Trans-Power
Primary care for trans people in Lower Saxony: Using health care data, experiences with care, and participatory approaches to enhance medical care and medical education
Background
Trans* people often face particular challenges when accessing healthcare services, ranging from the treatment and therapy of gender dysphoria to mental health issues and health concerns related to gender reassignment, which can vary depending on the stage of life. Outpatient providers play a central role in the treatment and management of many of these health issues. While there is international evidence of deficiencies in care and barriers to access for trans* people, little is known about the situation and experiences of trans* people in and with German primary care.
Aims
- To record care-related experiences, needs and expectations of trans* people
- Identification of the use of specific care services by trans* people and of treatment pathways
- Recording the experiences of general practitioners, pediatricians and obstetrics/gynecology specialists in the care of trans* people
- Recording of care-related experiences, needs and expectations of relatives and loved ones of trans* people
- Identification of gaps in medical curricula with regard to the care of trans* people
- Derivation and consensus of recommendations for action
Methods
(Longitudinal) qualitative interviews, written cross-sectional surveys, analysis of SHI routine data, literature reviews, Delphi method
Funding
The project is funded by the Lower Saxony Ministry of Science and Culture from the "zukunft.niedersachsen" program from 01.10.2025-30.09.2029.
Cooperation partner
- Institute for General Medicine, University Medical Center Göttingen
- AOK Lower Saxony
Team
Prof. Dr. Dr. Stephanie Stiel (Project Manager)
- Phone: +49 511 532-4548
- E-mail: stiel.stephanie@mh-hannover.de
Dr. Malte Klemmt (deputy project manager)
- Phone: +49 511 532-4376
- E-mail: klemmt.malte@mh-hannover.de
PD Dr. Kambiz Afshar (Deputy Project Manager)
- Phone: +49 511 532-5855 or -2744
- E-mail: afshar.kambiz@mh-hannover.de
Alexandra Glizner, M. Sc. (research associate)
- Phone: +49 511 532-81245
- E-mail: glizner.alexandra@mh-hannover.de
Imke Koch, M. Sc. (research associate)
- Phone: +49 511 532-4380
- E-mail: Koch.Imke@mh-hannover.de
N.N. (Study assistant)
Address
Hannover Medical School
Institute ofGeneral Medicine and Palliative Medicine
Carl-Neuberg-Straße 1
30625 Hannover