Yung M, Denholm R, Peake J, Hughes G
Department of HIV and STIs, Health Protection Agency, Centre for Infections, 61 Colindale Avenue, London NW9 5EQ, UK.
Int J STD AIDS. 2010 Sep;21(9):650-2. doi: 10.1258/ijsa.2010.010198.
The objective of this paper was to identify and describe enhanced sexual health services (ESHSs) commissioned for testing, diagnosis and management of sexually transmitted infections (STIs) in primary and community care settings in England. ESHSs commissioned by Primary Care Trusts (PCTs) in England were determined by telephone survey. Further information on service provision was collected by a follow-up email survey. By April 2009, 464 ESHSs had been commissioned to offer testing, diagnosis and treatment of STIs. Most providers were enhanced general practices (56%). Two in five PCTs did not offer any ESHSs and five PCTs had neither genitourinary medicine services nor ESHSs. Among 52 ESHSs that responded, screening and partner notification strategies varied. The distribution and characteristics of ESHS provision in England are heterogeneous emphasizing the need to establish clear clinical care pathways between services. Routine reporting and analysis of service activity could help ensure provision meets local needs.
本文的目的是识别并描述在英格兰初级和社区护理环境中为性传播感染（STIs）的检测、诊断和管理而委托开展的强化性健康服务（ESHSs）。通过电话调查确定了英格兰初级保健信托基金（PCTs）委托开展的ESHSs。通过后续电子邮件调查收集了有关服务提供的进一步信息。到2009年4月，已委托464项ESHSs提供STIs的检测、诊断和治疗。大多数提供者是强化全科诊所（56%）。五分之二的PCTs未提供任何ESHSs，五个PCTs既没有泌尿生殖医学服务也没有ESHSs。在回复的52项ESHSs中，筛查和性伴通知策略各不相同。英格兰ESHSs提供情况的分布和特征存在异质性，这凸显了在服务之间建立明确临床护理路径的必要性。对服务活动进行常规报告和分析有助于确保服务提供满足当地需求。
