加快合作伙伴治疗:一个多元组件倡议,以促进提供者咨询
Melissa A Markowitz1, Christina M Ackerman-Banks1, Carlos R Oliveira
1From the Department of Obstetrics, Gynecology and Reproductive Sciences.
Sexually transmitted diseases
|November 3, 2023
概括
一项电子智能工具倡议显著增加了13%的克拉米迪亚或淋病患者的加快伴侣治疗 (EPT) 的提供者咨询. 这种干预改善了EPT讨论,但没有影响患者接受率.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 加快伴侣疗法 (EPT) 处方率在美国各地低且不一致,导致重复的克拉米迪亚甲状腺炎和尼塞利亚淋病感染.
- 提供者对EPT的咨询对于其有效实施和制STI再感染至关重要.
研究的目的:
- 评估基于电子智能工具的倡议对加速伴侣治疗 (EPT) 提供者咨询的影响.
- 评估在城市的学术妇产科诊所实施新干预措施之前和之后,EPT咨询率的变化.
主要方法:
- 采用了准实验性中断时间序列研究设计.
- 电子智能工具和教育材料于2020年3月推出.
- 对2019年3月至2020年2月 (实施前) 和2020年3月至2021年2月 (实施后) 的克拉米迪亚和/或淋病患者记录进行了审查.
主要成果:
- 总共分析了287次患者接触 (155次干预前,132次干预后).
- 提供者对EPT的咨询增加了13% (95%CI,2%-24%),从干预前的27.1%增加到干预后的40.2%.
- 对于特定的患者子组,包括单身患者,年龄在25岁以上,接受公共保险,接受注册护士的咨询或产科指示的患者,观察到咨询的显著增加. 患者接受EPT没有显著变化 (P = 1.00).
结论:
- 结合电子智能工具的多元组件计划有效地增强了对加快合作伙伴治疗的提供者咨询.
- 需要进一步的研究,以充分了解患者对EPT的看法和接受,以优化其在STI控制中的使用.
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