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BACKGROUND Sexual health promotion is a major public health challenge; there is huge potential for health promotion via technology such as the Internet. OBJECTIVES To determine effects of interactive computer-based interventions (ICBI) for sexual health promotion, considering cognitive, behavioural, biological and economic outcomes. SEARCH STRATEGY We(More)
BACKGROUND Studies of cancer incidence and early management will increasingly draw on routine electronic patient records. However, data may be incomplete or inaccurate. We developed a generalizable strategy for investigating presenting symptoms and delays in diagnosis using ovarian cancer as an example. METHODS The General Practice Research Database was(More)
OBJECTIVES To determine the relative contribution of general practices (GPs) to the diagnosis of chlamydia and gonorrhoea in England and whether treatment complied with national guidelines. DESIGN Analysis of longitudinal electronic health records in the Clinical Practice Research Datalink (CPRD) and national sexually transmitted infection (STI)(More)
What to prescribe for a patient in general practice when the choice of treatments has a limited evidence base? Tjeerd-Pieter van Staa and colleagues argue that using electronic health records to enter patients into randomised trials of treatments in real time could provide the answer Tjeerd-Pieter van Staa head of research and honorary professor of(More)
OBJECTIVES To describe the views of the British public on the use of personal medical data by the National Cancer Registry without individual consent, and to assess the relative importance attached by the public to personal privacy in relation to public health uses of identifiable health data. DESIGN Cross sectional, face to face interview survey. (More)
SUMMARY This report illustrates the scope and the findings of Project SCREen, arguably the biggest study to date on chlamydia control activities in the EU. In addition to data from EU Member States, SCREen also collected data from EU candidate countries, EFTA member states, and the USA. SCREen collected detailed information about chlamydia diagnosis,(More)
OBJECTIVE To examine the effectiveness of methods to improve partner notification by patient referral (index patient has responsibility for informing sex partners of their exposure to a sexually transmitted infection). DESIGN Systematic review of randomised trials of any intervention to supplement simple patient referral. DATA SOURCES Seven electronic(More)
BACKGROUND Sexually transmitted infection (STI) risk is determined both by partner numbers and partnership characteristics. Studies describing only recent partnership(s) overestimate long-term partnerships and underestimate the contribution of casual partnerships to STI transmission in populations. We describe all heterosexual partnerships in the past year(More)
BACKGROUND Primary care databases provide a unique resource for healthcare research, but most researchers currently use only the Read codes for their studies, ignoring information in the free text, which is much harder to access. OBJECTIVES To investigate how much information on ovarian cancer diagnosis is 'hidden' in the free text and the time lag(More)
OBJECTIVES To quantify the contribution of patient delay, provider delay, and diversion between services to delayed access to genitourinary medicine (GUM) clinics. To describe the factors associated with delay, and their contribution to STI transmission. METHODS Cross-sectional survey of 3184 consecutive new patients attending four GUM clinics purposively(More)