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- Unequal geographies of gender-affirming care: A comparative typology of trans-specific healthcare systems across Europe.
| Language | Label | Description | Also known as |
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| English | No label defined |
No description defined |
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Statements
Gender-affirming healthcare can carry significant benefits for trans people. (English)
RATIONALE (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
However, there are substantial geographical inequalities in the provision of and access to trans-specific healthcare across Europe. (English)
RATIONALE (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
Comparative healthcare systems research has typically focused on universal services, neglecting provision which serves specific groups within populations (e.g., trans people). (English)
RATIONALE (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
This study aimed to develop a comparative typology of trans-specific healthcare systems across 28 European countries (the EU 27 plus the UK), and to examine country-level correlates which may influence or be influenced by these systems. (English)
OBJECTIVE (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
Using hierarchical and k-means cluster analysis, countries were classified into four types based on measures of trans-specific healthcare provision, regulation and access. (English)
METHODS (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
Possible country-level correlates (including socio-political climate, medical outcomes, and the general healthcare system) were investigated. (English)
METHODS (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
The cluster analysis identified four clusters of trans-specific healthcare systems in Europe, characterized as: 1) Centralized conservative (highly centralized, extensive range of treatments, few trans-specific government policies); 2) Centralized reformist (highly centralized, extensive range of treatments, multiple trans-specific government policies); 3) Decentralized marketized (highly [...] (English)
RESULTS AND DISCUSSION (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
We found statistically significant differences between the clusters in rates of: public support for trans people; gender identity concealment; treatment access; overall health expenditure; gender inequality. (English)
RESULTS AND DISCUSSION (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
The study develops a novel typology of trans-specific healthcare systems in Europe. (English)
CONCLUSIONS (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
It also identifies a range of potential drivers and outcomes of geographical divergences and inequalities in trans-specific healthcare provision. (English)
CONCLUSIONS (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
Building on this typology, future comparative research should aim to link the structure of healthcare systems to outcomes for trans people. (English)
CONCLUSIONS (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
Comparative healthcare systems research must account for the distinctive forms taken by services and systems that provide healthcare to specific groups within populations. (English)
CONCLUSIONS (English)
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. (English)
2024
Nessa (English)
Millet (English)
N
Asher (English)
Baron (English)
A
Baudewijntje P C (English)
Kreukels (English)
BPC
David Matthew (English)
Doyle (English)
DM
20 August 2024
18 August 2024
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (English)