Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionalsReport as inadecuate

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BMC Health Services Research

, 14:647

Organization, structure and delivery of healthcare


BackgroundPartner notification PN is an essential case-finding tool in the management of sexually transmitted infections STIs. Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis Ct.

MethodsWe conducted semi-structured interviews among 22 health care professionals response rate 52% from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20’s to late 50’s, and all but one were female.

ResultsAll health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills i.e. Motivational Interviewing and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.

ConclusionsHealth care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

KeywordsPartner notification Chlamydia trachomatis Barriers Facilitators Public health Electronic supplementary materialThe online version of this article doi:10.1186-s12913-014-0647-5 contains supplementary material, which is available to authorized users.

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Author: Kevin ATM Theunissen - Pim Schipper - Christian JPA Hoebe - Rik Crutzen - Gerjo Kok - Nicole HTM Dukers-Muijrers


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