PMID: 15368779Sep 17, 2004Paper

Sexually transmitted diseases and managed care: an inquiry and review of issues affecting service delivery

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Terence ChorbaKathleen Irwin

Abstract

To understand the potential role of managed care organizations (MCOs) in prevention and control of sexually transmitted diseases (STDs), we conducted a systematic review of articles on STDs and managed care and sought qualitative information from MCOs on STD-related activities. The review focused on prevention, risk assessment, patient education, counseling, screening, and costs of care, but revealed relatively few published articles. Barriers to STD service delivery included competing priorities, lack of time or supporting organizational structures, and differing mandates of health departments and MCOs. Facilitators included collaboration between health departments and MCOs, regulatory and performance incentives, buy-in from key stakeholders, availability of infrastructure to support data collection, and inclusion of chlamydia screening in the Health Employer Data and Information Set to monitor plan performance. Because of the shift of STD service delivery from the public to private sector, incentives need to maximize interest and cooperation of patients, clinicians, and MCOs in STD prevention.

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Citations

Oct 1, 2013·Body Image·Virginia Ramseyer Winter, Sonya Satinsky
Oct 9, 2015·American Journal of Public Health·Karen W HooverThomas L Gift
Jun 21, 2005·Infectious Disease Clinics of North America·Zsakeba HendersonKathleen Irwin
Oct 24, 2008·Sexually Transmitted Diseases·Deidra D Parrish, Charlotte K Kent
Feb 10, 2018·Journal of Surgical Case Reports·Adrian RhuddGareth Reid
Jan 15, 2011·Sexually Transmitted Diseases·Nadereh PouratGail Bolan

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