Rollins School of Public Health, Emory University, Atlanta, GA, USA.
J Community Health. 2011 Apr;36(2):274-80. doi: 10.1007/s10900-010-9308-8.
Hawaii currently ranks first among states for chlamydia screening of young women based on recent Healthcare Effectiveness Data and Information Set (HEDIS) measures and has consistently ranked in the top ten states in the US for annual reported chlamydia rates since 2002. A statewide provider survey was conducted in October 2007 and March 2008 to assess chlamydia screening practices and beliefs and identify potential barriers to screening. The overall reported screening rate for 15-19 year old females was 66.9% with significant differences by practice specialty (obstetrician/gynecologists were more likely to screen than family practitioners or pediatricians) and practice setting (higher rates of screening in non-private practice settings). Providers who were unaware of health plan reimbursement for screening and those who targeted screening only for clients perceived to be at "high risk" were significantly less likely to routinely provide screening. The Hawaii State Department of Health is currently working in consort with health care providers and the state's dominant health insurance carriers to address these issues through targeted provider educational interventions.
夏威夷州目前在年轻人衣原体筛查方面的排名位居全美各州之首，这是基于最近的医疗保健效果数据和信息集（HEDIS）指标，并且自 2002 年以来，其年度报告的衣原体发病率一直位居全美前十。2007 年 10 月和 2008 年 3 月，夏威夷州进行了一项全州范围的供应商调查，以评估衣原体筛查的实践和信念，并确定筛查的潜在障碍。15-19 岁女性的总体报告筛查率为 66.9%，不同实践专业（妇产科医生比家庭医生或儿科医生更有可能进行筛查）和实践环境（非私人执业环境中的筛查率更高）存在显著差异。不知道健康计划为筛查提供报销的提供者，以及只为被认为“高风险”的客户进行筛查的提供者，例行提供筛查的可能性明显较小。夏威夷州卫生署目前正在与医疗服务提供者和该州占主导地位的健康保险公司合作，通过有针对性的提供者教育干预来解决这些问题。
