Expedited Partner Therapy: A Multicomponent Initiative to Boost Provider Counseling.
Expedited Partner Therapy: A Multicomponent Initiative to Boost Provider Counseling.
复制标题
加速合作伙伴治疗：促进提供者咨询的多组成部分举措。
DOI：
10.1097/olq.0000000000001894
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发表时间：
2024
影响因子：
3.1
通讯作者：
Sheth,SanginiS
中科院分区：
文献类型：
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作者：
Markowitz,MelissaA;Ackerman-Banks,ChristinaM;Oliveira,CarlosR;Fashina,Oluwatomini;Pathy,ShefaliR;Sheth,SanginiS
在美国，快速伴侣治疗处方仍然很低且高度可变，导致沙眼衣原体和淋病奈瑟菌的频繁再感染。我们研究了提供者咨询的快速合作伙伴治疗之前和之后的电子智能工具为基础的initiation.MethodsIn这个准实验中断的时间序列研究，我们实施了一项倡议的电子智能工具和教育的快速合作伙伴治疗在2020年3月。我们回顾了实施前（2019年3月至2020年2月）和实施后（2020年3月至2021年2月）组的城市学术妇产科诊所衣原体和/或淋病患者的记录。描述性统计和中断的时间序列模型被用来比较的百分比，由临床医生提供的快速合作伙伴治疗的患者在each group.ResultsA共287例患者的遭遇进行了分析，155干预前和132干预后。与干预后（40.2%; 53/132）相比，干预前（27.1%; 42/155）观察到加速伴侣治疗咨询增加了13%（95% CI：2-24%）。单身患者的提供者咨询显著增加（15%; 95% CI：3-26%），≥ 25岁（21%; 95% CI：6-37%），接受公共保险（15%; 95% CI：3-27%）、由注册护士就诊（18%; 95% CI：4-32%）或因产科适应症就诊（21%; 95% CI：4-39%）。在患者接受快速合作伙伴治疗（p= 1.00）。ConclusionsA多组件倡议集中在电子智能工具是有效的，在加快合作伙伴治疗提供咨询。进一步研究以了解患者对快速伴侣治疗的看法和接受程度至关重要。
BackgroundExpedited partner therapy prescription remains low and highly variable throughout the United States, leading to frequent reinfections with Chlamydia trachomatis and Neisseria gonorrhea. We examined provider counseling on expedited partner therapy before and after an electronic smart tools-based initiative.MethodsIn this quasi-experimental interrupted time series study, we implemented an initiative of electronic smart tools and education for expedited partner therapy in March 2020. We reviewed the records of patients with chlamydia and/or gonorrhea at an urban, academic obstetrics and gynecology clinic in the pre-implementation (March 2019-February 2020) and post-implementation (March 2020-February 2021) groups. Descriptive statistics and an interrupted time-series model were used to compare the percent of expedited partner therapy offered by clinicians to patients in each group.ResultsA total of 287 patient encounters were analyzed, 155 pre-intervention and 132 post-intervention. An increase in expedited partner therapy counseling of 13%(95% CI: 2-24%) was observed pre-intervention (27.1%; 42/155) versus post-intervention (40.2%; 53/132). Significant increases in provider counseling were seen for patients who were single (15%; 95% CI: 3-26%),≥ 25 years old (21%; 95% CI: 6-37%), receiving public insurance (15%; 95% CI: 3-27%), seen by a registered nurse (18%; 95% CI: 4-32%), or seen for an obstetrics indication (21%; 95% CI: 4-39%). No difference was seen in patients’ acceptance of expedited partner therapy (p= 1.00).ConclusionsA multi-component initiative focused on electronic smart tools is effective at increasing provider counseling on expedited partner therapy. Further research to understand patient perceptions and acceptance of expedited partner therapy is critical.