Regards des personnes transidentitaires sur leurs parcours de soins : quelle place pour la médecine générale ? Étude qualitative par entretiens semi-dirigés

Abstract : Introduction: Transgender identity can be defined as a discordance between gender identity and the assigned sex at birth. The objective of this study is to explore the healthcare experiences of trans individuals and thereby to assess the role accorded to general practice medecine. Methodology: The study consists of a qualitative analysis based on semi-directive interviews conducted with ten persons defining themselves as ‘trans’ in France. The sampling process allowed for maximal variation and recruitment was promoted through natural accretion of interest. The interview sessions were extended until data sufficiency was achieved. A thematic analysis was carried out through a general inductive approach with triangulation of data. Results: The transgender community, seeking legitimacy in a normative society, is fighting for social acceptance. They hold a conflictual relationship with the medical profession, underpinned by difficulties in access to care, often seeing the relationship as asymetric, at the same time as rejecting a psychiatrized vision of transgender and a path to hospital care which they see as discriminatory. They expect healthcare professionals to treat their cases with kindness, respectful of their word and of the empirical expertise. Faced with technical treatment which is often confided to other specialists, the general practitioner should be chosen above all for his or her human qualities. Conclusion: General practitioners are not spared from this judgement but, as the first points of contact in the healthcare system, they must remain in the eyes of the participants the guarantors of a « patient-centered » global approach.
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Master Thesis
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Submitted on : Thursday, April 4, 2019 - 12:17:39 PM
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Clément Vernier, Adèle Montpied. Regards des personnes transidentitaires sur leurs parcours de soins : quelle place pour la médecine générale ? Étude qualitative par entretiens semi-dirigés. Médecine humaine et pathologie. 2019. ⟨dumas-02089971⟩

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