Service attributes and the choice for STD health services in persons seeking a medical examination for an STD

Leenaars, P. E. M.; Rombouts, R.; Kok, Gerjo

doi:10.1016/0277-9536(94)90406-5

Cited by 17 publications

(8 citation statements)

References 4 publications

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“…It is clear that specialist services play an extremely valuable part in meeting the needs of women with actual or suspected STIs. Our study confirms earlier suggestions 16 that users of specialist services often reject GP services for sexual health for reasons associated with their relationship with their GP, their views of the quality of clinical care, and their need for confidentiality and accessibility, although some women may well prefer GP services for other reasons. Previous research has also suggested that users of sexual health services tend generally to be satisfied 5 and our study has confirmed this as well as identifying more precisely women's priorities for services.…”

Section: Discussionsupporting

confidence: 87%

Choosing and using services for sexual health: a qualitative study of women's views

Dixon‐Woods

2001

Sexually Transmitted Infections

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Objective: To explore women's accounts of choosing and using specialist services for sexual health. Methods: A qualitative study involving semistructured interviews with 37 women screened for Chlamydia trachomatis attending genitourinary medicine and family planning clinics in an East Midlands health authority. Results: In making the decision to seek help, women act on a range of specific prompts, including lay ideas about the significance of symptoms; their own behaviour; their partner's symptoms or behaviour; contact tracing; and health promotion. Some women do not seek help specifically in relation to sexual health but are identified as being at risk of sexually transmitted infections (STIs) during routine consultations. Important influences on women's choice of services include the lay referral system, "insider" knowledge of health services, referral by health professionals, and need to have alternatives to general practice care. Women's willingness to access services is mediated by psychosocial factors such as embarrassment. They may use smear tests as a legitimate opportunity to raise questions about sexual health. Women's priorities for services are that their feelings of stigma and embarrassment are managed appropriately; that staV communicate well and are sensitive to their emotions and comfort during tests and procedures; that they are "in control" when obtaining test results; and that confidentiality is preserved. Conclusions: A detailed understanding of both lay people's response to symptoms or behaviour that indicates risk of an STI and their needs when using services should inform interventions aimed at encouraging secondary prevention of STIs. (Sex Transm Inf 2001;77:335-339)

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Section: Discussionsupporting

confidence: 87%

Choosing and using services for sexual health: a qualitative study of women's views

Dixon‐Woods

2001

Sexually Transmitted Infections

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“…Also, the perceived higher quality of care in STI clinics has been raised repeatedly by persons with a homosexual lifestyle as an argument for their seeking this type of care. 10 However, other studies among homosexual men in the Netherlands showed that still more than half would visit the GP in case of STI suspicion 11 or for a HIV test. 12 Our risk factor analysis does not seem to point in the direction that different risk-categories exist in primary care compared with those identified in STI-and MHS-clinics.…”

Section: Discussionmentioning

confidence: 98%

Sexually transmitted infection health-care seeking behaviour in the Netherlands: general practitioner attends to the majority of sexually transmitted infection consultations

et al. 2007

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Health-care seeking behaviour for sexually transmitted infection (STI)-related symptoms is not well known in the Netherlands. Within the framework of a large representative study, the second National Survey of General Practice (NIVEL 2001), 9687 persons aged 18 years and older were interviewed about their STI and STI-related health-care seeking behaviour. In total, 1.2% of the interviewees reported STI-related symptoms in the past year (18-24 years: 5%). A (lifetime) history of STI was reported by 2.7% (18-44 years: 4%). In all, 63% of interviewees visited their general practitioner (GP) for these complaints; 20% went to an STI-clinic and/or municipal public health services and 8% to a different care-provider. A total of 9% did not undertake any action. The majority of persons with STI-related symptoms in the Netherlands visit the GP. Reported history of STI-related symptoms was twice lower in the Netherlands compared with the UK National Sexual Health Survey. Appropriate attention for sexual health in primary care is needed.

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“…An earlier study attributed this preference to patients' relationship with their GPs, their views on the quality of care, and the need for confidentiality and accessibility. 6 This study also shows how SH service provision by GPs may lessen the existing burden on GU medicine clinics by only 15-20%. Whether the user will need to pay for this service still remains to be explored.…”

Section: Discussionmentioning

confidence: 93%

Primary care sexual health provision – a blessing or a blunder?

Melethil

Winceslaus

2007

Int J STD AIDS

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A&E departments in the UK by the Devon & Cornwall Constabulary. At that time, they wanted him for deception. At this hospital, he has had seven attempted admissions, three of which were successful for one night. On the other four occasions, he was recognized by A&E and GU Medicine staff. He is 6 0 0 00 , has longish brown straggly hair and his front teeth are almost non-existent. During a recent attempted admission at the Royal Liverpool Hospital, Dr Nick Beeching's team took a detailed note of his tattoos. On his right forearm, he has a tattoo of a dagger which is about 9 inches in size, a tattoo on the back of his left hand which spells 'Julia', on the back of his right hand is a tattoo which spells 'Chris' and just under this he has a dainty little tattoo of a line figure representing 'The Saint' from that famous television programme. (Artist's impression enclosed here for our younger viewers!) (Figure 2) In an even more remarkable twist, when I was in Euston railway station last week buying my NHS steerage class ticket who do I see but himself. Now we could not remember what the logo on his jacket had been. He has had the same jacket for 15 years! Well there is a coincedence, I just happen to have a picture of one just like it on my mobile phone (Figure 3). He has had hundreds of admissions wasting thousands of pounds, not to mention staff time and effort. It is essential that frontline staff should recognize him immediately and put an end to this self-destructive behaviour. A final note-a week after I wrote this letter Dr John Lee of Clayton Hospital, Wakefield mailed me to say the same patient had managed to gain overnight admission there.

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Service attributes and the choice for STD health services in persons seeking a medical examination for an STD

Cited by 17 publications

References 4 publications

Choosing and using services for sexual health: a qualitative study of women's views

Choosing and using services for sexual health: a qualitative study of women's views

Sexually transmitted infection health-care seeking behaviour in the Netherlands: general practitioner attends to the majority of sexually transmitted infection consultations

Primary care sexual health provision – a blessing or a blunder?

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