| Overcoming the barriers to chlamydia screening in general practice--a qualitative study. | |
| | |
MedLine Citation:
|
PMID: 20308246 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: There is low uptake of chlamydia screening in general practices registered with the English National Chlamydia Screening Programme (NCSP). Aims. To explore staff's attitudes and behaviour around chlamydia screening and how screening could be optimized in general practice. METHODS: A qualitative study with focus groups and interviews, in general practices in seven NCSP areas. Twenty-five focus groups and 12 interviews undertaken with a purposively selected diverse group of high and low chlamydia-screening practices in 2006-08. Data were collected and analysed using a framework analytical approach. RESULTS: Higher screening practices had more staff with greater belief in patient and population benefits of screening and, as screening was a subjective norm, it was part of every day practice. Many staff in the majority of other practices were uncomfortable raising chlamydia opportunistically and time pressures meant that any extra public health issues covered within a consultation were determined by Quality Outcomes Framework (QOF) targets. All practices would value more training and feedback about their screening rates and results. Practices suggested that use of computer prompts, simplified request forms and more accessible kits could increase screening. CONCLUSION: Practice staff need more evidence of the value of opportunistic chlamydia screening in men and women; staff development to reduce the barriers to broaching sexual health; simpler request forms and easily accessible kits to increase their ability to offer it within the time pressures of general practice. Increased awareness of chlamydia could be attained through practice meetings, computer templates and reminders, targets and incentives or QOF points with feedback. |
| | |
Authors:
|
Cliodna A M McNulty; Elaine Freeman; Rebecca Howell-Jones; Angela Hogan; Sarah Randall; William Ford-Young; Philippa Beckwith; Isabel Oliver |
Related Documents
:
|
2706166 - Management of anxiety in dental practice in the uk. 7463406 - Management of neurotic problems in general practice. 3129556 - Cervical screening in general practice: call and recall. 7845296 - Attendance patterns in general practice. 17608296 - Measurable goals, accountability, and delegation. 364056 - Factors influencing the fertility of a cattle population. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-03-22 |
Journal Detail:
|
Title: Family practice Volume: 27 ISSN: 1460-2229 ISO Abbreviation: Fam Pract Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-05-20 Completed Date: 2010-08-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8500875 Medline TA: Fam Pract Country: England |
Other Details:
|
Languages: eng Pagination: 291-302 Citation Subset: IM |
Affiliation:
|
Health Protection Agency Primary Care Unit, Microbiology Department, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK. cliodna.mcnulty@hpa.org.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Chlamydia / isolation & purification* Chlamydia Infections / diagnosis* Family Practice* Female Focus Groups Humans Interviews as Topic Male Mass Screening / utilization* Primary Health Care Young Adult |
| Grant Support | |
ID/Acronym/Agency:
|
G0500126//Medical Research Council |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Differences in the primary care management of patients with psychosis from two ethnic groups: a popu...
Next Document: Rem, a member of the RGK GTPases, inhibits recombinant CaV1.2 channels using multiple mechanisms tha...