Lee Susan, Dowshen Nadia, Matone Meredith, Mollen Cynthia
Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
J Adolesc Health. 2015 Sep;57(3):348-50. doi: 10.1016/j.jadohealth.2015.05.013.
The purpose of this study was to assess provider practice of expedited partner therapy (EPT) for adolescents with chlamydial infection across varying state policy environments and compare provider practice in a parallel treatment scenario for a nonsexually transmitted disease.
Anonymous survey of randomly selected providers in one of three state EPT policy environments: EPT is (A) explicitly legal; (B) permissible, but not directly referenced in law; or (C) potentially allowable.
Of 195 respondents, only 20% reported ever practicing EPT. Group A providers were more likely to have used EPT than Groups B and C. Commonly cited barriers included missed opportunity to counsel partners and ensuring medication delivery. In parallel hypothetical scenarios, providers were more likely to offer prophylactic antibiotics to a patient's mother for pertussis exposure without a face-to-face visit than the sexual partner of an adolescent with chlamydia.
Further investigation is needed to better understand provider and policy factors that may facilitate EPT provision to adolescents.
本研究旨在评估在不同的州政策环境下，为衣原体感染青少年提供加速性伴侣治疗（EPT）的医疗服务提供者的实践情况，并比较在非性传播疾病的平行治疗场景中医疗服务提供者的实践情况。
在三种州EPT政策环境之一中对随机选择的医疗服务提供者进行匿名调查：EPT（A）明确合法；（B）允许，但法律未直接提及；或（C）可能允许。
在195名受访者中，只有20%报告曾实施过EPT。A组医疗服务提供者比B组和C组更有可能使用EPT。常见的障碍包括错过为性伴侣提供咨询的机会以及确保药物递送。在平行的假设场景中，医疗服务提供者更有可能在未进行面对面就诊的情况下，为接触百日咳的患者母亲提供预防性抗生素，而不是为衣原体感染青少年的性伴侣提供。
需要进一步调查，以更好地了解可能促进为青少年提供EPT的医疗服务提供者和政策因素。
