Fully Integrated e-Services for Prevention, Diagnosis, and Treatment of Sexually Transmitted Infections: Results of a 4-County Study in California

SPIELBERG, Freya ; LEVY, Vivian ; et al.

In: American journal of public health (1971), Jg. 104 (2014), Heft 12, S. 2313-2320

academicJournal - print; 8; 20 ref

Objectives. We examined the acceptability, feasibility, and cost of a fully integrated online system (eSTI) for sexually transmitted infection (STI) testing, treatment, and linkage to care with 4 Northern California health departments. Methods. In April 2012, we implemented the eSTI system, which provided education; testing of self-collected vaginal swabs for chlamydia, gonorrhea, and trichomoniasis; e-prescriptions; e-partner notification; and data integration with clinic electronic health records. We analyzed feasibility, acceptability, and cost measures. Results. During a 3-month period, 217 women aged 18 to 30 years enrolled; 67% returned the kit. Of these, 92% viewed their results online. STI prevalence was 5.6% (chlamydia and trichomoniasis). All participants with STIs received treatment either the same day at a pharmacy (62%) or within 7 days at a clinic (38%). Among participants completing follow-up surveys, 99% would recommend the online eSTI system to a friend, and 95% preferred it over clinic-based testing within a study. Conclusions. The fully integrated eSTI system has the potential to increase diagnosis and treatment of STIs with higher patient satisfaction at a potentially lower cost.

Titel:	Fully Integrated e-Services for Prevention, Diagnosis, and Treatment of Sexually Transmitted Infections: Results of a 4-County Study in California
Autor/in / Beteiligte Person:	SPIELBERG, Freya ; LEVY, Vivian ; PADIAN, Nancy ; BLAKE, Diane R ; GAYDOS, Charlotte A ; LENSING, Shelly ; CHATTOPADHYAY, Ishita ; VENKATASUBRAMANIAN, Lalitha ; ACEVEDO, Nincoshka ; WOLFF, Peter ; CALLABRESI, Debra ; PHILIP, Susan ; LOPEZ, Teresa P
Link:	http://pascal-francis.inist.fr/vibad/index.php?action=search&terms=29034104
Zeitschrift:	American journal of public health (1971), Jg. 104 (2014), Heft 12, S. 2313-2320
Veröffentlichung:	Washington, DC: American Public Health Association, 2014
Medientyp:	academicJournal
Umfang:	print; 8; 20 ref
ISSN:	0090-0036 (print)
Schlagwort:	Amérique du Nord Amérique Etats-Unis Californie Infection Infección Diagnostic Diagnosis Diagnóstico Maladie sexuellement transmissible Sexually transmitted disease Enfermedad de transmisión sexual Prévention Prevention Prevención Résultat Result Resultado Santé publique Public health Salud pública Traitement Treatment Tratamiento Variation géographique Geographical variation Variación geográfica Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Pathologie infectieuse Infectious diseases Généralités General aspects Epidémiologie générale. Vaccinations Epidemiology. Vaccinations Sante publique. Hygiene-medecine du travail Public health. Hygiene-occupational medicine Santé publique. Hygiène Public health. Hygiene Mesures de prévention et actions Prevention and actions Divers Miscellaneous Hygiene and public health, epidemiology, occupational medicine Hygiène et santé publique, épidémiologie, médecine du travail Subject Geographic: Amérique du Nord Amérique Etats-Unis Californie
Sonstiges:	Nachgewiesen in: FRANCIS Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Department of Prevention and Community Health, George Washington University, Washington, DC, United States ; San Mateo County Health System, San Mateo, CA, United States ; Berkeley School of Public Health, Berkeley, CA, United States ; Department of Pediatrics, University of Massachusetts Medical School, Worcester, United States ; Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States ; University of Arkansas for Medical Sciences, Department of Biostatistics, Little Rock, United States ; Research Triangle Institute International, Research Triangle Park, NC, United States ; FHI 360, Durham, NC, United States ; National Institute of Allergy and Infectious Diseases, Bethesda, MD, United States ; N-tonic, Los Angeles, CA, United States ; San Francisco Department of Public Health, San Francisco, CA, United States Rights: Copyright 2015 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS

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