探究病歷搜集性傾向與性別認同對減低健康不平等的意義

Collecting Sexual Orientation and Gender Identity Data for Reducing Health Disparities: An Observational Study

目的

探究病歷搜集性傾向與性別認同資料(sexual orientation and gender identity, SOGI)，在臺灣醫療場域的可接受性和可行性，與其對減低健康不平等和增進醫療品質的意義。

材料與方法

使用量性別結構式問卷，對醫學中心的門診300位病人進行SOGI問卷調查及分析。

結果

問卷信度Cronbach’α為0.835，具有高信度。病人與醫事人員對SOGI之接受度，包括：明白SOGI登錄的意義、理解題項的意思、填答意願、揭露SOGI的樂意度、醫院搜集SOGI執行容易度與病歷搜集SOGI對病人的重要性六方面。病人同意情形大致與醫事人員類似，落在80%至90%區間，唯樂意程度則有不同，病人與醫事人員分別為26.7%與4.1%。

結論

搜集病人SOGI資料具有可行性，且病人與醫事人員的看法一致。中文版SOGI量表能作為搜集、探究與擬定消弭性別不平等策略之工具。

 

Objective

To explore the acceptability and feasibility of collecting sexual orientation and gender identity (SOGI) data in medical settings in Taiwan and evaluate the importance of these data in reducing health inequalities and enhancing medical quality.

Materials and Methods

A quantitative, structured SOGI survey was administered to 300 outpatients at a medical center in Taiwan.

Results

The questionnaire exhibited high reliability, with a Cronbach’s α of 0.835. The degree of acceptance of SOGI among patients, including the understanding of the meaning of SOGI medical records, the understanding of the questions, the willingness to complete the questionnaire, the readiness to disclose one’s own SOGI, the perceived ease of collecting SOGI data in hospitals, and the emphasis placed on the collection of SOGI data for doctors to understand their patients, was similar to that of medical staff, ranging from 80% to 90%. However, differences were observed in readiness, with 26.7% of the patients and only 4.1% of the medical staff being willing to disclose their SOGI.

Conclusion

Collecting SOGI data is viewed as a feasible approach by both patients and medical staff. The Chinese version of the SOGI scale can be used to collect data and formulate strategies aimed at eliminating gender inequalities.