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dc.contributor.authorNatoli, L
dc.contributor.authorGuy, RJ
dc.contributor.authorShephard, M
dc.contributor.authorCauser, L
dc.contributor.authorBadman, SG
dc.contributor.authorHengel, B
dc.contributor.authorTangey, A
dc.contributor.authorWard, J
dc.contributor.authorCoburn, T
dc.contributor.authorAnderson, D
dc.contributor.authorKaldor, J
dc.contributor.authorMaher, L
dc.date.accessioned2021-02-03T23:41:12Z
dc.date.available2021-02-03T23:41:12Z
dc.date.issued2015-12-29
dc.identifierpii: PONE-D-15-36650
dc.identifier.citationNatoli, L., Guy, R. J., Shephard, M., Causer, L., Badman, S. G., Hengel, B., Tangey, A., Ward, J., Coburn, T., Anderson, D., Kaldor, J. & Maher, L. (2015). "I Do Feel Like a Scientist at Times": A Qualitative Study of the Acceptability of Molecular Point-Of-Care Testing for Chlamydia and Gonorrhoea to Primary Care Professionals in a Remote High STI Burden Setting. PLOS ONE, 10 (12), https://doi.org/10.1371/journal.pone.0145993.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/258944
dc.description.abstractBACKGROUND: Point-of-care tests for chlamydia (CT) and gonorrhoea (NG) could increase the uptake and timeliness of testing and treatment, contribute to improved disease control and reduce reproductive morbidity. The GeneXpert (Xpert CT/NG assay), suited to use at the point-of-care, is being used in the TTANGO randomised controlled trial (RCT) in 12 remote Australian health services with a high burden of sexually transmissible infections (STIs). This represents the first ever routine use of a molecular point-of-care diagnostic for STIs in primary care. The purpose of this study was to explore the acceptability of the GeneXpert to primary care staff in remote Australia. METHODS: In-depth qualitative interviews were conducted with 16 staff (registered or enrolled nurses and Aboriginal Health Workers/Practitioners) trained and experienced with GeneXpert testing. Interviews were digitally-recorded and transcribed verbatim prior to content analysis. RESULTS: Most participants displayed positive attitudes, indicating the test was both easy to use and useful in their clinical context. Participants indicated that point-of-care testing had improved management of STIs, resulting in more timely and targeted treatment, earlier commencement of partner notification, and reduced follow up efforts associated with client recall. Staff expressed confidence in point-of-care test results and treating patients on this basis, and reported greater job satisfaction. While point-of-care testing did not negatively impact on client flow, several found the manual documentation processes time consuming, suggesting that improved electronic connectivity and test result transfer between the GeneXpert and patient management systems could overcome this. Managing positive test results in a shorter time frame was challenging for some but most found it satisfying to complete episodes of care more quickly. CONCLUSIONS: In the context of a RCT, health professionals working in remote primary care in Australia found the GeneXpert highly acceptable. These findings have implications for use in other primary care settings around the world.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.title"I Do Feel Like a Scientist at Times": A Qualitative Study of the Acceptability of Molecular Point-Of-Care Testing for Chlamydia and Gonorrhoea to Primary Care Professionals in a Remote High STI Burden Setting
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0145993
melbourne.affiliation.departmentUniversity General
melbourne.affiliation.facultyUniversity Services
melbourne.source.titlePLoS One
melbourne.source.volume10
melbourne.source.issue12
dc.rights.licenseCC BY
melbourne.elementsid1044767
melbourne.contributor.authorFairley, Christopher
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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