamental right to the health, which according to the World Health Organization is understood as the physical, social and mental well-being of each person, therefore, it is important to implement this timely and clear information on the health approach of transgender patients and the best care based on knowledge and empathy.Especialidades MédicasEspecialista en Obstetricia y GinecologíaEl presente trabajo se propuso desarrollar un protocolo de atención en salud en el que se estipulan las pautas para ofrecer un adecuado cuidado de las personas transgénero, que pueda contribuir a que las entidades de salud brinden atención a las personas con discordancia de género que procuren un servicio más humano, empático, técnico y equitativo. Se realizó una búsqueda sistemática de bibliografía relacionada con aspectos claves en la atención del paciente transgénero, haciendo énfasis en las guías y protocolos publicados por organizaciones que tienen experiencia en el tema. Se diseñó una estrategia de búsqueda sensible y específica para las bases de datos Medline, Embase, Biblioteca Cochrane, LILACS y PsyINFO. Para la búsqueda se usarán los términos: transgender [MeSH] OR transgender health services [MeSH] AND (Gender Dysphoria [MeSH] OR Hormone replacement therapy [MeSH] OR mental health [MeSH] OR Primary health care [MeSH] OR Sex Reassignment Procedures [MeSH] OR Sex Reassignment Surgery [MeSH] AND (guides OR protocols OR recomendations OR statements). Se hizo énfasis en guías basadas en la evidencia que aborden diferentes modalidades de servicio desde el inicio de la atención, hasta la valoración del paciente, tanto en el ámbito clínico, como en el quirúrgico y que promuevan afinidad, empatía y respeto. Se trató de encontrar estadísticas que permitieran ofrecer recomendaciones y responder a las personas transgénero cuando presenten dudas, inquietudes y preguntas en relación con los tratamientos endocrinológico, psiquiátrico/psicológico y quirúrgico. Las recomendaciones fueron elaboradas inicialmente por el grupo desarrollador y serán presentadas al Departamento de Obstetricia y Ginecología para su socialización y discusión y, posteriormente, se presentarán al Departamento de Psiquiatría y a las Unidades de Endocrinología y Cirugía Plástica para obtener la retroalimentación necesaria. El grupo desarrollador analizó las contribuciones al protocolo de atención para su incorporación al documento. Se hizo una revisión final del documento completo por parte de los docentes tutores y de los docentes calificadores del trabajo de grado. Posteriormente se planteará la aplicación del protocolo inicialmente en las áreas de ginecología y de endocrinología del Hospital Universitario Nacional de Colombia y de ginecología y endocrinología ginecológica de la Subred Norte en la USS Engativá de la Ciudad de Bogotá.117 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en Obstetricia y GinecologíaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::616 - Enfermedades610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría610 - Medicina y salud::615 - Farmacología y terapéuticaTransgéneroincongruencia de génerodisforia de génerosaludTransgendergender incongruitygender dysphoriahealthInclusión socialExclusión socialGrupo desfavorecidoGrupo sexual minoritarioProtocolo de atención en salud del paciente transgéneroHealth care protocol for transgender patientsTrabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMT’Sjoen G, Arcelus J, Gooren L, Klink DT, Tangpricha V. 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AME Publishing Company; 2018 May 1;7(4):628–38.Protocolo de atención en salud del paciente transgéneroEstudiantesGrupos comunitariosInvestigadoresMaestrosLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/82896/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51ORIGINAL1019089450.2022.pdf1019089450.2022.pdfEspecialidad en Medicina Obstetricia y Ginecologíaapplication/pdf2302077https://repositorio.unal.edu.co/bitstream/unal/82896/2/1019089450.2022.pdf191bb9a85622fe8e1c0f2e791c5614a2MD52THUMBNAIL1019089450.2022.pdf.jpg1019089450.2022.pdf.jpgGenerated Thumbnailimage/jpeg4843https://repositorio.unal.edu.co/bitstream/unal/82896/3/1019089450.2022.pdf.jpg7d18d21e0a838911b6dce27c97de5f7dMD53unal/82896oai:repositorio.unal.edu.co:unal/828962024-08-14 23:41:48.762Repositorio Institucional Universidad Nacional de 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Protocolo de atención en salud del paciente transgénero

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