French Rebecca S, Mercer Catherine H, Robinson Angela J, Gerressu Makeda, Rogstad Karen E
Department of Social & Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK.
J Fam Plann Reprod Health Care. 2010 Oct;36(4):202-9. doi: 10.1783/147118910793048502.
Little evidence is available on the extent to which one-stop shops address users' sexual health needs and the extent to which they identify additional needs users may not have identified. As part of the One-Stop Shop Evaluation, a questionnaire was designed to compare the reasons for users' visits and the reported outcomes of visits at a one-stop shop with the experiences of users in separate genitourinary medicine (GUM) and contraceptive clinics.
The difference in the proportions of those attending the one-stop shop and those attending the control sites services for a sexually transmitted infection (STI)-related reason who were diagnosed with an STI was minimal, but those attending for an STI-related reason in the one-stop shop were more likely to receive an additional contraceptive outcome. Women attending for a contraceptive-related reason at the one-stop shop were more likely to have an STI screen than those attending the control sites for the same reason, but there was little difference in the proportions amongst this group receiving an STI diagnosis or receiving treatment. When focusing on women attending for a pregnancy-related reason, one-stop shop users were more likely to have received contraceptive advice or supplies.
It was not possible in our evaluation to determine the relative effectiveness of the one-stop shop in comparison to the traditional GUM and contraceptive clinics in improving sexual health status, however the one-stop shop was more likely to address additional sexual health needs that service users may not have previously identified.
关于一站式服务机构满足用户性健康需求的程度以及它们识别用户可能未意识到的其他需求的程度，现有证据很少。作为一站式服务机构评估的一部分，设计了一份问卷，以比较一站式服务机构用户的就诊原因和报告的就诊结果与独立的性传播感染（STI）诊所和避孕诊所用户的经历。
因性传播感染相关原因前往一站式服务机构就诊的患者与前往对照机构就诊的患者中，被诊断出患有性传播感染的比例差异极小，但在一站式服务机构因性传播感染相关原因就诊的患者更有可能获得额外的避孕结果。在一站式服务机构因避孕相关原因就诊的女性比因同样原因前往对照机构就诊的女性更有可能接受性传播感染筛查，但在这组接受性传播感染诊断或接受治疗的比例上差异不大。当关注因怀孕相关原因就诊的女性时，一站式服务机构的用户更有可能接受避孕建议或获得避孕用品。
在我们的评估中，无法确定一站式服务机构与传统的性传播感染诊所和避孕诊所在改善性健康状况方面的相对有效性，然而，一站式服务机构更有可能满足服务用户可能先前未意识到的其他性健康需求。
