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Fully Integrated e-Services for Prevention, Diagnosis, and Treatment of Sexually Transmitted Infections: Results of a 4-County Study in California.
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- المؤلفون: Spielberg, Freya1 (AUTHOR) ; Levy, Vivian2 (AUTHOR); Lensing, Shelly3 (AUTHOR); Chattopadhyay, Ishita4 (AUTHOR); Venkatasubramanian, Lalitha5 (AUTHOR); Acevedo, Nincoshka5 (AUTHOR); Wolff, Peter6 (AUTHOR); Callabresi, Debra7 (AUTHOR); Philip, Susan8 (AUTHOR); Lopez, Teresa P.2 (AUTHOR); Padian, Nancy9 (AUTHOR); Blake, Diane R.10 (AUTHOR); Gaydos, Charlotte A.11 (AUTHOR)
- المصدر:
American Journal of Public Health. Dec2014, Vol. 104 Issue 12, p2313-2320. 8p. 1 Diagram, 3 Charts.
- الموضوع:
- معلومة اضافية
- الموضوع:
- نبذة مختصرة :
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. [ABSTRACT FROM AUTHOR]
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