Bioethical implications in health care for the LGBTT public

The aim of this study was to analyze academic publications regarding actions of health care for lesbians, gays, bisexuals, transvestites and the trans gender (LGBTT), in a focus of principialist bioethics. The methodology employed was trial design, in which the data gathered were divided into two sets: academic productions, and documents standardizing LGBTT health policy in the Single Health System (SUS). The studies showed that beyond the the actions aimed at the health of LGBTT, there exist prejudice and discrimination, requiring a new examination of ethical and bioethical interaction between the professional and the user. Thus professional performance based on principialist bioethics may be considered a way of overcoming values judgments on the part of health professionals, helping better pursue the integral nature of care.本研究旨在以原则主义生命伦理学（principialist bioethics）为视角，分析针对女同性恋、男同性恋、双性恋、异装癖者及跨性别者（LGBTT）的医疗照护相关学术成果。本研究采用试验性研究设计，将收集到的数据划分为两类：学术研究产出，以及统一健康系统（Single Health System, SUS）中规范LGBTT健康政策的相关文件。研究结果显示，除针对LGBTT群体的健康照护举措之外，还存在偏见与歧视现象，这要求我们重新审视医疗从业者与服务对象之间的伦理及生命伦理互动关系。因此，基于原则主义生命伦理学的医疗执业行为，可被视为克服医疗从业者主观价值判断的一种途径，有助于更好地践行照护的整体性内涵。