Cargando…

Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation

Improving access to sexual health services is critical in light of rising sexually transmitted infections (STIs). We evaluated a hub-and-spoke model for improving access to sexual health services in three general practices in Victoria, Australia. The primary outcome was the impact on HIV and STI (ch...

Descripción completa

Detalles Bibliográficos
Autores principales: Ong, Jason J., Fairley, Christopher K., Fortune, Ria, Bissessor, Melanie, Maloney, Chantal, Williams, Henrietta, Castro, Adrian, Castro, Lea, Wu, Jason, Lee, Pei Sue, Chow, Eric P. F., Chen, Marcus Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998128/
https://www.ncbi.nlm.nih.gov/pubmed/35409625
http://dx.doi.org/10.3390/ijerph19073935
_version_ 1784684869512593408
author Ong, Jason J.
Fairley, Christopher K.
Fortune, Ria
Bissessor, Melanie
Maloney, Chantal
Williams, Henrietta
Castro, Adrian
Castro, Lea
Wu, Jason
Lee, Pei Sue
Chow, Eric P. F.
Chen, Marcus Y.
author_facet Ong, Jason J.
Fairley, Christopher K.
Fortune, Ria
Bissessor, Melanie
Maloney, Chantal
Williams, Henrietta
Castro, Adrian
Castro, Lea
Wu, Jason
Lee, Pei Sue
Chow, Eric P. F.
Chen, Marcus Y.
author_sort Ong, Jason J.
collection PubMed
description Improving access to sexual health services is critical in light of rising sexually transmitted infections (STIs). We evaluated a hub-and-spoke model for improving access to sexual health services in three general practices in Victoria, Australia. The primary outcome was the impact on HIV and STI (chlamydia, gonorrhoea, syphilis) testing. Segmented linear regression analysis was conducted to examine the trends in the total HIV/STI tests pre- (from January 2019 to June 2020) and post-implementation (from July 2020 to July 2021). We evaluated the feasibility and acceptability of integrating this model into the general practices using semi-structured individual interviews. There was a statistically significant rise in testing for HIV and STIs in all general practices: post-implementation, there was an increase of an average of 11.2 chlamydia tests per month (p = 0.026), 10.5 gonorrhoea tests per month (p = 0.001), 4.3 syphilis tests per month (p = 0.010), and 5.6 HIV tests per month (p = 0.010). Participants reported increases in knowledge level and confidence in offering STI testing and managing a greater variety of sexual health cases. This study demonstrates the feasibility of implementing a hub-and-spoke model to enable GPs to deliver sexual health care with support from a sexual health specialist service.
format Online
Article
Text
id pubmed-8998128
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89981282022-04-12 Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation Ong, Jason J. Fairley, Christopher K. Fortune, Ria Bissessor, Melanie Maloney, Chantal Williams, Henrietta Castro, Adrian Castro, Lea Wu, Jason Lee, Pei Sue Chow, Eric P. F. Chen, Marcus Y. Int J Environ Res Public Health Article Improving access to sexual health services is critical in light of rising sexually transmitted infections (STIs). We evaluated a hub-and-spoke model for improving access to sexual health services in three general practices in Victoria, Australia. The primary outcome was the impact on HIV and STI (chlamydia, gonorrhoea, syphilis) testing. Segmented linear regression analysis was conducted to examine the trends in the total HIV/STI tests pre- (from January 2019 to June 2020) and post-implementation (from July 2020 to July 2021). We evaluated the feasibility and acceptability of integrating this model into the general practices using semi-structured individual interviews. There was a statistically significant rise in testing for HIV and STIs in all general practices: post-implementation, there was an increase of an average of 11.2 chlamydia tests per month (p = 0.026), 10.5 gonorrhoea tests per month (p = 0.001), 4.3 syphilis tests per month (p = 0.010), and 5.6 HIV tests per month (p = 0.010). Participants reported increases in knowledge level and confidence in offering STI testing and managing a greater variety of sexual health cases. This study demonstrates the feasibility of implementing a hub-and-spoke model to enable GPs to deliver sexual health care with support from a sexual health specialist service. MDPI 2022-03-25 /pmc/articles/PMC8998128/ /pubmed/35409625 http://dx.doi.org/10.3390/ijerph19073935 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ong, Jason J.
Fairley, Christopher K.
Fortune, Ria
Bissessor, Melanie
Maloney, Chantal
Williams, Henrietta
Castro, Adrian
Castro, Lea
Wu, Jason
Lee, Pei Sue
Chow, Eric P. F.
Chen, Marcus Y.
Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation
title Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation
title_full Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation
title_fullStr Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation
title_full_unstemmed Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation
title_short Improving Access to Sexual Health Services in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation
title_sort improving access to sexual health services in general practice using a hub-and-spoke model: a mixed-methods evaluation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998128/
https://www.ncbi.nlm.nih.gov/pubmed/35409625
http://dx.doi.org/10.3390/ijerph19073935
work_keys_str_mv AT ongjasonj improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT fairleychristopherk improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT fortuneria improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT bissessormelanie improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT maloneychantal improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT williamshenrietta improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT castroadrian improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT castrolea improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT wujason improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT leepeisue improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT chowericpf improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation
AT chenmarcusy improvingaccesstosexualhealthservicesingeneralpracticeusingahubandspokemodelamixedmethodsevaluation