Background

Transgender patients have unique healthcare needs, providing pharmacists with the opportunity to play an important role in transgender care through addressing the healthcare disparities observed in this patient group.

Objective

This scoping review aimed to explore the role of pharmacists in transgender healthcare.

Methods

Six databases were searched from inception: Emcare, Informit, MEDLINE (Ovid), PubMed, Scopus, and Web of Science. The first author performed screening and data extraction in consensus with co-authors. Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) was utilised to report this review. Themes related to the role of pharmacists in transgender healthcare were identified.

Results

A total of 356 studies were identified; however, only 15 studies, all from the USA met the selection criteria and were included in this review. Study types included empirical research, practice reports and opinion pieces such as commentaries, editorials, and reports. Pharmacists were found to practise in two different care settings: community and interdisciplinary clinics, performing various roles in transgender healthcare, including patient education and counselling, management of cross-sex hormonal therapy, patient advocacy and provision of preventative care. They were also responsible for the provision of culturally sensitive care in an inclusive and welcoming environment. Although pharmacists considered their role important, they lacked confidence in their knowledge to provide appropriate care to this patient group.

Conclusion

This review has highlighted that there is a need for education in transgender care for both pharmacists and pharmacy students, so that they are both confident and comfortable to play a meaningful role in transgender care. Pharmacists’ involvement in addressing the health disparities experienced will contribute to improving the overall health outcomes for this group.

中文翻译：

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药剂师在跨性别医疗保健中的作用：范围审查

背景

跨性别患者有独特的医疗保健需求，通过解决在该患者群体中观察到的医疗保健差异，为药剂师提供了在跨性别护理中发挥重要作用的机会。

客观的

本范围审查旨在探讨药剂师在跨性别医疗保健中的作用。

方法

从一开始就搜索了六个数据库：Emcare、Informit、MEDLINE (Ovid)、PubMed、Scopus 和 Web of Science。第一作者在与共同作者一致的情况下进行了筛选和数据提取。系统评价的首选报告项目和范围审查的 Meta 分析扩展 (PRISMA-ScR) 用于报告该评价。确定了与药剂师在跨性别医疗保健中的作用相关的主题。

结果

共确定了 356 项研究；然而，只有 15 项来自美国的研究符合选择标准并被纳入本综述。研究类型包括实证研究、实践报告和评论、社论和报告等观点文章。药剂师被发现在两种不同的护理环境中执业：社区和跨学科诊所，在跨性别医疗保健中扮演各种角色，包括患者教育和咨询、跨性别激素治疗的管理、患者宣传和提供预防性护理。他们还负责在包容和热情的环境中提供具有文化敏感性的护理。尽管药剂师认为他们的角色很重要，但他们对自己的知识缺乏信心，无法为该患者群体提供适当的护理。

结论

该评论强调，需要对药剂师和药学学生进行跨性别护理教育，以便他们既自信又自在地在跨性别护理中发挥有意义的作用。药剂师参与解决所经历的健康差异将有助于改善该群体的整体健康结果。