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      한국 트랜스젠더 의료접근성에 대한 시론 = Transgender People`s Access to Health Care in Korea

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      https://www.riss.kr/link?id=A103352836

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      This research examined current barriers that prevent transgender people from accessing health care in Korea and reviewed what has been discussed and what efforts have been made in some other countries to improve health care access of transgender people. Transgender-specific medical necessities include not only medical transition but also general health care throughout life course. However, Korean transgender people`s access to health care is significantly limited due to the absence of health care coverage on medical transition, cultural prejudice and discrimination of medical personnels, and shortage of well-trained surgeons. Previous literatures reported that lack of health care coverage on medical transition may increase self-prescribed hormone use and self-castration, which can severly damage their health. Currently, 43 out of 118 nations cover transition-related care in national health insurance or public health system. Studies also address that transgender-specific cultural competency educations and training programs are necessary for medical personnels. Future research is required to find effective strategies to improve transgender people`s access to health care in Korea.
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      This research examined current barriers that prevent transgender people from accessing health care in Korea and reviewed what has been discussed and what efforts have been made in some other countries to improve health care access of transgender peopl...

      This research examined current barriers that prevent transgender people from accessing health care in Korea and reviewed what has been discussed and what efforts have been made in some other countries to improve health care access of transgender people. Transgender-specific medical necessities include not only medical transition but also general health care throughout life course. However, Korean transgender people`s access to health care is significantly limited due to the absence of health care coverage on medical transition, cultural prejudice and discrimination of medical personnels, and shortage of well-trained surgeons. Previous literatures reported that lack of health care coverage on medical transition may increase self-prescribed hormone use and self-castration, which can severly damage their health. Currently, 43 out of 118 nations cover transition-related care in national health insurance or public health system. Studies also address that transgender-specific cultural competency educations and training programs are necessary for medical personnels. Future research is required to find effective strategies to improve transgender people`s access to health care in Korea.

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      참고문헌 (Reference)

      1 손인서, "한국의 차별경험과 건강 연구에 대한 체계적 문헌고찰" 한국보건사회연구원 35 (35): 26-57, 2015

      2 이혜민, "한국 성소수자 건강 연구: 체계적 문헌고찰" 한국보건사회학회 (36) : 43-79, 2014

      3 SOGI 법정책연구회, "한국 LGBTI 커뮤니티 사회적 욕구조사 보고서" 한국게이인권운동단체 친구사이 2014

      4 김태연, "성전환증 치험례" 16 (16): 735-748, 1989

      5 성전환자 인권 실태조사 기획단, "성전환자 인권 실태조사 보고서" 성전환자인권 실태조사 기획단 2006

      6 한겨레, "성전환 인정 판결 대전지법"

      7 장서연, "성적지향・성별정체성에 따른차별 실태조사" 국가인권위원회 2014

      8 동아일보, "韓國(한국)서性轉換(성전환)은可能(가능)?"

      9 동아일보, "最新型(최신형)으로 整髮(정발) - 性轉換第一號趙孃(성전환제일호조양)"

      10 동아일보, "性(성)변경신청 판결混線(혼선)"

      1 손인서, "한국의 차별경험과 건강 연구에 대한 체계적 문헌고찰" 한국보건사회연구원 35 (35): 26-57, 2015

      2 이혜민, "한국 성소수자 건강 연구: 체계적 문헌고찰" 한국보건사회학회 (36) : 43-79, 2014

      3 SOGI 법정책연구회, "한국 LGBTI 커뮤니티 사회적 욕구조사 보고서" 한국게이인권운동단체 친구사이 2014

      4 김태연, "성전환증 치험례" 16 (16): 735-748, 1989

      5 성전환자 인권 실태조사 기획단, "성전환자 인권 실태조사 보고서" 성전환자인권 실태조사 기획단 2006

      6 한겨레, "성전환 인정 판결 대전지법"

      7 장서연, "성적지향・성별정체성에 따른차별 실태조사" 국가인권위원회 2014

      8 동아일보, "韓國(한국)서性轉換(성전환)은可能(가능)?"

      9 동아일보, "最新型(최신형)으로 整髮(정발) - 性轉換第一號趙孃(성전환제일호조양)"

      10 동아일보, "性(성)변경신청 판결混線(혼선)"

      11 한겨레, "“성 인위적 변경못해” 신청기각"

      12 경향신문, "“性(성)전환 男性(남성)은 女子(여자)” 대한의학協會(협회) 밝혀"

      13 Snelgrove, J. W., "“Completely out-at-sea” with “two-gender medicine”: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients" 12 (12): 110-, 2012

      14 Laub, D. R., "Transsexual surgery" 113 (113): 68-, 1970

      15 Human Rights Campaign, "Transgender-Inclusive Health Care Coverage and the Corporate Equality Index"

      16 Feldman, Jamie L, "Transgender primary medical care:Suggested guidelines for clinicians in British Columbia" Citeseer 2006

      17 National Center for Transgender Equality, "Transgender Healthcare Insurance Rules"

      18 Kerith J. Conron, "Transgender Health in Massachusetts: Results From a Household Probability Sample of Adults" American Public Health Association 102 (102): 118-122, 2012

      19 OBE, "Transgender Euro Study: Legal Survey and Focus on the Transgender Experience of Health Care" ILGA Europe Transgender Europe 2008

      20 Edgerton, M. T., "The surgical treatment of transsexual patients. Limitations and indications" 45 (45): 38-46, 1970

      21 Institute of Medicine., "The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding" National Academies Press 2011

      22 Daphna Stroumsa, "The State of Transgender Health Care: Policy, Law, and Medical Frameworks" American Public Health Association 104 (104): e31-e38, 2014

      23 Tesar, C. M., "Survey of curriculum on homosexuality/bisexuality in departments of family medicine" 30 (30): 283-287, 1998

      24 Coleman, E., "Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7" 13 (13): 165-232, 2012

      25 Matthew St. Peter, "Self‐Castration by a Transsexual Woman: Financial and Psychological Costs: A Case Report" Elsevier BV 9 (9): 1216-1219, 2012

      26 Krieger, M. J., "Self-performed bilateral orchiectomy in transsexuals" 43 (43): 292-293, 1982

      27 McGovern, S. J., "Self-castration in a transsexual" 12 (12): 57-58, 1995

      28 Murphy, D., "Self-castration" 170 (170): 195-, 2001

      29 American Medical Association, "Removing financial barriers to care for transgender patients"

      30 Pfafflin, Friedemann., "Regrets after sex reassignment surgery" 5 (5): 69-85, 1993

      31 Jack Drescher, "Queer Diagnoses: Parallels and Contrasts in the History of Homosexuality, Gender Variance, and the Diagnostic and Statistical Manual" Springer Nature 39 (39): 427-460, 2010

      32 Seung-Sup Kim, "Perceived Discrimination and Self-Rated Health in South Korea: A Nationally Representative Survey" Public Library of Science (PLoS) 7 (7): e30501-, 2012

      33 Nakaya, M., "On background factors of male genital self-mutilation" 29 (29): 242-248, 1996

      34 Nooshin Khobzi Rotondi, "Nonprescribed Hormone Use and Self-Performed Surgeries: “Do-It-Yourself” Transitions in Transgender Communities in Ontario, Canada" American Public Health Association 103 (103): 1830-1836, 2013

      35 Moran, Mark., "New gender dysphoria criteria replace GID" 48 (48): 9-14, 2013

      36 Cobos, Daniel G., "Moving forward : Transgender persons as change agents in health care access and human rights" 20 (20): 341-347, 2009

      37 National Center for Transgender Equality, "Medicare And Transgender People"

      38 Poteat, T., "Managing uncertainty : a grounded theory of stigma in transgender health care encounters" 84 : 22-29, 2013

      39 Juno Obedin-Maliver, "Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education" American Medical Association (AMA) 306 (306): 2011

      40 Hilary Daniel, "Lesbian, Gay, Bisexual, and Transgender Health Disparities: Executive Summary of a Policy Position Paper From the American College of Physicians" American College of Physicians 163 (163): 135-, 2015

      41 Transgender Europe, "Legal and Social Mapping World #2 Criminalisation, Prosecution, State-Sponsored Discrimination and Hormones, Hormone Therapy and Gender Reassignment Treatment/Surgery"

      42 Grant, J. M., "Injustice at every turn: A report of the National Transgender Discrimination Survey" National Center for Transgender Equality 2011

      43 Kai, F., "Incomplete self-castration by the patient with gender identify disorder : a case report" 105 (105): 26-28, 2014

      44 Nadia Dowshen, "Improving Transgender Health Education for Future Doctors" American Public Health Association 104 (104): e5-e6, 2014

      45 Wallick, M. M., "How the topic of homosexuality is taught at U. S. medical schools" 67 (67): 601-603, 1992

      46 Gates, Gary J., "How many people are lesbian, gay, bisexual and transgender?"

      47 vMurad, M. H., "Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes" 72 (72): 214-231, 2010

      48 American Psychiatric Association, "Highlights of Changes from DSM-IV-TR to DSM-5" American Psychiatric Association 2013

      49 Nemoto, T., "Health and social services for male-to-female transgender persons of color in San Francisco" 8 (8): 5-19, 2005

      50 Nelson F. Sanchez, "Health Care Utilization, Barriers to Care, and Hormone Usage Among Male-to-Female Transgender Persons in New York City" American Public Health Association 99 (99): 713-719, 2009

      51 Bockting, W. O., "Guidelines for transgender care" Informa Health Care 2007

      52 American Psychiatric Association, "Gender Dysphoria Fact Sheet"

      53 Yun, Candy Darim., "Finding Our Way to the Trans Rights :The history of trans movement in Korea" 2014

      54 Lombardi, E., "Enhancing transgender health care" 91 (91): 869-872, 2001

      55 Wylie C. Hembree, "Endocrine Treatment of Transsexual Persons:An Endocrine Society Clinical Practice Guideline" The Endocrine Society 94 (94): 3132-3154, 2009

      56 Kristen E. Porter, "Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?" Informa UK Limited 61 (61): 197-216, 2013

      57 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 2013

      58 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 1994

      59 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 1980

      60 Erin C. Wilson, "Connecting the Dots: Examining Transgender Women’s Utilization of Transition-Related Medical Care and Associations with Mental Health, Substance Use, and HIV" Springer Nature 92 (92): 182-192, 2015

      61 Committee on Health Care for Underserved Women, "Committee Opinion Number 512: Health Care for Transgender Individuals"

      62 Bye, L., "California lesbians, gays, bisexuals, and transgender (LGBT) tobacco use survey - 2004" California Department of Health Services 2005

      63 Health Policy Project, Asia Pacific Transgender Network, United Nations Development Programme, "Blueprint for the Provision of Comprehensive Care for Trans People and Trans Communities" Futures Group, Health Policy Project 2015

      64 European Union Agency for Fundamental Rights, "Being Trans in the European Union - Comparative analysis of EU LGBT Survey data" Publications Office of the European Union 2014

      65 Haberman, M. A., "Autocastration in transsexualism" 136 (136): 347-348, 1979

      66 Lowy, F. H., "Autocastration by a male transsexual" 16 (16): 399-405, 1971

      67 American Psychiatric Association, "Answers to your questions about transgender people, gender identity, and gender expression"

      68 Stinson, B., "A study of twelve applicants for transsexual surgery" 68 (68): 245-249, 1972

      69 Safer, J., "A simple curriculum content change increased medical student comfort with transgender medicine" 19 (19): 633-637, 2013

      70 Leah Kelley, "A Critical Intervention in Lesbian, Gay, Bisexual, and Transgender Health: Knowledge and Attitude Outcomes Among Second-Year Medical Students" Informa UK Limited 20 (20): 248-253, 2008

      71 보건복지부, "2014 보건복지 통계연보" 보건복지부 2014

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