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Provider Notification

Provider Notification Audit - Implications for Practice Fiona Johnston, Outreach Nurse Richard Williams, Lead Health Adviser Western Sussex Hospitals Trust. Provider Notification. Definition Background Rationale Recording Audit.

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Provider Notification

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  1. Provider Notification Audit- Implications for PracticeFiona Johnston, Outreach NurseRichard Williams, Lead Health Adviser Western Sussex Hospitals Trust

  2. Provider Notification • Definition • Background • Rationale • Recording • Audit

  3. DefinitionThe active process of a health care professional tracing a sexual contact is known as a ‘provider referral’Manual for Sexual Health Advisers, 2004

  4. RationaleNot offering an effective provider referral service will result in many people not being contacted and warned of the risk to their sexual healthManual for Sexual Health Advisers, 2004

  5. Background • Contagious Diseases Acts, 1864-69 • Emergency Regulation 33B, 1942 • Tyneside scheme, 1937 • Wakefield scheme, 1948 • Pilot study at the London and St Thomas’ hospitals, 1964 • National Health Service (VD) Regulations, 1968 • Handbook on Contact Tracing in Sexually Transmitted Diseases, 1980

  6. Recording provider notification

  7. Audit – Infection and Numbers • Chlamydia • 60 provider referrals in 2010

  8. Audit • How effective are health advisers at offering/obtaining provider referrals? • Who is making the provider referrals? • How effective are health advisers at securing attendances? • Who is attending following a provider referral?

  9. Methodology • Offering/obtaining provider referrals Number of provider referrals Total numbers diagnosed = Provider referral rate (PRR) • Source of provider referrals by age, sex, ethnicity • Securing attendances Provider Referral Attendances Numbers eligible = Provider referral attendance rate (PRAR) • Attendances by age, sex, ethnicity

  10. Chlamydia Provider Referral Rate (PRR) - Total

  11. Chlamydia Provider Referral Rate (PRR) by Sex

  12. Chlamydia PRR by age range: Male

  13. Chlamydia PRs by age range: Female

  14. Chlamydia Provider Referral Attendance Rate (PRAR) - Total

  15. Chlamydia Provider Referral Attendance Rate (PRAR) by Sex

  16. Chlamydia PRAR by Age Range • Inadequate data

  17. Results • Provider referral rate is 0.16 • Females make more provider referrals than males (0.1 M, 0.23 F) • Most popular age range 16-19 (0.23 F, 0.16 M) • Provider Referral Attendance Rate 0.6 (slightly higher for females (0.6) than males (0.57)) • Inadequate information available on ages of recipients of provider referral

  18. Conclusion • PR most popular for females (0.23) • Age range 16-19 (0.27) • Males have far lower PRR (0.10) • PRAR is high for both males and females

  19. Discussion • Establish standards in provider referral • Define standards • Effects • Focus on ‘breaking bad news’ to enhance partner referral (Coleman and Lohan, 2007) • Develop adjuncts to partner referral (Trelle et al, 2007) • Referrer and recipient views (Hogben et al, 2005; Pavlin et al, 2010)

  20. Recommendations • Develop standards • Audit – data collection to include recipient ages • Enhance male provider referral • Develop adjuncts for provider referral (posters, patient information leaflet) • Patient satisfaction survey for provider referral recipients • Enhance partner notification services (breaking ‘bad news’, partner materials, patient information leaflet)

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