Humanized care for patients with gender identity: dilemmas, impact and intervention strategies

Introduction: health care involves respectful and moral treatment, especially for people of diverse gender identities, who are susceptible to prejudice and obstacles in health services, so this research aims to analyze the literature on humanized care for these patients in health care services, their challenges, complications and the management of this care.Methods: an exhaustive review of 210 academic articles from different indexed scientific databases, such as Scopus, Dialnet, Latindex, EBSCO, CINAHL, Scielo, Medline, BVS, DOAJ, IPIndexing Portal, Cuiden Citation, Web of Science, RED Edit, REHIC, RevEnf, Periódica, among others, was carried out; 30 met the selection standards, in addition a matrix made in Excel was used to classify the information, and an inductive analytical review of the data was completed.Results: obstacles were encountered in treating individuals regarding gender identity, including insufficient professional expertise, bias, and typical gender norms within health care facilities. In contrast, successful tactics included inclusive education, adherence to specific standards, and use of a social identifier, together fostering safety and amplifying the perceived quality of care.Conclusions: humanized care contributes to better adherence to treatments, reduces discrimination, and strengthens the relationship between patients and health systems. Despite advances, additional efforts are required to overcome structural and cultural barriers, promoting equitable and inclusive care.