Schneider, H; Chabikuli, N; Blaauw, D; Funani, I; Brugha, R; (2005) Sexually transmitted infections -- factors associated with quality of care among private general practitioners. South African Medical Journal, 95 (10). pp. 782-785. ISSN 0256-9574 https://researchonline.lshtm.ac.uk/id/eprint/12426
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Abstract
OBJECTIVES: To study the factors associated with quality of sexually transmitted infection (STI) care among private general practitioners in Gauteng. METHODS: We analysed 1 194 records of patients attending 26 randomly selected GP practices in the first 3 months of 2000 and 2002, for 3 STI syndromes, namely urethral discharge, pelvic inflammatory disease and genital ulcers. We assessed adherence to nationally accepted STI treatment guidelines and analysed the influence of patient and practice-level variables on effectiveness of STI drug regimens and trends over time. RESULTS: After controlling for syndrome mix, district and time period, appropriate drug treatment for STIs was significantly associated with the client having medical aid (p < 0.001), recent graduation as a medical practitioner (p < 0.001) and male GP gender (p = 0.007). Between 2000 and 2002, STI care improved for clients with medical aids but for not cash clients. CONCLUSIONS: There was variation in the quality of prescribing for STIs among GPs and positive trends in this prescribing. There is a need for interventions that address the financial incentives that may hamper quality of STI care for cash clients.
Item Type | Article |
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Keywords | Developing-countries, health sector, diseases |
Faculty and Department | Faculty of Public Health and Policy > Dept of Global Health and Development |
PubMed ID | 16341332 |
ISI | 233084100032 |
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Filename: Sexually-transmitted-infections.pdf
Licence: Creative Commons: Attribution-Noncommercial 3.0
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