Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

General practice intervention to increase opportunistic screening for chlamydia

Tony D. Merritt A C , David N. Durrheim A , Kirsty Hope A B and Paul Byron A
+ Author Affiliations
- Author Affiliations

A Hunter New England Population Health, Hunter New England Area Health Service, Locked Bag 10, Wallsend, NSW 2287, Australia.

B National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT 0200, Australia.

C Corresponding author. Email: tony.merritt@hnehealth.nsw.gov.au

Sexual Health 4(4) 249-251 https://doi.org/10.1071/SH07033
Submitted: 11 May 2007  Accepted: 27 September 2007   Published: 8 November 2007

Abstract

We describe an 18-month intervention that was designed to improve opportunistic screening for chlamydia in General Practice. Key strategies included engaging and informing general practitioners, adopting a simplified screening protocol, providing feedback on practice testing performance and developing resources for use with patients. This uncontrolled before and after study found that the overall impact on testing was modest and largely transient, and was insufficient to impact on the current chlamydia epidemic. Major additional measures would be required to further substantially increase testing levels. These could include financial incentives linked to screening performance and increased community awareness to increase patient demand for testing.


Acknowledgements

We thank the Hunter Urban Division of General Practice for their support of innovative strategies in General Practice, promotion of this initiative and provision of meeting space. We also acknowledge the generous support provided by local pathology companies in providing chlamydia testing data to practices.


References


[1] Department of Health and Ageing. National transmissible infections strategy 2005–2008 implementation plan. Wodon, ACT: Department of Health and Ageing; 2007. Available online at: http://www6.health.gov.au/internet/wcms/publishing.nsf/Content/458AA57045CCC202CA25721F0071E8D6/$File/phd-impl-plan-sti.pdf [verified 25 April 2007].

[2] Counahan M,  Hocking JS,  Fairley CK. Enhanced chlamydia surveillance indicates more screening needed. Med J Aust 2003; 178 523.
PubMed |

[3] Low N. Screening programmes for chlamydial infection: when will we ever learn? BMJ 2007; 334 725–8.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[4] Low N,  Harbord RM,  Egger M,  Sterne JA,  Herrmann B. Screening for chlamydia. Lancet 2005; 365 1539.
Crossref | GoogleScholarGoogle Scholar |

[5] Miller WC. Screening for chlamydial infection: are we doing enough? Lancet 2005; 365 456–8.
PubMed |

[6] Bayram C , Britt H , Kelly Z , Valenti L . Male consultations in general practice in Australia 1999–00. AIHW cat. no. GEP 11. Canberra: Australian Institute of Health and Welfare; 2003.

[7] Fairley CK,  Hocking J,  Gunn J,  Chen MY. No barriers to chlamydia testing in sexually active young women. Med J Aust 2005; 183 548–9.
PubMed |

[8] de Visser RO,  Smith AM,  Rissel CE,  Richters J,  Grulich AE. Sex in Australia: heterosexual experience and recent heterosexual encounters among a representative sample of adults. Aust N Z J Public Health 2003; 27 146–54.
Crossref | GoogleScholarGoogle Scholar | PubMed |