Improving outcomes: Remote prescribing for Chlamydia in the age of digital sexual health services
PHE ePoster Library. Shanks S. Sep 10, 2018; 221227; 262
Sarah Shanks
Sarah Shanks
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Abstract
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Abstract Background: SH:24 is an online sexual health service working in partnership with NHS clinics, as part of a sexual health system providing a seamless service between online, clinic and back. The service introduced remote prescribing and postal delivery of treatment for uncomplicated, genital chlamydia infection in January 2017. Users who declared themselves asymptomatic when requesting the test kit and test negative for all other STIs are offered a choice of online treatment or referral to clinic. Users requesting online treatment complete an online medical history before a prescription is issued. Methods: We analysed routine data on chlamydia treatments in 3 areas of England where this service is provided (Southwark, Lambeth and Essex) between 01/11/17 and 31/01/18. Results: 678 users were offered a choice of online treatment or referral to clinic. 604 users (89%) opted for online treatment; of these 557 users (82%) were eligible for remote prescribing and 47 were referred to clinic. The most common reasons for referral to clinic were user disclosing symptoms when completing the additional medical history (n25) and prescribing contraindications (n10). Conclusion: There is a high demand for online treatment of STIs. The results show the need for online services to be integrated with existing sexual health networks to safely manage patients with simple genital chlamydia. As well as improving user experience, increasing provision of this service has the potential to relieve pressure on face to face clinical services, enabling them to focus on more complex cases. External funding details SH:24 development funded by Guy's& St Thomas Charity
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