logo BDSP

Base documentaire

  1. Privatization of STD services in Tacoma, Washington : A quality review.

    Article - En anglais

    Background and Objectives 

    This study describes key features of the privatized model of sexually transmitted disease (STD) service provision in Tacoma, Washington.

    Goals : To assess the operational characteristics and the quality of care provided in the privatized STD clinics.

    Study Design 

    Key informant interviews and surveys were conducted.

    Medical records were reviewed and compared to a standardized STD clinic medical record.

    Client treatment was compared to the Centers for Disease Control and Prevention (CDC) 1993 STD Treatment Guidelines.


    In 1997, the contract clinics provided 3,275 publicly sponsored STD visits.

    The goals of multiple access sites, STD screening, appropriate therapy for laboratory-diagnosed, bacterial STD were achieved.

    However, medical records were frequently incomplete and Gram stains were not done.

    Significant deviations from CDC STD Treatment Guidelines were documented in the medical management of pelvic inflammatory disease (PID).


    Privatized STD services would be improved by use of a standardized medical record.

    Availability of a Gram stain and management of PID as recommended by the CDC would augment quality of care.

    Mots-clés Pascal : Service santé, Maladie sexuellement transmissible, Privatisation, Etats Unis, Amérique du Nord, Amérique, Qualité, Soin

    Mots-clés Pascal anglais : Health service, Sexually transmitted disease, Privatisation, United States, North America, America, Quality, Care

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0517349

    Code Inist : 002B30A04D. Création : 18/05/2000.