Chlamydia screening of adolescent females: a survey of providers in Hawaii.
Hawaii currently ranks first among states for chlamydia screening of young women based on recent Healthcare Effectiveness Data and Information Set (HEDIS) measures and has consistently ranked in the top ten states in the US for annual reported chlamydia rates since 2002. A statewide provider survey was conducted in October 2007 and March 2008 to assess chlamydia screening practices and beliefs and identify potential barriers to screening. The overall reported screening rate for 15-19 year old females was 66.9% with significant differences by practice specialty (obstetrician/gynecologists were more likely to screen than family practitioners or pediatricians) and practice setting (higher rates of screening in non-private practice settings). Providers who were unaware of health plan reimbursement for screening and those who targeted screening only for clients perceived to be at "high risk" were significantly less likely to routinely provide screening. The Hawaii State Department of Health is currently working in consort with health care providers and the state's dominant health insurance carriers to address these issues through targeted provider educational interventions.
McGrath
Chika Muto
CM
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Katz
Alan R
AR
Lee
Maria Veneranda C
MV
Rochat
Roger W
RW
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002690:Chlamydia Infections / Q000175:diagnosis*; D005260:Female; D006176:Gynecology; D006254:Hawaii; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007349:Insurance, Health, Reimbursement; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009774:Obstetrics; D010372:Pediatrics; D010817:Physician-Patient Relations; D010821:Physicians, Family; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D018570:Risk Assessment
J Adolesc Health. 2006 Jun;38(6):726-33
16730602
Am J Public Health. 2002 Nov;92(11):1784-8
12406809
Am J Cardiol. 2010 Jul 1;106(1):125-8
20609659
Sex Transm Infect. 2002 Oct;78(5):369-73
12407243
Sex Transm Dis. 1999 Nov;26(10):584-9
10560723
J Sex Med. 2010 Jul;7(7):2499-508
20524976
Conn Med. 2010 May;74(5):281-91
20509417
Obstet Gynecol. 2002 Oct;100(4):801-7
12383552
Arch Pediatr Adolesc Med. 2009 Jun;163(6):559-64
19487613
Can Fam Physician. 1997 Jun;43:1089-95
9189297
Health Policy. 2010 Aug;96(3):231-8
20207440
J Am Acad Audiol. 2010 May;21(5):329-46
20569667
Pediatrics. 2000 Sep;106(3):E32
10969116
Obstet Gynecol. 2005 Aug;106(2):327-34
16055583
Am J Prev Med. 2006 Jul;31(1):52-61
16777543
J Fam Pract. 2010 Feb;59(2):E2
20141720
Sex Transm Dis. 2005 Jun;32(6):382-6
15912086
Am J Public Health. 1989 Apr;79(4):505-7
2929815
J Gen Intern Med. 2005 Dec;20(12):1102-7
16423098
J Adolesc Health. 2001 Mar;28(3):204-10
11226843
MMWR Recomm Rep. 2006 Aug 4;55(RR-11):1-94
16888612
MMWR Morb Mortal Wkly Rep. 2009 Apr 17;58(14):362-5
19373196