Clinical effectiveness and analytical quality of a national point-of-care testing network for sexually transmitted infections integrated into rural and remote primary care clinics in Australia, 2016–2022: an observational program evaluationResearch in context

Autor: Louise M. Causer, James Ward, Kirsty Smith, Amit Saha, Kelly Andrewartha, Handan Wand, Belinda Hengel, Steven G. Badman, Annie Tangey, Susan Matthews, Donna Mak, Manoji Gunathilake, Elizabeth Moore, David Speers, David Persing, David Anderson, David Whiley, Lisa Maher, David Regan, Basil Donovan, Christopher Fairley, John Kaldor, Mark Shephard, Rebecca Guy
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: The Lancet Regional Health. Western Pacific, Vol 48, Iss , Pp 101110- (2024)
Druh dokumentu: article
ISSN: 2666-6065
DOI: 10.1016/j.lanwpc.2024.101110
Popis: Summary: Background: To address inequitable diagnostic access and improve time-to-treatment for First Nations peoples, molecular point-of-care (POC) testing for chlamydia, gonorrhoea and trichomonas was integrated into 49 primary care clinics across Australia. We conducted an observational evaluation to determine clinical effectiveness and analytical quality of POC testing delivered through this national program. Methods: We evaluated (i) implementation by measuring trends in mean monthly POC testing; ii) clinical effectiveness by comparing proportions of positive patients treated by historical control/intervention period and by test type, and calculated infectious days averted; (iii) analytical quality by calculating result concordance by test type, and proportion of unsuccessful POC tests. Findings: Between 2016 and 2022, 46,153 POC tests were performed; an increasing mean monthly testing trend was observed in the first four years (p
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