How to set up a remotely supported hub and spoke sexual health service for a military population: Table 1

Desai, Mitesh; Littler, JE; Samuel, Miriam; Baker, D; Loader, PB; Sp, Singh; Bradbeer, Caroline

doi:10.1136/sextrans-2015-052017

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…This is despite the social restrictions imposed in Victoria because of the COVID-19 pandemic. Our study adds to the scant literature on how a hub-and-spoke model can be used to improve access to sexual health services [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

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

Ong

Fairley

Fortune

et al. 2022

IJERPH

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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.

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Section: Discussionmentioning

confidence: 99%

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

Ong

Fairley

Fortune

et al. 2022

IJERPH

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show abstract

“…Our study adds to the scant literature on how a hub and spoke model can be used to improve access to sexual health services. [17] A key target of the Fourth Australian National Sexually Transmissible Infections Strategy (2018-2022) is to increase STI testing coverage. [18] Enabling timely access to testing and treatment requires new strategies and policies to enable accessible STI care.…”

Section: Discussionmentioning

confidence: 99%

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

Ong¹,

Fairley²,

Fortune³

et al. 2022

Preprint

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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 before (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 more variety of sexual health cases. This study demonstrated 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.

show abstract

“…Their recommendations focus on the need for all military medical practitioners to be able to take travel and sexual histories. An interesting model of military sexual health care is presented by Desai et al ,3 who describe the re-organisation of sexual health care for UK military overseas. The service for British forces in Germany was reconfigured into a nurse-led model – the authors describe the new hub and spoke service and compare its performance to the previous model of care.…”

mentioning

confidence: 99%

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Cassell¹

2015

Sex Transm Infect

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How to set up a remotely supported hub and spoke sexual health service for a military population: Table 1

Cited by 3 publications

References 8 publications

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 in General Practice Using a Hub-and-Spoke Model: A Mixed-Methods Evaluation

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

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