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'Do it yourself' sexual health care: the user experience
Paula Baraitser1, Kirsty Collander Brown, Zachary Gleisner
1Camberwell Sexual Health Centre, London SE5 9RS, UK. Paula.Baraitser@nhs.net
Self-management in sexual health services is acceptable, offering reduced wait times and privacy. However, some clients still need support, highlighting the need for accessible informal assistance.
Area of Science:
- Sexual Health
- Public Health
- Health Services Research
Background:
- Busy walk-in sexual health services face challenges in managing client flow and demand.
- Client self-management offers a potential solution to improve efficiency and accessibility.
Purpose of the Study:
- To evaluate client experiences with self-management options in a sexual health service.
- To understand the factors influencing client choices for self-management.
Main Methods:
- Qualitative interviews with 24 users.
- 19 mystery shopper reports.
- Clinic database demographics.
- 40 hours of observation.
Main Results:
- 6.5% of attendances were self-managed by 8.3% of clients.
- Clients valued reduced waiting times, autonomy, and privacy.
- Personalized decisions on self-management were based on time, need for services, and support preferences.
- Confidentiality concerns arose when clients required assistance from support workers.
Conclusions:
- Self-management is a viable option in sexual health services when informal support is accessible.
- Self-management can free up clinical capacity by reducing the need for clinician consultations for a portion of clients.
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