Unity Sexual Health rapid testing, diagnostic and treatment service evaluation: study protocol
Notice bibliographique
Résumé
Sexual health services are facing financial constraints due to reduced local authority budgets. At the same time, there is increased demand for HIV and sexually transmitted infection (STI) testing. In April 2017, Unity Sexual Health successfully bid to provide sexual health services for Bristol, North Somerset and South Gloucestershire. Unity re-designed its service to improve access and delivery of care. This includes use of new rapid STI tests, which are as good as Unity’s current laboratory tests, so patients can get results of their tests within 4 hours i.e. on the same day or next day. Currently patients and clinicians may have to wait over a week for results of tests for chlamydia and gonorrhoea. The Unity website will direct patients to the service which best meets their needs. Asymptomatic, low risk patients will be encouraged to self-manage using the online services, including postal testing kits. Symptomatic patients will be encouraged to attend the new rapid sexual health service at Unity Central Health Clinic. Rapid STI testing will be offered to patients who attend the clinic. This means patients will be asked to drop-off their self-taken samples (e.g. urine sample, vaginal or rectal swab) and 4 hours later (or in some cases next working day) will be asked to return for their test results and treatment, often without the need for the clinicians to examine the patients. Bloods for HIV and syphilis testing will still be sent to the laboratory for testing. For asymptomatic high risk patients such as men who have sex with men (MSM) and commercial sex workers, Unity will offer an appointment based service during which rapid HIV testing in addition to rapid STI testing will be undertaken, and vaccinations including Hepatitis B offered at the time of specimen drop off. Individuals testing positive for STIs and/or HIV will receive appropriate treatment, advice on the need for repeat testing, safer sexual practices and support in hours (previously patients had to wait over a week for their test results) reducing the need to re-attend. As most infections do not cause any symptoms, early detection and treatment can help stop onward transmission and serious disease developing such as infertility and death. What is the aim of the project? CLAHRC West will evaluate changes to the Unity Central Health Clinic service. What are we doing? We are using quantitative and qualitative methods to understand the impact of the new service on service delivery, costs and resources and to examine patients’ and clinic staff views and acceptability of the service.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,029 | 0,022 |
| Méta-épidémiologie (sens strict) | 0,004 | 0,004 |
| Méta-épidémiologie (sens large) | 0,006 | 0,004 |
| Bibliométrie | 0,003 | 0,004 |
| Études des sciences et des technologies | 0,004 | 0,003 |
| Communication savante | 0,005 | 0,005 |
| Science ouverte | 0,004 | 0,003 |
| Intégrité de la recherche | 0,004 | 0,007 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,135 | 0,031 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».