CASI retrospective audit Proportion of patients who declined questions To determine the proportion of individual patients who declined to answer specific questions we undertook a retrospective analysis of computer records of all patients undertaking CASI for the first time during the operating period 11th June — 30th June , excluding the period when the computers were stolen. If an STI is not detected and treated it may have serious health effects for you and your sexual partners. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. When this is complete the computer prompts all new individuals and those who have not been seen at MSHC for more than three months to begin their sexual history available in English only at time of evaluation. Patients and staff completed anonymous questionnaires about their experience with CASI. Patients attending the centre initially see a triage nurse to determine if they need to be seen. People who prefer not to answer questions about their sexual activity. If you have symptoms of a possible STI, then see your doctor.
Copyright Vodstrcil et al. Only a patient's first visit within each specific week period was included in the analysis. Most questions provided an opportunity to expand on answers. The data analysis was restricted to patients who saw a clinician who was working during each of the three periods. When this is complete the computer prompts all new individuals and those who have not been seen at MSHC for more than three months to begin their sexual history available in English only at time of evaluation. Logistic regression was conducted to evaluate whether the proportion of patients who has an STI test varied between CASI and non-CASI periods adjusting for potential intra cluster correlation among individual clinicians. If a clinician only worked in one or two of the time periods, their data was excluded to avoid the individual characteristics of these clinicians influencing the consult duration. Check Your Risk is designed for sexually active people who have no symptoms. After completing the CASI questions, patients are assessed by the triage nurse and subsequently a clinician using their paper medical record that includes a sticker with the summarized CASI history. The earlier studies were relatively small and therefore had limited statistical precision but also may be biased because their participants may not have been representative of an entire clinical service. In order to calculate the proportion that declined to answer each question on CASI, we divided the number who declined to answer each specific question into the number who were asked that question. When a patient completes CASI on one of the laptop computers in the clinic waiting room the data is stored on the main clinic server and a summary is printed on a sticker which is placed in the patients file. To complement this evaluation we also undertook surveys of both staff and patients to provide a complete picture of the acceptability of CASI as part of routine clinical practice. Patients also had an opportunity to provide an open-ended comment about the computers. Triage nurses had additional questions about how CASI affects the triage process. If you rely on the information, you do so entirely at your own risk. Patient questionnaire To determine the patient's views on CASI we used one page self-completed, anonymous questionnaires containing nine questions that were given out after patients were assessed by the triage nurse for a one week period 31st May — 4th June Questions included demographics such as gender, age, gender of sexual partners, and whether the patient was a new patient to the clinic or a returning patient. CASI obtains answers to questions about a patient's gender of sexual partners, STI history, and sexual risk behavior i. It was our hope that CASI may lead to improved efficiency and reduced cost of our sexual health clinical service  — . Consultation duration and STI testing Linear regression analysis was used to determine differences in consultation time between CASI and non-CASI periods, adjusting for potential intra cluster correlation among individual clinicians. This article has been cited by other articles in PMC. One method that has been studied in a number of small randomized clinical trials or observational studies is computer assisted self interviewing CASI. Ethics Statement Ethical approval was obtained from the Alfred Hospital Research Ethics Committee who approved written consent not being obtained to preserve the anonymous nature of the questionnaire. Women were more likely than men to decline to answer questions about condom use 2. The CASI questions were chosen because they were deemed to be part of the core sexual history  , .
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