COMPREHENSIVE AND COORDINATED APPROACH OF TRANS PEOPLE IN URUGUAY

Introduction Historically the approach of trans people in Uruguay used to be pathologized, with a strong discrimination component and an ineffective, fractional and deficient health assistance. For this reason, a multidisciplinary work group was created. This group is integrated by family medicine physicians, endocrinologists, psychologists, gynecologists and plastic surgeons, with the purpose of performing a comprehensive, coordinated, accessible asistence, in an academic enviroment, that includes both the participation of the Administration of Health Services of the State (ASSE) and the School of medicine of the University of the Republic. With the consequent formation of medicine students and residents of the specialties involved. Objective:Improve trans people health. Method Descriptive analysis of a poblation of Trans people, assisted during the period between january 2014 and january 2016, in the city of Montevideo and having as first and second level of medical assistence the unit of educational assistence Saint Bois, and the Gynecological Clinic "A" of the hospital center Pereira Rossell. Results During this period 70 people were assisted at the first level of attention, 35 of that recived hormons. They were performed 5 hysterectomies with anexectomies, 2 mastectomies, and 1 mammaplasty. In each and every case the integrality of the assistance in the different health leves was kept on a continuous and coordinate way.