Unity Sexual Health rapid testing, diagnostic and treatment service evaluation: study protocol
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
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.<br/>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.<br/>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.<br/><br/>What is the aim of the project?<br/>CLAHRC West will evaluate changes to the Unity Central Health Clinic service. <br/><br/>What are we doing?<br/>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. <br/>
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.012 |
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 it