{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:14:11Z","timestamp":1765610051665},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"03\/04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nHintergrund Geschlechtsdysphorie (GD, ehemals Transsexualit\u00e4t) bezeichnet einen Leidensdruck, der sich aus der Inkongruenz zwischen den k\u00f6rperlichen Geschlechtsmerkmalen und dem Erleben des eigenen Geschlechts ergeben kann (Geschlechtsinkongruenz: GIK). Die Gesundheitsversorgung von Personen mit GIK\/GD bezieht sich v.\u2009a. auf geschlechtsangleichende Ma\u00dfnahmen (z.\u2009B. Hormonbehandlung) und Unterst\u00fctzung bei assoziierten Bed\u00fcrfnissen (z.\u2009B. durch Psychotherapie). Zudem gelten genitalchirurgische Eingriffe als effektive Verfahren zur Reduktion von GIK\/GD und zur Verbesserung der psychischen Gesundheit und Lebensqualit\u00e4t. Als evidenzbasiert gilt eine integrative Gesundheitsversorgung, bei der die beteiligten Bereiche interdisziplin\u00e4r kooperieren.<\/jats:p><jats:p>\nZiel der Studie Bei der medizinischen Versorgung von Patient_innen mit GIK\/GD lassen sich grunds\u00e4tzlich zwei Settings unterscheiden: interdisziplin\u00e4r integriert an einem Standort vs. dezentral verteilt \u00fcber mehrere Standorte. Die Trans-Gesundheitsversorgung in Deutschland ist bisher weitgehend dezentral organisiert. Wie sich das Versorgungssetting auf die Wirksamkeit und Qualit\u00e4t genitalangleichender Operationen auswirkt, wurde bisher nicht untersucht. Ziel der TransCare-Studie ist es daher, prospektiv katamnestisch das psychosoziale und klinische Outcome von Patient_innen mit GIK\/GD zu untersuchen, die eine feminisierende Genitaloperation in Anspruch nehmen, und auf die m\u00f6glichen Auswirkungen des Versorgungssettings (interdisziplin\u00e4r integriert vs. dezentral verteilt) hin zu vergleichen.<\/jats:p><jats:p>\nMethodik Im Zuge eines naturalistischen L\u00e4ngsschnittdesigns soll eine m\u00f6glichst praxisnahe Stichprobe rekrutiert und die teilnehmenden Patient_innen prospektiv befragt werden.<\/jats:p><jats:p>\nErgebnisse Die Studienergebnisse sollen Erkenntnisse \u00fcber die Rolle des Versorgungssettings im Rahmen der genitalchirurgischen Behandlung von Patient_innen mit GIK\/GD hervorbringen.<\/jats:p><jats:p>\nSchlussfolgerung Auf Basis der TransCare-Studie soll die Versorgungsqualit\u00e4t empirisch fundiert verbessert werden.<\/jats:p>","DOI":"10.1055\/a-1243-0715","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:03:37Z","timestamp":1602806617000},"page":"132-140","source":"Crossref","is-referenced-by-count":3,"title":["Interdisziplin\u00e4r integriert oder dezentral verteilt? Versorgungssettings im Kontext feminisierender Genitaloperationen \u2013 Studienprotokoll zur Hamburger TransCare-Studie"],"prefix":"10.1055","volume":"71","author":[{"given":"Andreas","family":"K\u00f6hler","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sexualforschung, Sexualmedizin und Forensische Psychiatrie, Universit\u00e4tsklinikum Hamburg-Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Strau\u00df","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychosoziale Medizin und Psychotherapie, Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peer","family":"Briken","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sexualforschung, Sexualmedizin und Forensische Psychiatrie, Universit\u00e4tsklinikum Hamburg-Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silke","family":"Riechardt","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Urologie, Universit\u00e4tsklinikum Hamburg-Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margit","family":"Fisch","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Urologie, Universit\u00e4tsklinikum Hamburg-Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timo O.","family":"Nieder","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sexualforschung, Sexualmedizin und Forensische Psychiatrie, Universit\u00e4tsklinikum Hamburg-Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"ref1","first-page":"232","article-title":"Transgender, Transsexualit\u00e4t und Geschlechtsdysphorie: aktuelle Entwicklungen in Diagnostik und Therapie","volume":"64","author":"T O Nieder","year":"2014","journal-title":"PPmP-Psychotherapie\u00b7Psychosomatik\u00b7Medizinische Psychologie"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/15532739.2011.700873","article-title":"Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7","volume":"13","author":"E Coleman","year":"2012","journal-title":"International journal of transgenderism"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1055\/a-0895-8176","article-title":"S3-Leitlinie zur Diagnostik, Beratung und Behandlung im Kontext von Geschlechtsinkongruenz, Geschlechtsdysphorie und Trans-Gesundheit","volume":"32","author":"T O Nieder","year":"2019","journal-title":"Zeitschrift f\u00fcr Sexualforschung"},{"key":"ref5","first-page":"1","article-title":"Neuroscience in transgender people: an update","author":"M Kiyar","year":"2020","journal-title":"Neuroforum"},{"key":"ref6","first-page":"5","volume":"28","author":"F T Beek","year":"2016","journal-title":"Gender incongruence\/gender dysphoria and its classification history. 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