The power of digital: delivering behaviour change, efficiency and cost-savings through an online service
PHE ePoster Library. Holdsworth G. Sep 12, 2017; 186492; 210
Dr. Gillian Holdsworth
Dr. Gillian Holdsworth
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Abstract Introduction:Online services can transform sexual and reproductive health systems through increased access, integrated service provision and promotion of self-management. SH:24 provides online STI testing, information, support and signposting, chlamydia treatment and oral contraception.Methods:SH:24 uses an agile, design-led approach to service development with particular emphasis on user experience. The service was developed in partnership with users, clinicians, public health experts and designers. We evaluated its impact on different levels of the system in 2 London boroughs with high rates of sexual ill health, using routinely collected, anonymised service activity data across the sexual health economy.Results:Online services increased STI testing capacity by 9.6% from 73,714 tests (14/15) to 80,757 (15/16). 90.8% of online users were asymptomatic with a 6.8% positivity rate. New populations were engaged - 19% of users had never used a clinic before. Regular clinic users moved online - 55% of users had used a clinic in the last year. 11,353 chlamydia treatments were provided across the whole system (15/16). Introduction of online chlamydia treatment showed 95% uptake. Users engage with online risk assessment, self-reported blood pressure and SMS-based clinical conversations for contraceptive prescribing.Conclusion:Online services have the potential to transform sexual and reproductive health systems by increasing capacity, increasing access, offering new treatment choices and promoting self-management. By embedding a collaborative, agile approach, SH:24 minimises cost and risk while improving user experience - leading to greater efficiency in terms of financial and opportunity cost. External funding details The development of SH:24 was funded by Guy's & St Thomas Charity
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