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Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2012 Jun; Vol. 206 (6), pp. 524.e1-7. Date of Electronic Publication: 2012 Feb 28. - Publication Year :
- 2012
-
Abstract
- Objective: To determine whether clinics that serve indigent patients demonstrate equal compliance with sexually transmitted infection testing guidelines when compared with private clinics.<br />Study Design: One hundred eighty-three women were divided into cohorts based on whether they received prenatal care at a private or indigent clinic. Timing of required antenatal sexually transmitted infection screening was collected for 8 tests and compliance scores were calculated. Primary outcome was average compliance score compared between clinic types. Secondary outcomes included disease-specific compliance and percent of perfect compliance at different office types.<br />Results: Compliance was found to be different between clinic types (P = .023). Indigent clinics had the same median with slightly higher inner-quartile range than private clinics (7 [7-8], 7 [7-7]). Indigent clinics had higher mean compliance scores (7.1 vs 6.9) and a greater percentage of patients demonstrating perfect compliance (42% vs 14%, P < .001).<br />Conclusion: Clinics serving indigent patient populations had a higher compliance with required testing compared to private clinics. HIV testing in the third trimester remains the greatest need for improvement for all practice types.<br /> (Copyright © 2012 Mosby, Inc. All rights reserved.)
- Subjects :
- Adult
Cohort Studies
Family Practice standards
Family Practice statistics & numerical data
Female
Gynecology standards
Gynecology statistics & numerical data
Health Care Surveys
Hospitals, Community
Humans
Mass Screening statistics & numerical data
North Carolina
Obstetrics standards
Obstetrics statistics & numerical data
Practice Guidelines as Topic
Pregnancy
Prenatal Care statistics & numerical data
Private Practice statistics & numerical data
Retrospective Studies
Guideline Adherence statistics & numerical data
Mass Screening standards
Prenatal Care standards
Private Practice standards
Sexually Transmitted Diseases diagnosis
Uncompensated Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6868
- Volume :
- 206
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 22483085
- Full Text :
- https://doi.org/10.1016/j.ajog.2012.02.013