Testing and screening for chlamydia in general practice: A cross-sectional analysis

Thomson, Allison, Morgan, Simon, Henderson, Kim, Tapley, Amanda, Spike, Neil, Scott, John, van Driel, Mieke and Magin, Parker (2014) Testing and screening for chlamydia in general practice: A cross-sectional analysis. Australian and New Zealand Journal of Public Health, 38 6: 542-547. doi:10.1111/1753-6405.12261


Author Thomson, Allison
Morgan, Simon
Henderson, Kim
Tapley, Amanda
Spike, Neil
Scott, John
van Driel, Mieke
Magin, Parker
Title Testing and screening for chlamydia in general practice: A cross-sectional analysis
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
1753-6405
Publication date 2014-12-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/1753-6405.12261
Open Access Status
Volume 38
Issue 6
Start page 542
End page 547
Total pages 6
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2015
Language eng
Formatted abstract
Objectives: Chlamydia screening is widely advocated. General practice registrars are an important stage of clinical behaviour development. This study aimed to determine rates of, and factors associated with, registrars' chlamydia testing including asymptomatic screening.

Methods: A cross-sectional analysis of data from Registrars Clinical Encounters in Training (ReCEnT), a cohort study of registrars' consultations. Registrars record details of 60 consecutive consultations in each GP-term of training. Outcome factors were chlamydia testing, asymptomatic screening and doctor-initiated screening.

Results: Testing occurred in 2.5% of 29,112 consultations (398 registrars) and in 5.8% of patients aged 15–25. Asymptomatic screening comprised 47.5% of chlamydia tests, and 55.6% of screening tests were doctor-initiated. Chlamydia testing was associated with female gender of doctor and patient, younger patient age, and patients new to doctor or practice. Asymptomatic screening was associated with practices where patients incur no fees, and in patients new to doctor or practice. Screening of female patients was more often doctor-initiated.

Conclusions: GP registrars screen for chlamydia disproportionately in younger females and new patients.
Keyword Chlamydia
General practice
Graduate medical education
Reproductive health
Screening
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2015 Collection
School of Medicine Publications
 
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