Impact of Introducing Triage Criteria for Express Testing at a Canadian Sexually Transmitted Infection Clinic

Gratrix, Jennifer; Bergman, Joshua; Brandley, Judith; Parker, Penny; Smyczek, Petra; Singh, Ameeta E.

doi:10.1097/olq.0000000000000363

Cited by 8 publications

(22 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In settings where self-testing programs are not yet available, implementing new testing policies and programs can help in diagnosing infections quickly and reduce infection duration. Gratrix et al 17 implemented an express testing criterion at a Canadian STI clinic where patients who reported being asymptomatic, had not had a contact of an STI, had not had receptive anal intercourse since their last testing visit, and had no history of sexual assault in the last 2 weeks were able to forgo a physical examination and receive STI/HIV testing. Through this program, there was a significant increase in the diagnosis of chlamydia, gonorrhea, and syphilis infections compared with standard of care.…”

Section: Resultsmentioning

confidence: 99%

“…For practices that are not equipped to implement POC NAAT tests, self-sampling has shown to be cost-effective when implementing new STI screening programs. Gratrix et al 17 reported on the implementation of triage criteria for express visits with self-sampling at a Canadian STI clinic. This program saved approximately CA$7.41 per male visit and CA$10.55 per female visits, resulting in cost savings estimated at CA$40,000 over the course of the 13-month study.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of New Approaches to Sexually Transmitted Infection Screening Framed in the Capability, Opportunity, Motivation, and Behavior Model of Implementation Science

Footman¹,

Dagama²,

Smith

et al. 2021

Sexual Trans Dis

View full text Add to dashboard Cite

Chlamydia and gonorrhea are 2 of the most common bacterial sexually transmitted infections (STIs) worldwide. Rising chlamydia and gonorrhea rates along with increased closing of STI clinics has led many to seek STI testing in clinical settings such as urgent cares and walk-in clinics. However, with competing priorities, providing effective and efficient STI care can be difficult in these settings. This has left a growing need for the implementation of novel STI screening programs in other clinical settings. This review summarizes previous studies that have evaluated the clinical implementation of chlamydia and gonorrhea screening programs in these settings. Literature from January 2015 to February 2020 regarding the implementation or evaluation of STI screening programs in clinical settings was reviewed. Constructs from the Capability, Opportunity, Motivation, and Behavior model were used to organize results, as this model can aid in identifying specific strategies for behavior/process change interventions. We found that multiple STI screening programs have been implemented and evaluated in 5 different countries and multiple health care facilities including sexual health clinics, urgent cares, walk-in clinics, and university health clinics. When implementing new STI screening programs, sample-first, test-and-go services and molecular point-of-care (POC) testing approaches were found to be effective in increasing screening and reducing costs and time to treatment. At the health care systems level, these programs can help reduce STI screening costs and generate additional revenue for clinics. At the provider level, clear communication and guidance can help clinical and administrative staff in adopting new screening programs. Finally, at the patient level, new programs can reduce time to treatment and travel costs in visiting clinics multiple times for testing and treatment services.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Systematic Review of New Approaches to Sexually Transmitted Infection Screening Framed in the Capability, Opportunity, Motivation, and Behavior Model of Implementation Science

Footman¹,

Dagama²,

Smith

et al. 2021

Sexual Trans Dis

View full text Add to dashboard Cite

show abstract

“…80 Triaging patients who do not require clinical examination or immediate treatment is a highly effective method to increase the number of patients receiving testing and freeing up clinical resources for those whose symptoms are suggestive of a STI or in whom guidelines might recommend immediate assessment and treatment; for example, those presenting because a sexual contact has been diagnosed with an STI. 81,82…”

Section: Service Efficiency and Effectivenessmentioning

confidence: 99%

Why sexual health clinics are important in the 2020s

Medland

Taylor²,

Saunders³

et al. 2022

Sex. Health

View full text Add to dashboard Cite

To make services more accessible, acceptable and affordable, sexual health service delivery models have embraced innovation, technology, outreach and decentralisation. In particular, some routine high-volume services, like asymptomatic testing for sexually transmitted infections (STIs), can be delivered in general practice, online or in non-clinical settings. On the surface, sexual health clinics, like hospitals or other primary care clinics, might appear to be operating on a model that has not changed significantly in recent times. However, globally sexual healthcare needs are rising both in volume and complexity, not all of which can be adequately met through decentralised care. Sexual health clinics themselves are the site of considerable innovation. The importance of sexual health clinics in the diagnosis and treatment of symptomatic STIs is likely to increase with the increasing burden of disease, the complexity of treatment guidelines and the emergence of new infections. Services essential to patient health such as immediate or complex clinical care, partner notification and safeguarding, and activities essential to the health system like research, training and supervision require expertise to be located where it can be accessed and maintained at reasonable cost. We do not know whether increasing some services outside existing models can safely compensate for reducing other services inside them.

show abstract

“…64,65 Self-obtained specimens for testing gonorrhoea and chlamydia and 'express visits' for routine asymptomatic screening can be widely implemented to increase efficiency, reduce long-term costs and reduce visit lengths. [66][67][68][69][70][71][72] Twenty-one percent of visits to specialised SHCs in the US were express STI or HIV testing-only visits, suggesting a large proportion of asymptomatic screenings can be accomplished without lengthy face-to-face consultation and in some areas, the need to see a clinician. 30 Lean service delivery models for high throughput and low barrier clinics for HIV/STI testing have been initiated to address increased volume and demand.…”

Section: Improving Clinic Efficiency and Decreasing Barriers To Carementioning

confidence: 99%

The need for sexual health clinics, their future role, and contribution to public health

Ramchandani

Bourne²,

Barbee³

et al. 2022

Sex. Health

View full text Add to dashboard Cite

Specialised sexual health clinics (SHCs) play an important role in addressing the staggering rates of STIs seen in many high-income nations. Despite increasing healthcare coverage in the US and nationalised health care in some countries, there is a continued need for SHCs to meet the needs of patients and the community, especially for high-priority populations: those at high risk of STI acquisition and/or groups historically marginalised and underserved in the traditional healthcare system. We need to mobilise resources to support a stronger clinical infrastructure in specialised SHCs. This review describes the importance of SHCs, their future role, and some of the innovative programs housed within SHCs in the US, Australia, and the Netherlands to address both STI and HIV prevention for the populations they serve.

show abstract

Impact of Introducing Triage Criteria for Express Testing at a Canadian Sexually Transmitted Infection Clinic

Cited by 8 publications

References 9 publications

A Systematic Review of New Approaches to Sexually Transmitted Infection Screening Framed in the Capability, Opportunity, Motivation, and Behavior Model of Implementation Science

A Systematic Review of New Approaches to Sexually Transmitted Infection Screening Framed in the Capability, Opportunity, Motivation, and Behavior Model of Implementation Science

Why sexual health clinics are important in the 2020s

The need for sexual health clinics, their future role, and contribution to public health

Contact Info

Product

Resources

About