Bailey A C, Johnson S A, Cassell J A
HPA South East, 7th Floor Holborn Gate, 330 High Holborn, London WG1V 7PP.
Int J STD AIDS. 2010 Jan;21(1):39-45. doi: 10.1258/ijsa.2009.008461.
Sexual health services in primary care, known in the UK as local enhanced services in sexual health (LESSH), aim to increase access to sexually transmitted infection (STI) screening and treatment. Little is known about the characteristics, quality or public health impact of these services. We identified national standards for service provision, and evaluated LESSH against them using a structure, process and outcome approach. Clinical structure and process standards were generally well met, with the exception of partner notification provision. However, public health and outcome measures were largely unascertainable and often undefined in the standards. If the primary care STI services are to deliver public health benefit, improved outcome measures and data collection are required.
初级保健中的性健康服务，在英国被称为性健康地方强化服务（LESSH），旨在增加性传播感染（STI）筛查和治疗的可及性。对于这些服务的特征、质量或对公共卫生的影响，人们了解甚少。我们确定了服务提供的国家标准，并采用结构、过程和结果方法对照这些标准对LESSH进行评估。临床结构和过程标准总体上得到较好满足，但性伴通知服务除外。然而，公共卫生和结果指标在很大程度上无法确定，且在标准中往往未作定义。如果初级保健性传播感染服务要实现公共卫生效益，就需要改进结果指标和数据收集工作。
