{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T18:48:58Z","timestamp":1774464538373,"version":"3.50.1"},"reference-count":41,"publisher":"CAIRN.INFO","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,6]]},"abstract":"<jats:p>Introduction : L\u2019acc\u00e8s \u00e0 la sant\u00e9 pour les personnes trans et issues de la diversit\u00e9 de genre est marqu\u00e9 par des in\u00e9galit\u00e9s, notamment en raison de la stigmatisation. Peu de professionnel\u00b7le\u00b7s s\u2019impliquent dans leur accompagnement, restreignant l\u2019acc\u00e8s de ces personnes au syst\u00e8me de sant\u00e9. Cet article propose une perspective originale d\u2019analyse en explorant les exp\u00e9riences, les motivations et les leviers \u00e9voqu\u00e9s par des professionnel\u00b7le\u00b7s du champ m\u00e9dico-social engag\u00e9\u00b7e\u00b7s dans l\u2019accompagnement en sant\u00e9 des personnes trans. M\u00e9thodes : Treize professionnel\u00b7le\u00b7s ont \u00e9t\u00e9 int\u00e9rrog\u00e9\u00b7e\u00b7s dans le cadre d\u2019entretiens individuels puis d\u2019un focus groupe. Une analyse th\u00e9matique a r\u00e9v\u00e9l\u00e9 plusieurs leviers et freins dans leur pratique. R\u00e9sultats : Les leviers comprennent un engagement \u00e0 lutter contre les injustices, une relation de soin horizontale et une connaissance pr\u00e9alable de la communaut\u00e9 trans. Les principaux freins incluent le manque de formation et de recommandations officielles, la crainte de d\u00e9passer ses comp\u00e9tences et les contraintes d\u2019une organisation des soins bas\u00e9e sur la binarit\u00e9 homme\/femme. Les pistes d\u2019am\u00e9lioration propos\u00e9es par les participant\u00b7e\u00b7s incluent la cr\u00e9ation de directives par la Haute Autorit\u00e9 de Sant\u00e9, la production de donn\u00e9es scientifiques robustes et l\u2019impl\u00e9mentation de formations sp\u00e9cifiques lors de la formation initiale ou continue. Ces actions doivent \u00eatre mises en place sur la base d\u2019un travail coll\u00e9gial avec les personnes concern\u00e9es. Enfin, les participant\u00b7e\u00b7s affirment que r\u00e9duire les in\u00e9galit\u00e9s d\u2019acc\u00e8s \u00e0 la sant\u00e9 d\u00e9pendent de l\u2019augmentation du nombre de professionnel\u00b7le\u00b7s s\u2019impliquant dans cet accompagnement. Discussion : Transformer le syst\u00e8me de sant\u00e9 en un espace plus inclusif pour les personnes trans n\u00e9cessite l\u2019engagement des professionnel\u00b7le\u00b7s, des r\u00e9formes institutionnelles et la participation active des personnes concern\u00e9es, afin d\u2019am\u00e9liorer l\u2019acc\u00e8s aux soins et de renforcer la qualit\u00e9 et l\u2019\u00e9quit\u00e9 en sant\u00e9 pour tou\u00b7te\u00b7s.<\/jats:p>","DOI":"10.3917\/spub.pr2.0076","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T10:22:27Z","timestamp":1751278947000},"page":"99-111","source":"Crossref","is-referenced-by-count":1,"title":["Accompagnement en sant\u00e9 de personnes trans : freins, leviers et perspectives de professionnel\u00b7le\u00b7s recommand\u00e9\u00b7e\u00b7s par la communaut\u00e9"],"prefix":"10.3917","volume":"vol. 37","author":[{"given":"Xavier","family":"Mabire","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dulce","family":"Ferraz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Robin-Radier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lou","family":"Cuenot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ang\u00e8le","family":"Coulot-Prenant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Costanza","family":"Puppo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"OUTrans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"del Rio Carral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Pr\u00e9au","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1IPSOS. 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