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Title: Integrating novel digital technology for the testing & treatment of chlamydia into mainstream sexual health services in England
Author: Eaton, Susan Elizabeth
ISNI:       0000 0004 6495 9069
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2017
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Background UK health policy places digital technology developments at the heart of plans to improve health, increase access and reduce cost. Electronic health (eHealth) and mobile health, offer opportunities to revolutionise the way services for sexually transmitted infections (STIs) are delivered. Developments include point-of-care and self-tests, and online treatment through eHealth clinics. Such innovations offer potential benefits including increased testing uptake, higher treatment rates and reduced disease transmission. This thesis explored the impact of the adoption of remote self-testing and an eHealth clinic (for remote treatment and contact tracing) into pathways for the management of asymptomatic genital Chlamydia Trachomatis. Research Outputs Young people’s preferences: A discrete choice experiment (DCE) that quantified which factors are important to 1,230 young people in chlamydia testing and treatment pathways. This mixed-methods approach included: • Literature reviews to inform the ‘long list’ of potential attributes • Focus groups with young people aged 16-24 to elicit views on attributes which are important in STI services • Expert groups to provide a policy/ service perspective • Cognitive testing to inform the development of the DCE questionnaire • National DCE of 16-24 year olds using online research panel. Technology costs and benefits: An early economic evaluation to assess the costs and benefits of introducing an eHealth clinic for chlamydia treatment, and extended to explore the considerations for a fully remote self-testing and treatment pathway. This has been informed by two literature reviews exploring costs and consequences and a primary costing study. Results The DCE found that test accuracy, followed by time to result were the strongest attributes influencing preferences. The economic evaluation identified that online care is cost saving compared with existing practice however further work is required to understand the impact on health outcomes. The thesis findings should help inform adoption of new technologies into mainstream chlamydia testing and treatment pathways.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: RC Internal medicine