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@ARTICLE{Guethlein:904417,
      author       = {Guethlein, Nora and Grahlow, Melina and Lewis, Carolin A.
                      and Bork, Stephan and Habel, Ute and Derntl, Birgit},
      title        = {{H}ealthcare for {T}rans*gender {P}eople in {G}ermany:
                      {G}aps, {C}hallenges, and {P}erspectives},
      journal      = {Frontiers in neuroscience},
      volume       = {15},
      issn         = {1662-453X},
      address      = {Lausanne},
      publisher    = {Frontiers Research Foundation},
      reportid     = {FZJ-2021-05987},
      pages        = {718335},
      year         = {2021},
      abstract     = {People whose gender does not correspond to the binary
                      gender system, i.e., trans∗gender people, face two main
                      problems when it comes to healthcare in Germany: (1) They
                      often suffer from general psychiatric comorbidities as well
                      as specific and significant mental distress due to gender
                      dysphoria, and (2) the German healthcare system lacks
                      sufficiently educated and clinically experienced medical
                      personnel who are able to provide specialized healthcare.
                      Aside from transition, it often is extremely difficult for
                      trans∗gender people to get access to and be integrated
                      into the medical system. Stigmatization and pathologization
                      in treatment are widespread, as are long waiting times for
                      specialized healthcare providers who are often only
                      accessible to those trans∗gender people willing to travel
                      long distances. Frequently, trans∗gender people face
                      further difficulties and barriers after transition, as some
                      healthcare professionals fail to provide suitable care
                      (e.g., gynecological consultation for transmen). The ICD-11
                      German Modification (ICD-11-GM), which should be routinely
                      used by 2022, implements a depathologization of
                      trans∗gender people in the medical system. This paper
                      compares the issues related to health and healthcare of
                      trans∗gender people in Germany with those in other
                      European countries. We review the care offered by
                      specialized centers with regard to treatment of and support
                      for trans∗gender people. We conclude with specific
                      proposals that may contribute to establish an improved,
                      up-to-date, gender-sensitive healthcare system.},
      cin          = {INM-10},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-10-20170113},
      pnm          = {5252 - Brain Dysfunction and Plasticity (POF4-525)},
      pid          = {G:(DE-HGF)POF4-5252},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {34557067},
      UT           = {WOS:000697395000001},
      doi          = {10.3389/fnins.2021.718335},
      url          = {https://juser.fz-juelich.de/record/904417},
}