Chlamydia screening in primary care

[摘要] SEXUAL health in the United Kingdom (UK) has shown little improvement over the past decade. Diagnoses of chlamydia are increasing, teenage pregnancies are not yet down and there are long waits for genitourinary medicine (GUM) clinic appointments.1 Two articles in this month's Journal and a parliamentary report highlight further problems. A qualitative focus group study by McNulty et al found that general practitioners (GPs) are often too busy to screen for chlamydia and feel that they don't know enough.2 Similarly, interviews with 71 female street-based commercial sex workers in Bristol revealed that although they do attend general practice, they do not disclose their occupation and they do not receive optimal care.3 Finally, a House of Commons Select Committee recently completed an inquiry into the sexual health of the nation.4 They found a ‘crisis in sexual health’ and little evidence that primary care trusts were ready to take on responsibilities for sexual health commissioning. ‘The whole sexual health service seems to be a shambles’.5

[学科分类] 卫生学