首页> 外文期刊>Sexually Transmitted Infections >How much do delayed healthcare seeking, delayed care provision, and diversion from primary care contribute to the transmission of STIs?
【24h】

How much do delayed healthcare seeking, delayed care provision, and diversion from primary care contribute to the transmission of STIs?

机译:延迟寻求医疗服务,延迟提供医疗服务以及从基层医疗机构转移过来对性传播感染的传播有多大作用?

获取原文
获取原文并翻译 | 示例
           

摘要

OBJECTIVES: To quantify the contribution of patient delay, provider delay, and diversion between services to delayed access to genitourinary medicine (GUM) clinics. To describe the factors associated with delay, and their contribution to STI transmission. METHODS: Cross-sectional survey of 3184 consecutive new patients attending four GUM clinics purposively selected from across England to represent different types of population. Patients completed a short written questionnaire that collected data on sociodemographics, access, and health-seeking behaviour. Questionnaires were then linked to routinely collected individual-level demographic and diagnostic data. RESULTS: Patient delay is a median of 7 days, and does not vary by demographic or social characteristics, or by clinic. However, attendance at a walk-in appointment was associated with a marked reduction in patient delay and provider delay. Among symptomatics, 44.8% of men and 58.0% of women continued to have sex while awaiting treatment, with 7.0%reporting sex with >1 partner; 4.2% of symptomatic patients reported sex without using condoms with new partner(s) since their symptoms had begun. Approximately 25% of all patients had already sought or received care in general practice, and these patients experienced greater provider delay. CONCLUSIONS: Walk-in services are associated with a reduction in patient and provider delay, and should be available to all populations. Patients attending primary care require clear care pathways when referred on to GUM clinics. Health promotion should encourage symptomatic patients to seek care quickly, and to avoid sexual contact before treatment.
机译:目的:量化患者延误,提供者延误以及服务之间转移对生殖泌尿泌尿科(GUM)诊所延误的贡献。描述与延迟相关的因素及其对STI传播的影响。方法:横断面调查了3184例连续就诊的患者,这些患者分别来自英格兰的四家GUM诊所,分别代表不同类型的人群。患者完成了一份简短的书面调查表,该调查表收集了有关社会人口统计学,访问和健康追求行为的数据。然后将问卷与常规收集的个人水平的人口统计和诊断数据相关联。结果:患者延误的中位数为7天,并且不会因人口统计学,社会特征或诊所而异。但是,参加预约预约与患者延迟和提供者延迟的显着减少相关。在对症治疗中,有44.8%的男性和58.0%的女性在等待治疗的过程中继续发生性行为,其中7.0%的人报告性生活与> 1个伴侣有关系。自从症状出现以来,有4.2%的有症状患者报告没有与新伴侣一起使用安全套的性行为。在所有患者中,大约25%的患者已经在一般实践中寻求或接受过护理,而这些患者经历了更大的提供者延迟。结论:步入式服务可减少患者和医护人员的延误,并应为所有人群提供。转到GUM诊所时,参加初级保健的患者需要明确的护理途径。促进健康应鼓励有症状的患者迅速就医,并在治疗前避免性接触。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号