The objectives of this study were to describe and compare chlamydia testing provided by general practitioners (GPs) in four selected European countries with well-developed primary health care systems and high reported chlamydia rates; we aimed to compare contrasting countries where chlamydia testing is provided by GPs (England, Sweden) with countries where primary care chlamydia testing is absent or very limited (France, Estonia).
For data generation a structured questionnaire was developed and secondary data sources were searched. The questionnaire developed by the research team allowed a systematic approach to analysing chlamydia care (including testing in general practice) and the gathering of relevant data.
There were no significant differences in the burden of the disease or the type of general practice care provision in the study countries. In all four countries, testing for chlamydia (with nucleic acid amplification test, NAAT) is available in the public sector, a substantial proportion (>60%) of young people aged 16-25 years visit their general practitioner (GP) annually, and reimbursement for chlamydia testing costs to the relevant parties (GPs in England, Sweden and Estonia; and patients in France) by the national health insurance system or its equivalent.In countries where chlamydia testing is provided by GPs (England, Sweden) a national strategy or plan on STI control that specifically mentions chlamydia was in force, chlamydia care guidelines for GPs were in place and STI management was more firmly established in the GP residency training curriculum, either formally (England) or informally (Sweden), than in the other countries.
Future research on the effectiveness of chlamydia screening (also in the context of general practice care) and program provision should reflect national needs and the prevention of complications.
Cites: Health Technol Assess. 2007 Mar;11(8):iii-iv, ix-xii, 1-16517311735
Cites: Sex Transm Infect. 2010 Aug;86(4):263-7020660590
Cites: J Am Board Fam Med. 2012 Mar;25 Suppl 1:S6-1122403251
Cites: Fam Pract. 2008 Aug;25(4):279-8618579709
Cites: Int J STD AIDS. 2008 Jul;19(7):455-818574116
Cites: BMC Public Health. 2007;7:9517547745
Cites: Br J Gen Pract. 2006 Feb;56(523):99-10316464322
Cites: J Fam Pract. 1998 May;46(5):397-4029597997
Cites: Health Soc Care Community. 2003 Jul;11(4):314-2014629202
Cites: Am J Public Health. 2003 Apr;93(4):635-4112660210
Cites: Sex Transm Infect. 2002 Oct;78(5):380-412407246
Cites: Sex Transm Infect. 2014 May;90(3):188-9424005256
Cites: BMC Public Health. 2012;12:80222984897
Cites: Sex Transm Infect. 2012 Aug;88(5):375-8122375045