Development of a quick guide for the practice of health care for the transgender population

• Autor(a) principal: Silva, Bruna Pontes
• Data de Publicação: 2019
• Outros Autores: Schons, Anelise Alves Nunes
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2027
• topic: Transgender Persons; Primary Health Care; Practice Guideline; Personas Transgénero; Atención Primaria de Salud; Guía de Práctica Clínica; Pessoas Transgênero; Atenção Primária à Saúde; Guia de Prática Clínica; Pessoas Transgênero; Atenção Primária à Saúde; Guia de Prática Clínica

Problem: The fundamental rights of transgender people are denied daily. In this scenario, prejudice acts as a social determinant of health impacting on the prevalence of conditions such as mental health and STIs. The objective was to develop a summary of evidence to support clinical care and support the training of Primary Health Care professionals in Florianópolis - SC, in order to improve the health outcomes of this population. Methods: Based on the PACK tool - accessible and intuitive interface in the ask, request, advise and treat model - already implemented in the municipality of Florianópolis. The rapid review method was used to search for evidence, prioritizing clinical practice summaries and international protocols. Primary sources were used when previous data were insufficient or conflicting. The research questions followed the acronym PICO and the recommendation was classified according to the GRADE adaptation of the Center of Excellence for Transgender Health. Results: The Quick Guide for the Health Care Practice of Transgender Population was created according to the Brazilian PACK model. The same is awaiting approval from PACK Brasil and the Ambulatory of Integral Attention to the Transsexual Population of Florianópolis for future incorporation of the material. Conclusion: Despite the lack of quality evidence and studies focused on the specific population, the existence of guidelines in this field legitimizes the need for transgender health care, in addition to assisting health professionals and policy makers on how to address these needs. In the perspective of harm reduction, we must overcome the barrier of social and institutional stigma to produce consensual guidelines in search of equipped for this population that suffers from a lack of equity