| Autor: |
Scally, E., Watts, C. G., Nugent, C., Houghton, R. |
| Zdroj: |
Sexual Health (14485028); 2024, Vol. 21 Issue 1, p1-5, 5p |
| Abstrakt: |
Background: The timely provision of test results to facilitate early access to treatment is an essential component of sexually transmissible infection (STI) control and contributes to a significant proportion of the workload at sexual health services. We aimed to estimate the time to deliver client results and treatment as well as the health system costs of the nurse-led urgent results management model at the Sydney Sexual Health Centre (SSHC) compared to an alternative 'ordering clinician' model. Methods: We conducted a retrospective analysis of urgent results managed by the results nurse over 2 weeks in 2019 and an observational study over 2 weeks in 2021, where 10 clinicians managed five of their own urgent results. Additional activity data were gathered to determine the annual health system costs for both models. Results: In the nurse-led model 211 of 280 clients required notification; 156 (73.9%) were notified on the day their results became available, and the median time to treatment (n = 137) was 1 day. The annual health system cost for the nurse-led model was A$3 922 143. In the ordering clinician model, 17 (42.5%) clients were notified on the same day, and of the 27 clients treated at SSHC, the median time to treatment increased to 4 days. The annual health system cost for the ordering clinician model was A$4 043 667.28 compared with the nurse-led model, and an additional 33.3 h per week of clinician time was required for the same level of service provision. Conclusions: This study highlights the strengths of the nurse-led results model at SSHC, demonstrating improved client outcomes for STI notification and treatment times and health systems savings. Pathology results management contributes to a significant proportion of the workload at sexual health services. This study estimates the client outcomes and costs of the existing nurse-led urgent results management model at the Sydney Sexual Health Centre compared to an ordering clinician model. The nurse-led model demonstrated improved time to notification and treatment and health system savings of 33 h of staff time per week and A$121 524 annually. Nurse-led models continue to provide value and effectiveness within sexual health services. [ABSTRACT FROM AUTHOR] |
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