Sexually Transmitted Disease Partner Services Costs, Other Resources, and Strategies Across Jurisdictions to Address Unique Epidemic Characteristics and Increased Incidence

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dc.contributor.authorSilverman, Rachel A.en
dc.contributor.authorKatz, David A.en
dc.contributor.authorLevin, Carolen
dc.contributor.authorBell, Teal R.en
dc.contributor.authorSpellman, Dawnen
dc.contributor.authorSt John, Lisaen
dc.contributor.authorManley Rodriguez, Evelynen
dc.contributor.authorGolden, Matthew R.en
dc.contributor.authorBarnabas, Ruanne V.en
dc.date.accessioned2022-01-13T16:25:14Zen
dc.date.available2022-01-13T16:25:14Zen
dc.date.issued2019-08en
dc.date.updated2022-01-13T16:25:12Zen
dc.description.abstractBackground: Sexually transmitted disease (STD) partner services (PS) are a core component of STD programs. Data on costs are needed to support PS programming. Methods: In Washington State STD PS programs, disease intervention specialists (DIS) conduct telephone-based interviews and occasional field visits, offer expedited partner therapy to heterosexuals with gonorrhea or chlamydia, and promote human immunodeficiency virus (HIV) testing, preexposure prophylaxis, and HIV care. We conducted activity-based microcosting of PS, including: observational and self-reported time studies and interviews. We analyzed cost, surveillance, and service delivery data to determine costs per program outcomes. Results: In King, Pierce, and Spokane counties, respectively, DIS allocated 6.5, 6.4, and 28.8 hours per syphilis case and 1.5, 1.6, and 2.9 hours per gonorrhea/chlamydia case, on average. In 2016, each full-time DIS investigated 270, 268, and 61 syphilis and 1177, 1105, and 769 gonorrhea/chlamydia cases. Greater than 80% of syphilis cases in King and Pierce were among men who have sex with men versus 38% in Spokane. Disease intervention specialists spent 12% to 39% of their time actively interviewing cases and notifying partners (clients), and the remaining time locating clients, coordinating and verifying care, and managing case reports. Time spent on expedited partner therapy, HIV testing, and referrals to HIV treatment or preexposure prophylaxis, was minimal (<5 minutes per interview) at locations with resources outside PS staff. Program cost-per-interview ranged from US $527 to US $2210 for syphilis, US $219 to US $484 for gonorrhea, and US $164 to US $547 for chlamydia. Discussion: The STD PS resource needs depended on epidemic characteristics and program models. Integrating HIV prevention objectives minimally impacted PS-specific program costs. Results can inform program planning, future budget impact, and cost-effectiveness analyses.en
dc.description.versionAccepted versionen
dc.format.extentPages 493-501en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1097/olq.0000000000001010en
dc.identifier.eissn1537-4521en
dc.identifier.issn0148-5717en
dc.identifier.issue8en
dc.identifier.orcidSilverman, Rachel [0000-0003-3082-9664]en
dc.identifier.otherPMC6636340en
dc.identifier.other00007435-201908000-00002 (PII)en
dc.identifier.pmid31295215en
dc.identifier.urihttp://hdl.handle.net/10919/107608en
dc.identifier.volume46en
dc.language.isoenen
dc.publisherWolters Kluwer Healthen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/31295215en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subject06 Biological Sciencesen
dc.subject11 Medical and Health Sciencesen
dc.subjectPublic Healthen
dc.subject.meshHumansen
dc.subject.meshChlamydia Infectionsen
dc.subject.meshGonorrheaen
dc.subject.meshSyphilisen
dc.subject.meshSexually Transmitted Diseasesen
dc.subject.meshContact Tracingen
dc.subject.meshIncidenceen
dc.subject.meshHomosexuality, Maleen
dc.subject.meshCost of Illnessen
dc.subject.meshSexual Partnersen
dc.subject.meshPreventive Health Servicesen
dc.subject.meshHealth Resourcesen
dc.subject.meshProgram Developmenten
dc.subject.meshWashingtonen
dc.subject.meshFemaleen
dc.subject.meshMaleen
dc.subject.meshObservational Studies as Topicen
dc.titleSexually Transmitted Disease Partner Services Costs, Other Resources, and Strategies Across Jurisdictions to Address Unique Epidemic Characteristics and Increased Incidenceen
dc.title.serialSexually Transmitted Diseasesen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherResearch Support, U.S. Gov't, P.H.S.en
dc.type.otherresearch-articleen
dc.type.otherJournal Articleen
dc.type.otherResearch Support, N.I.H., Extramuralen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Veterinary Medicineen
pubs.organisational-group/Virginia Tech/Veterinary Medicine/Population Health Sciencesen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen

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