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首页> 外文期刊>Sexually transmitted diseases >Presenting to the Emergency Department Versus Clinic-Based Sexually Transmitted Disease Care Locations for Testing for Chlamydia and Gonorrhea: A Spatial Exploration
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Presenting to the Emergency Department Versus Clinic-Based Sexually Transmitted Disease Care Locations for Testing for Chlamydia and Gonorrhea: A Spatial Exploration

机译：呈现给急诊科对临床的性传播疾病护理地点用于测试衣原体和淋病：空间探索

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Background Rates of sexually transmitted diseases (STDs) including chlamydia and gonorrhea are increasing in the United States while public health funding for STD services is decreasing. Individuals seek care in various locations including the emergency department (ED). The objective of this study is to investigate whether there are more physically proximal clinic-based STD care locations available to individuals who present to the ED in a major metropolitan area. Methods Addresses of EDs, clinics, and patients 13 years or older in St. Louis City or County given a nucleic acid amplification test and assigned an STD diagnosis (n = 6100) were geocoded. R was used to analyze clinics within 5 radii from the patients' home address and assess missed clinic opportunities (open, no charge, with walk-in availability) for those living in an urban versus suburban area. Results In urban areas, 99.1% of individuals lived closer to a clinic than the ED where they sought STD services; in suburban areas, 82.2% lived closer to a clinic than the ED where they presented. In the region, 50.6% lived closer to the health department-based STD care location than the hospital where they presented. Up to a third of ED patient visits for STD care could have occurred at a clinic that was closer to the patient's home address, open, no charge, and available for walk-in appointments. Conclusions Clinic availability is present for most of the individuals in our study. Clinics providing STD services can increase advertising efforts to increase public awareness of the services which they provide.
机译：在美国衣原体和淋病中的性传播疾病（STDS）的背景速率在美国增加，而STD服务的公共卫生资金正在减少。个人寻求在包括急诊部门（ED）的各个地点的护理。本研究的目的是调查在主要大都市地区呈现给埃德的个人是否有更多物理上近诊所的STD护理地点。方法在圣路易斯市或县13岁或以上的EDS，诊所和患者的地址给出了核酸扩增试验并分配了STD诊断（n = 6100）。 R被用于分析患者家庭住址的5半径范围内的诊所，并评估居住在城市与郊区的人员的错过诊所机会（开放，不收取，携带步入可用性）。成果在城市地区，99.1％的个人住在诊所更接近诊所，而不是他们寻求STD服务;在郊区，82.2％更接近诊所，而不是他们呈现的诊所。在该地区，50.6％更接近卫生部门的STD护理位置，而不是他们所呈现的医院。最多三分之一的STD护理患者访问可能发生在临床诊所，该诊所更接近患者的家庭住址，开放，不收取，可供入门。结论我们研究中大多数个人都存在诊所可用性。提供STD服务的诊所可以增加广告努力，以提高公众对其提供的服务的认识。

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