Is triage an appropriate way of dealing with walk-in patients attending genitourinary medicine clinics?

Griffiths, V; Ahmed-Jushuf, I

doi:10.1258/095646205774988118

Cited by 4 publications

(11 citation statements)

References 7 publications

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“…[6][7][8] Some publications have reported on the fast track triage of asymptomatic patients, but did not examine the incidence of GU conditions. 3,5 The current study provides an insight into the general incidence of identified conditions in either groups of patients, who were asymptomatic or symptomatic of genital discharge. The rarity of publications in this field is a reflection of lack of research, and should relate to local demography.…”

Section: Discussionmentioning

confidence: 99%

“…Sexual health and genitourinary (GU) medicine clinics are experiencing high workload, coupled with increase in trends in the diagnoses of sexually transmitted infections (STIs). Public awareness and anxiety regarding STIs, new microbiological and investigative technology have all given grounds for revisiting methods of triage, [1][2][3] some of which rely on the lack of symptoms of discharge.…”

Section: Introductionmentioning

confidence: 99%

“…The recent trend of increased STDs has led sexual health providers to devise new methods to triage asymptomatic patients and new model of care. [1][2][3][4][5] When the symptoms of discharge (or its absence) are suggested as a criterion for triage, it would be reasonable to investigate further the incidence of sexually related conditions in the two patient subgroups to objectively inform the process and base practice on evidence.…”

Section: Introductionmentioning

confidence: 99%

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The incidence of sexually related conditions in asymptomatic versus symptomatic patients

Markos

2007

Int J STD AIDS

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We studied, retrospectively, 400 consecutive case-notes (200 for each sex) for patients who presented with or without complaints of urethral or vaginal discharge. The incidence of sexually related conditions was identified for each of the four patients subgroups to objectively inform the process of triage. In all, 60% of asymptomatic female and 40% of asymptomatic male patients in the study had a condition of genitourinary (GU) medicine significance. Two-thirds of female patients had a condition of GU medicine significance whether they were symptomatic or asymptomatic. Some 16% of asymptomatic males would have had a delay in treatment of chlamydia, with a 19% loss of identifying non-specific urethritis, if they were triaged on the basis of lack of symptoms, and microscopy tests were abandoned for this group of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The incidence of sexually related conditions in asymptomatic versus symptomatic patients

Markos

2007

Int J STD AIDS

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“…6 They triaged patients according to age, symptoms and history of exposure to STIs. They found that the incidence of sentinel STIs (chlamydia and gonorrhoea) was significantly higher in those individuals who satisfied the triage criteria than in those who did not (15.8% vs 1.7%).…”

Section: Introductionmentioning

confidence: 99%

Effect of self-triage on waiting times at a walk-in sexual health clinic

Hitchings¹,

Barter²

2009

j fam plann reprod health care

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Background and methodology Lengthy waiting times can be a major problem in walk-in sexual health clinics. They are stressful for both patients and staff and may lead to clients with significant health issues leaving the department before being seen by a clinician. A self-triage system may help reduce waiting times and duplication of work, improve patient pathways and decrease wasted visits. This paper describes implementation of a self-triage system in two busy sexual and reproductive health clinics. Patients were asked to complete a self-assessment form on registration to determine the reason for attendance. This then enabled patients to be directed to the most appropriate specialist or clinical service. The benefits of this approach were determined by measuring patient waiting times, reduction in unnecessary specialist review together with patient acceptability as tested by a patient satisfaction survey. The ease of comprehension of the triage form was also assessed by an independent readers' panel. Results IntroductionSexual health care is deemed by the Department of Health to be a key priority for the National Health Service (NHS). In November 2004, the Public Health White Paper 'Choosing Health' stressed the importance of modernising NHS sexual health services with an emphasis on easy access to testing and treatment of sexually transmitted infections (STIs). 1 Southwark, in South London, is an area with one of the highest prevalences of STIs, teenage pregnancy and abortion in the UK. 2 In 2004, when this study was initiated, the age-standardised abortion rate in Southwark was 46 per 1000 women, compared with 17.8 per 1000 for England and Wales. 2 In order to improve access to STI health care, family planning clinics in Southwark also began testing and treatment of common genital infections. This has led to a significant increase in workload, creating a challenge in managing these patients without reducing the quality of care received by those attending clinics for contraception. During 2003During -2004, the total number of clinical consultations increased by 24% (from 15 370 to 19 051).For many years these clinics had been operating a walkin, open-access system, which was thought to best meet the needs of the local population. The increasing demand, however, had an impact on the waiting time in the clinics, with increasing patient dissatisfaction. assigned to the 'traditional treatment' arm, with patients at subsequent clinics being assigned to the 'self-triage' system. Waiting times were collected by the receptionist and clinic staff. Ninety six patients followed the traditional route, 97 the new self-triage system. Sixty-nine (35.8%) patients completed the satisfaction survey. The self-triage system significantly reduced waiting time from 40 (22, 60) to 23 (10, 40) minutes [results expressed as median (interquartile range)]. There was a non-significant reduction in the proportion of patients seeing two clinicians from 21% to 13% (p = 0.17). Satisfaction levels were not significantly altered (...

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“…This system allows patients to arrive at a facility without an appointment. While walk-ins are usually only permitted in emergency situations 247 , what we are concerned with here are walk-in services motivated by patient centeredness. Little is known about the success of these walk-in facilities 248 .…”

Section: Appointment Systemmentioning

confidence: 99%

Smarter imaging management: operations management for radiology

Sambeek¹

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Proefschrift ter verkrijging van de graad van doctor aan de Universiteit twente, op gezag van de rector magnificus, prof. dr. t.t.M. palstra volgens besluit van het College voor promoties in het openbaar te verdedigen op vrijdag 4 mei 2018 om 16:45 uur door Jasper rudolf Carolus van Sambeek geboren op 26 juni 1980 te eindhoven, nederland Smarter ImagIng management OperatiOns ManageMent fOr radiOlOgy ph.d. thesis, University of twente, enschede, the netherlands printed by: ipskamp printing, enschede, the netherlands design and layout: Helmi scheepers editing: Colleen Higgins dit proefschrift is goedgekeurd door de promotoren: prof. dr. ir. J.J. Krabbendam prof. dr. ir. e.W. Hansvoorwoord managers, iCt'ers en onderzoekers. in mijn werk voor sleutelnet staat verbinding leggen in de zorg ook centraal. en steeds maar weer blijkt hoe mooi het is om synergie te creëren. dit geldt ook voor buiten de lijntjes kleuren, net even iets anders doen dan het geijkte. rijnstate deed dit met Ct op inloop en dat dit een rake innovatie is, is één van de belangrijke conclusies in dit proefschrift.

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Is triage an appropriate way of dealing with walk-in patients attending genitourinary medicine clinics?

Cited by 4 publications

References 7 publications

The incidence of sexually related conditions in asymptomatic versus symptomatic patients

The incidence of sexually related conditions in asymptomatic versus symptomatic patients

Effect of self-triage on waiting times at a walk-in sexual health clinic

Smarter imaging management: operations management for radiology

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