title: Patient-initiated delay at a genitourinary medicine clinic: are there public health consequences?
abstract: OBJECTIVE
  To assess the public health consequence of patients electing not to be seen within 48 hours in a genitourinary medicine (GUM) clinic.
  
  
  METHODS
  A 3-month retrospective case notes review was carried out for 310 new and re-book patients who chose to wait for more than 48 hours to be seen.
  
  
  RESULTS
  Altogether, 10% (310/3110) of patients opted to be seen beyond 48 h. Their median wait was 6 days including weekends and 4 days excluding weekends. Demographic details did not vary except for the male to female ratio of 1:1.7 (1:1 in patients seen within 48 h). We found that no symptomatic patients or asymptomatic contacts of those with known sexually transmitted infections (STIs) reported sex with a new partner after booking their appointment. No patient reported sex with a recently treated partner who consequently required re-treatment and none suffered a complication of a STI. In addition, there were no cases of new HIV infection in this group and the rates of STIs were similar compared with patients seen within 48 hours of contacting the unit.
  
  
  CONCLUSIONS
  Despite 10% of patients choosing to delay attendance beyond 48 h, no adverse public health outcomes were demonstrated.
authors.affiliation: Department of Genitourinary Medicine, Royal South Hants Hospital, St Mary's Road, Southampton, SO14 OYG, UK. leela.sanmani@gmail.com
authors.forename: L
authors.initials: L
authors.lastname: Sanmani
authors.forename: E
authors.initials: E
authors.lastname: Foley
authors.forename: S
authors.initials: S
authors.lastname: Samraj
authors.forename: D
authors.initials: D
authors.lastname: Rowen
authors.forename: G
authors.initials: G
authors.lastname: Yadegarfar
authors.forename: R
authors.initials: R
authors.lastname: Patel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D001071:Appointments and Schedules; D030881:Disclosure; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000628:therapy*; D013997:Time Factors; D014686:Venereology / Q000706:statistics & numerical data*; D055815:Young Adult