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Triage up front.

P Handy1, R Pattman

  • 1Department of Genitourinary Medicine, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne, NE4 6BE, UK. Pauline.Handy@newcastle-pct.nhs.uk

Sexually Transmitted Infections
|February 1, 2005
PubMed
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A new genitourinary medicine (GUM) triage tool effectively offers same-day appointments for acute symptoms. However, it shows variable success for less urgent conditions and does not fully address patient distress.

Area of Science:

  • Genitourinary Medicine
  • Public Health
  • Healthcare Management

Background:

  • Genitourinary Medicine (GUM) clinics manage a high volume of patients with diverse needs.
  • Efficient patient triage is crucial for timely access to care, especially for urgent conditions.
  • Current triage methods may lack standardization, impacting data collection and service planning.

Purpose of the Study:

  • To evaluate a novel triage tool for GUM services.
  • To determine its effectiveness in providing urgent access to GUM care.
  • To assess its utility in collecting statistics for walk-in or telephone-advised patients.

Main Methods:

  • Retrospective analysis of triage forms completed by healthcare professionals (HCPs).
  • Evaluation of 500 randomly selected patient forms (250 male, 250 female) over a three-month period.

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  • Assessment of appointment allocation based on presenting symptoms and triage data.

    • Main Results:

    • 100% of patients with acute symptoms (ulceration, abdominal pain, sexual assault) received same-day or next-day appointments.
    • Success rates for offering timely appointments varied between 54-86% for conditions like untreated chlamydial infection, testicular pain, and male urethritis.
    • The tool facilitated structured patient assessment and data collection.

    Conclusions:

    • The new triage tool is user-friendly and standardizes GUM patient triage and data collection.
    • While effective for acute cases, it does not consistently meet targets for all conditions.
    • The tool provides valuable data for service planning and commissioners, but patient distress recording needs improvement.