Sexually transmitted disease clinics in the United States: Understanding the needs of patients and the capabilities of providers

Pearson, William S.; Kumar, Sateesh; Habel, Melissa A.; Walsh, Sara; Meit, Michael; Barrow, Roxanne Y.; Weiss, Gretchen; Gift, Thomas L.

doi:10.1016/j.ypmed.2020.106411

Cited by 5 publications

(12 citation statements)

References 25 publications

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“…Institutional review board approval was obtained at each clinic with the agreement that each clinic would remain anonymous in reporting of the data. A comprehensive description of the survey methodology has been previously presented 11…”

Section: Methodsmentioning

confidence: 99%

“…A total of 4256 patient surveys were collected and a sample of 4138 had completed demographic information and were included in the analyses. Overall demographics and survey methodology for this study population have been reported in previous work 11…”

Section: Methodsmentioning

confidence: 99%

“…Overall demographics and survey methodology for this study population have been reported in previous work. 11 Analyses of the data included a descriptive tally of responses and corresponding percentages to the 3 clinic characteristic questions. We analyzed patient responses to the questions about being insured by the clinic characteristics and included a tally of responses to the question asking why they were not willing to use their insurance for the visit.…”

Section: Methodsmentioning

confidence: 99%

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Characterizing Financial Sustainability of Sexually Transmitted Disease Clinics Through Insurance Billing Practices

Pearson

Chan

Cramer

et al. 2021

Journal of Public Health Management and Practice

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Context: Sexually transmitted infections (STIs) continue to increase in the United States. Publicly funded sexually transmitted disease (STD) clinics provide important safety net services for communities at greater risk for STIs. However, creating financially sustainable models of STI care remains a challenge. Objective: Characterization of clinic insurance billing practices and patient willingness to use insurance. Design: Cross-sectional survey assessment of clinic administrators and patients. Setting: Twenty-six STD clinics and 4138 patients attending these clinics in high STD morbidity metropolitan statistical areas in the United States. Participants: Clinic administrators and patients of these clinics. Intervention: Survey assessment. Main Outcome Measure: Insurance billing practices of STD clinics and patient insurance status and willingness to use their insurance. Results: Fifteen percent of clinics (4/26) indicated that they billed only Medicaid, 58% (15/26) billed both Medicaid and private insurance, 27% (7/26) did not bill for any health insurance, and none (0%) billed only private health insurance companies. Of 4138 patients surveyed, just more than one-half of patients (52.6%) were covered by some form of health insurance. More than one-half (57.2%) of all patients covered by health insurance indicated that they would be willing to use their health insurance for that visit. After adjusting for patient demographics and clinic characteristics, the patients covered by government insurance were 3 times as likely (odds ratio: 3.16; 95% confidence interval, 2.44-4.10) than patients covered by private insurance to be willing to use their insurance for their visit. Conclusion:Opportunities exist for sustainable STI services through the enhancement of billing practices in STD clinics. The STD clinics provide care to large numbers of individuals who are both insured and who are willing to use their insurance for their care. As Medicaid expansion continues across the country, efforts focused on improving reimbursement rates for Medicaid may improve financial sustainability of STD clinics.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Characterizing Financial Sustainability of Sexually Transmitted Disease Clinics Through Insurance Billing Practices

Pearson

Chan

Cramer

et al. 2021

Journal of Public Health Management and Practice

Self Cite

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“…A survey of >4000 patients seeking care at 26 SHCs in a large metropolitan area in the US from 2018 to 2019 indicated 53% had health insurance and 50% reported having a usual place for medical care. 20 Studies involving SHCs in New York City (NYC), San Francisco and Rhode Island have also found that a substantial proportion (38-60%) of patients were insured. 18,21,22 Demand for SHC services among persons who could choose to seek care elsewhere is not confined to the US, and is widespread in nations with universal, publicly funded health care.…”

Section: Need For Specialised Sexual Health Clinicsmentioning

confidence: 99%

“…The clinics employ specialised medical, nursing, public health and allied health staff who are highly skilled across domains of sexual health-related care, trained in cultural sensitivity, and often come from the priority populations they serve. 20 Patients can sometimes remain anonymous, are comfortable with the privacy provisions of SHCs, and often prefer to seek care at venues with reduced real or perceived stigma around sexual health and STI or HIV prevention. 18,22 Although different models of SHCs exist, the clinics are typically organised to minimise barriers to accessing care, often through self-referral with a convenient walk-in component.…”

Section: Need For Specialised Sexual Health Clinicsmentioning

confidence: 99%

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

Ramchandani

Bourne²,

Barbee³

et al. 2022

Sex. Health

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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.

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Examining the Correlation Between PrEP Use and Black:White Disparities in HIV Incidence in the Ending the HIV Epidemic Priority Jurisdictions

et al. 2022

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Sexually transmitted disease clinics in the United States: Understanding the needs of patients and the capabilities of providers

Cited by 5 publications

References 25 publications

Characterizing Financial Sustainability of Sexually Transmitted Disease Clinics Through Insurance Billing Practices

Characterizing Financial Sustainability of Sexually Transmitted Disease Clinics Through Insurance Billing Practices

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

Examining the Correlation Between PrEP Use and Black:White Disparities in HIV Incidence in the Ending the HIV Epidemic Priority Jurisdictions

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