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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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 |
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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 |
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