Serving transgender people: clinical care considerations and service delivery models in transgender health

Kevan Wylie, Gail Knudson, Sharful I slam Khan, Mireille Bonierbale, Suporn Watanyusakul, Stefan Baral

Research output: Research - peer-reviewReview article

Abstract

The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will depend on health system infrastructure and sociocultural contexts. Some clinical services for transgender people, including gender-affirming surgery, are best delivered in the context of more specialised facilities; however, the majority of health-care needs can be delivered by a primary care practitioner. Across high-income and low-income settings alike, there often remains a dearth of educational programming for health-care professionals in transgender health, although the best evidence supports introducing modules on transgender health early during clinical education of clinicians and allied health professionals. While these challenges remain, we review the increasing evidence and examples of the defined roles of the mental health professional in transgender health-care decisions, effective models of health service provision, and available surgical interventions for transgender people.

LanguageEnglish (US)
Pages401-411
Number of pages11
JournalThe Lancet
Volume388
Issue number10042
DOIs
StatePublished - Jul 23 2016

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Transgender Persons
Health
Delivery of Health Care
Population
Allied Health Personnel
Standard of Care
Health Services
Primary Health Care
Mental Health
Education

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wylie, K., Knudson, G., Khan, S. I. S., Bonierbale, M., Watanyusakul, S., & Baral, S. (2016). Serving transgender people: clinical care considerations and service delivery models in transgender health. The Lancet, 388(10042), 401-411. DOI: 10.1016/S0140-6736(16)00682-6

Serving transgender people : clinical care considerations and service delivery models in transgender health. / Wylie, Kevan; Knudson, Gail; Khan, Sharful I slam; Bonierbale, Mireille; Watanyusakul, Suporn; Baral, Stefan.

In: The Lancet, Vol. 388, No. 10042, 23.07.2016, p. 401-411.

Research output: Research - peer-reviewReview article

Wylie, K, Knudson, G, Khan, SIS, Bonierbale, M, Watanyusakul, S & Baral, S 2016, 'Serving transgender people: clinical care considerations and service delivery models in transgender health' The Lancet, vol 388, no. 10042, pp. 401-411. DOI: 10.1016/S0140-6736(16)00682-6
Wylie K, Knudson G, Khan SIS, Bonierbale M, Watanyusakul S, Baral S. Serving transgender people: clinical care considerations and service delivery models in transgender health. The Lancet. 2016 Jul 23;388(10042):401-411. Available from, DOI: 10.1016/S0140-6736(16)00682-6
Wylie, Kevan ; Knudson, Gail ; Khan, Sharful I slam ; Bonierbale, Mireille ; Watanyusakul, Suporn ; Baral, Stefan. / Serving transgender people : clinical care considerations and service delivery models in transgender health. In: The Lancet. 2016 ; Vol. 388, No. 10042. pp. 401-411
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