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Related Experiment Videos

Understanding access to genitourinary medicine services.

V Griffiths1, I Ahmed-Jushuf, J A Cassell

  • 1Department of Primary Care and Population Services, Royal Free and University College Medical School, Rowland Hill Street, London NW3 3PF, UK.

International Journal of STD & AIDS
|September 2, 2004
PubMed
Summary

Longer waiting times in genitourinary medicine clinics are linked to higher non-attendance rates for new male patients. This study analyzed clinic data and clinician surveys to understand these trends and their impact on sexually transmitted infection (STI) diagnosis.

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Area of Science:

  • Public Health
  • Epidemiology
  • Genitourinary Medicine

Background:

  • Genitourinary medicine (GUM) clinics provide essential services for sexually transmitted infections (STIs).
  • Understanding clinic attendance patterns and waiting times is crucial for effective STI management and public health.
  • Previous research has highlighted the importance of timely access to sexual health services.

Purpose of the Study:

  • To describe waiting times in genitourinary medicine clinics across England, Wales, and Northern Ireland.
  • To analyze patterns of clinic attendance over time.
  • To investigate the relationship between waiting times and patient attendance, particularly non-attendance rates.

Main Methods:

  • A postal survey of clinicians in October 2002 collected data on waiting times and appointment policies.

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  • Clinic attendance data were obtained and linked with survey responses.
  • Attendance trends were analyzed in conjunction with national sexually transmitted infection (STI) data.

    • Main Results:

    • Mean waiting times were 11.2 days for males and 12.5 days for females.
    • A significant association was found between longer waiting times and increased non-attendance rates among new male patients.
    • Between 1996 and 2002, English GUM clinics saw no overall increase in attendances, but the proportion of new patients or those with new problems rose.
    • The ratio of new STI diagnoses to new attenders increased from 0.2 to 0.31, with major acute STIs diagnosed in England rising from 114,380 to 185,247 cases.

    Conclusions:

    • Waiting times in genitourinary medicine clinics may influence patient attendance, with longer waits potentially leading to higher non-attendance.
    • The increasing proportion of new patients and new STI diagnoses suggests a growing demand for services and potentially undiagnosed infections.
    • These findings underscore the need for efficient clinic operations to ensure timely access to care and effective STI control.