Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system
Objective To determine whether clinics that serve indigent patients demonstrate equal compliance with sexually transmitted infection testing guidelines when compared with private clinics. Study Design One hundred eighty-three women were divided into cohorts based on whether they received prenatal ca...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2012-06, Vol.206 (6), p.524.e1-524.e7 |
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| container_end_page | 524.e7 |
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| container_issue | 6 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 206 |
| creator | Yancey, Joel B., MD Nussbaum, Marcy L., MS Elliot, Mollie C., RN, BSN Kullstam, Susan M., BA Franco, Albert, MD |
| description | Objective To determine whether clinics that serve indigent patients demonstrate equal compliance with sexually transmitted infection testing guidelines when compared with private clinics. 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. 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). 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. |
| doi_str_mv | 10.1016/j.ajog.2012.02.013 |
| format | Article |
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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. 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). 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.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2012.02.013</identifier><identifier>PMID: 22483085</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject><![CDATA[Adult ; Biological and medical sciences ; Cohort Studies ; Epidemiology. Vaccinations ; Family Practice - standards ; Family Practice - statistics & numerical data ; Female ; General aspects ; Guideline Adherence - statistics & numerical data ; Gynecology - standards ; Gynecology - statistics & numerical data ; Gynecology. Andrology. Obstetrics ; Health Care Surveys ; HIV ; Hospitals, Community ; Humans ; Infectious diseases ; Mass Screening - standards ; Mass Screening - statistics & numerical data ; Medical sciences ; North Carolina ; Obstetrics - standards ; Obstetrics - statistics & numerical data ; Obstetrics and Gynecology ; Practice Guidelines as Topic ; Pregnancy ; Prenatal Care - standards ; Prenatal Care - statistics & numerical data ; Private Practice - standards ; Private Practice - statistics & numerical data ; Retrospective Studies ; Sexually Transmitted Diseases - diagnosis ; sexually transmitted infection ; Uncompensated Care - statistics & numerical data]]></subject><ispartof>American journal of obstetrics and gynecology, 2012-06, Vol.206 (6), p.524.e1-524.e7</ispartof><rights>Mosby, Inc.</rights><rights>2012 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c392t-b629415539aea6007ab1a3fbe2c5dfd6b257272e8b1ed9a5b420c10fb4166de13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2012.02.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26002986$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22483085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yancey, Joel B., MD</creatorcontrib><creatorcontrib>Nussbaum, Marcy L., MS</creatorcontrib><creatorcontrib>Elliot, Mollie C., RN, BSN</creatorcontrib><creatorcontrib>Kullstam, Susan M., BA</creatorcontrib><creatorcontrib>Franco, Albert, MD</creatorcontrib><title>Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective To determine whether clinics that serve indigent patients demonstrate equal compliance with sexually transmitted infection testing guidelines when compared with private clinics. 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. 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). 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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Epidemiology. Vaccinations</subject><subject>Family Practice - standards</subject><subject>Family Practice - statistics & numerical data</subject><subject>Female</subject><subject>General aspects</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Gynecology - standards</subject><subject>Gynecology - statistics & numerical data</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Care Surveys</subject><subject>HIV</subject><subject>Hospitals, Community</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Mass Screening - standards</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Medical sciences</subject><subject>North Carolina</subject><subject>Obstetrics - standards</subject><subject>Obstetrics - statistics & numerical data</subject><subject>Obstetrics and Gynecology</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Prenatal Care - standards</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Private Practice - standards</subject><subject>Private Practice - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Sexually Transmitted Diseases - diagnosis</subject><subject>sexually transmitted infection</subject><subject>Uncompensated Care - statistics & numerical data</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt-L1DAQgIMo3nr6D_ggfRF86V6SbtMWRDgOf8GBD-pzmKbTNTVN9zLpcf3vL3VXhXs4GAhJvplkvoSx14JvBRfqYtjCMO23kgu55SlE8YRtBG-qXNWqfso2nHOZN0VVn7EXRMM6lY18zs6k3NUFr8sNu7n0ET1EcBnh3QzOLVkM4Gm0MWKXWd-jiXbyGZmA6K3fp7XsEOwtRMzAr0hn9-hjZpz11tC6D5mZxnH2Ni7Zr4kO9s8BC0UcX7JnPTjCV6fxnP389PHH1Zf8-tvnr1eX17kpGhnzVslmJ8qyaABBcV5BK6DoW5Sm7PpOtbKsZCWxbgV2DZTtTnIjeN_uhFIdiuKcvTvWPYTpZkaKerRk0DnwOM2kk8JKibISdULlETVhIgrY69TfCGFJ0MopPehVtV5Va55CFCnpzan-3I7Y_Uv56zYBb08AkAHXJ6vG0n8uNSWbWiXu_ZHDZOPWYtBkLHqDnQ3Jve4m-_g9PjxIP74DuN-4IA3THHzyrIWmlKC_r79g_RNC8tVAVdwDKf2znw</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Yancey, Joel B., MD</creator><creator>Nussbaum, Marcy L., MS</creator><creator>Elliot, Mollie C., RN, BSN</creator><creator>Kullstam, Susan M., BA</creator><creator>Franco, Albert, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system</title><author>Yancey, Joel B., MD ; Nussbaum, Marcy L., MS ; Elliot, Mollie C., RN, BSN ; Kullstam, Susan M., BA ; Franco, Albert, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-b629415539aea6007ab1a3fbe2c5dfd6b257272e8b1ed9a5b420c10fb4166de13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Epidemiology. Vaccinations</topic><topic>Family Practice - standards</topic><topic>Family Practice - statistics & numerical data</topic><topic>Female</topic><topic>General aspects</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Gynecology - standards</topic><topic>Gynecology - statistics & numerical data</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Care Surveys</topic><topic>HIV</topic><topic>Hospitals, Community</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Mass Screening - standards</topic><topic>Mass Screening - statistics & numerical data</topic><topic>Medical sciences</topic><topic>North Carolina</topic><topic>Obstetrics - standards</topic><topic>Obstetrics - statistics & numerical data</topic><topic>Obstetrics and Gynecology</topic><topic>Practice Guidelines as Topic</topic><topic>Pregnancy</topic><topic>Prenatal Care - standards</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Private Practice - standards</topic><topic>Private Practice - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Sexually Transmitted Diseases - diagnosis</topic><topic>sexually transmitted infection</topic><topic>Uncompensated Care - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yancey, Joel B., MD</creatorcontrib><creatorcontrib>Nussbaum, Marcy L., MS</creatorcontrib><creatorcontrib>Elliot, Mollie C., RN, BSN</creatorcontrib><creatorcontrib>Kullstam, Susan M., BA</creatorcontrib><creatorcontrib>Franco, Albert, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yancey, Joel B., MD</au><au>Nussbaum, Marcy L., MS</au><au>Elliot, Mollie C., RN, BSN</au><au>Kullstam, Susan M., BA</au><au>Franco, Albert, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>206</volume><issue>6</issue><spage>524.e1</spage><epage>524.e7</epage><pages>524.e1-524.e7</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective To determine whether clinics that serve indigent patients demonstrate equal compliance with sexually transmitted infection testing guidelines when compared with private clinics. 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. 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). 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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>22483085</pmid><doi>10.1016/j.ajog.2012.02.013</doi><tpages>2</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Cohort Studies Epidemiology. Vaccinations Family Practice - standards Family Practice - statistics & numerical data Female General aspects Guideline Adherence - statistics & numerical data Gynecology - standards Gynecology - statistics & numerical data Gynecology. Andrology. Obstetrics Health Care Surveys HIV Hospitals, Community Humans Infectious diseases Mass Screening - standards Mass Screening - statistics & numerical data Medical sciences North Carolina Obstetrics - standards Obstetrics - statistics & numerical data Obstetrics and Gynecology Practice Guidelines as Topic Pregnancy Prenatal Care - standards Prenatal Care - statistics & numerical data Private Practice - standards Private Practice - statistics & numerical data Retrospective Studies Sexually Transmitted Diseases - diagnosis sexually transmitted infection Uncompensated Care - statistics & numerical data |
| title | Antenatal sexually transmitted infection screening in private and indigent clinics in a community hospital system |
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