P078 Barriers and facilitators to expedited partner therapy: a survey of family physicians in british columbia, canada
Bibliographic record
Abstract
<h3>Background</h3> In British Columbia (BC), rates of chlamydia and gonorrhea have been increasing over the last two decades. Expedited partner therapy (EPT)—providing medications to sex partners of patients diagnosed with chlamydia or gonorrhea without a prerequisite medical examination—improves partner treatment, reduces reinfection, and prevents onward transmission. We sought to understand the perspectives of family physicians (FPs) on offering EPT to inform strategies to support this practice. <h3>Methods</h3> FPs were invited to complete an online 17-question survey through the mailing list of Divisions of Family Practice (DoFP), geography-based networks of FPs across BC that represent over 90% of FPs. The survey queried practice demographics, experience diagnosing sexually transmitted infections (STIs) in the past year, and perceived barriers and facilitators to EPT to descriptively explore associations between these factors. <h3>Results</h3> 146 FPs answered the majority of questions and were included. Most were female (99/146, 67.8%), between 30 and 59 years old (118/146, 80.8%), served an urban or suburban population (107/146, 73.3%), and engaged in general practice (108/146, 74.0%). The median years in practice was 9 (interquartile range: 4–21). The vast majority had diagnosed an STI within the past year (136/146, 93.2%). Most (91.1%) reported diagnosing chlamydia and 45.6% reported diagnosing gonorrhea in the past year. The most commonly reported barriers were having inaccurate information about sex partners (88/146, 60.3%) and medicolegal concerns (87/146, 59.6%). Commonly reported facilitators were having a healthcare professional for follow-up after prescribing EPT (110/146, 75.3%), improved remuneration (93/146, 63.7%), having a legal framework (92/146, 63.0%) and clear clinical guidelines around EPT (87/146, 59.6%). <h3>Conclusion</h3> Over 90% of FPs surveyed had diagnosed an STI in the prior year, underscoring the importance of engaging FPs in STI prevention strategies. Developing tools, such as a clear legal framework for EPT and clinical guidelines, may enable FPs to prescribe EPT. <h3>Disclosure</h3> No significant relationships.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".