Leveraging a Patient Portal System to Increase Adherence to Chlamydia and Gonorrhea Retesting Within a Community-Based Health Center: A Pilot Project.

Background: With exponentially rising chlamydia and gonorrhea infection rates, healthcare providers are challenged with formulating strategies to ensure prompt testing, diagnosis, treatment, and retesting of individuals diagnosed with a sexually transmitted infection (STI). Objective: The objective...

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Published in:Journal of Nursing Practice Applications & Reviews of Research Vol. 13; no. 1; pp. 37 - 48
Main Authors: Huynh, Theresa, Zha, Peijia, Kwong, Jeffrey, DeStefano, Corey
Format: pictorial research tables/charts Journal Article
Published: Philippine Nurses Association of America Jan2023
Online Access:View this record in EBSCOhost
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      dt: Jan2023
      vid: 13
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      pub: Philippine Nurses Association of America
      place: Columbus, New Jersey
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        10.13178/jnparr.2023.13.01.1307
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        atl: Leveraging a Patient Portal System to Increase Adherence to Chlamydia and Gonorrhea Retesting Within a Community-Based Health Center: A Pilot Project.
      aug:
        au:
          Huynh, Theresa
          Zha, Peijia
          Kwong, Jeffrey
          DeStefano, Corey
        affil: Registered Nurse, Robert Wood Johnson University Hospital, New Brunswick, NJ
      sug:
        subj:
          Community Health Centers
          Patient Portals Utilization
          Chlamydia Infections Prevention and Control
          Gonorrhea Prevention and Control
          Rescreening
          Sexual Health
          Quality Improvement
          Pamphlets Utilization
          Health Promotion
          Human
          Pilot Studies
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Cost Savings
          Guideline Adherence
          Professional-Patient Relations
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: With exponentially rising chlamydia and gonorrhea infection rates, healthcare providers are challenged with formulating strategies to ensure prompt testing, diagnosis, treatment, and retesting of individuals diagnosed with a sexually transmitted infection (STI). Objective: The objective of this project was to leverage the patient portal system to improve the sexual health outcomes of persons diagnosed with a STI at a community-based health center by promoting 3-month STI resting via retesting reminders. Methods: This was a two-phased, quality improvement, pilot project that began with distribution of pamphlets serving as visual guides for patient portal registration. The second phase consisted of delivering portal retesting reminders to English-speaking patients over the age of 18 who had technological access to the organization's patient portal and were diagnosed and treated for chlamydia and/or gonorrhea within a 3-month timeframe. Results: A total of 200 pamphlets were disseminated and 25 reminder messages were delivered to 19 participants. An increase of 0.02% was observed in the center's overall patient portal registration rate. Additionally, an improvement in STI retesting rate from 31.58% to 52.63% was noted, signifying a 21.05% increase following delivery of retesting reminders. However, only 3 of the 19 project participants attended retesting appointments as a result of the reminder messages, indicating the project intervention was responsible for 15.79% of the retesting increase. Conclusions: Utilization of patient portal reminders are a cost-effective method of increasing patient engagement, promoting retesting guidelines, and facilitating a collaborative relationship between patients and providers.
      pubtype: Academic Journal
      doctype:
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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