{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:13:19Z","timestamp":1761513199374,"version":"build-2065373602"},"reference-count":20,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":4196,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,3,26]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>One effective way of reducing the prevalence of sexually transmissible infections (STIs) in a population is ensuring easy access to clinical services and screening of populations at high risk of STIs, including HIV. We aimed to describe the features of clients using the express testing service (ETS) and the overall impact on the service. Methods: This retrospective cross-sectional study involved all clients attending the walk-in triage service at Melbourne Sexual Health Centre before the introduction of ETS in 2009 and after ETS (2011 and 2012). Results: There were 32 720 and 82 265 consultations before and after ETS respectively. The ETS saw 4387 (9%) of 55 648 consultations (excluding appointments and results), giving rise to a fall in the proportion of lower-risk clients having full consultations (from 53% to 50% of consultations; P &amp;lt; 0.001). The consultations testing for HIV and chlamydia (Chlamydia trachomatis) were marginally higher (HIV: 48% v. 47%, P = 0.017; chlamydia: 70% v. 68%, P = 0.015) with ETS. Young (26 v. 27 years) females (38% v. 34%) utilised the ETS more (P &amp;lt; 0.001). The time taken for consultation and the total time spent in the clinic was significantly decreased during the ETS period (from 25 min to 6 min for consultation time and from 59 min to 29 min for total clinic time; P &amp;lt; 0.001). Conclusions: The data suggest that fast-track services such as ETS are effective in increasing access for higher-risk individuals while streamlining screening of asymptomatic low-risk clients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh13156","type":"journal-article","created":{"date-parts":[[2014,3,3]],"date-time":"2014-03-03T22:37:10Z","timestamp":1393886230000},"page":"37-41","source":"Crossref","is-referenced-by-count":8,"title":["An evaluation of an express testing service for sexually transmissible infections in low-risk clients without complications"],"prefix":"10.1071","volume":"11","author":[{"given":"Nimal","family":"Gamagedara","sequence":"first","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Hospital, Melbourne, Vic. 3050, Australia."},{"name":"BDepartment Health Services, Ministry of Health, Colombo CO 0100, Sri Lanka."},{"name":"CMelbourne School of Population and Global Health, University of Melbourne, Vic. 3050, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheranne","family":"Dobinson","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Hospital, Melbourne, Vic. 3050, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosey","family":"Cummings","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Hospital, Melbourne, Vic. 3050, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher K.","family":"Fairley","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Hospital, Melbourne, Vic. 3050, Australia."},{"name":"DCentral Clinical School, Monash University, Melbourne, Vic. 3181, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lee","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Hospital, Melbourne, Vic. 3050, Australia."},{"name":"CMelbourne School of Population and Global Health, University of Melbourne, Vic. 3050, Australia."},{"name":"ECorresponding author. Email: dlee@mshc.org.au"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2014,3,4]]},"reference":[{"issue":"1","key":"2025102617092296000_R1","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/OLQ.0b013e31827de342","article-title":"Modernizing operations to improve efficiency and refine the role and mission of sexually transmitted infection clinics.","volume":"40","author":"Dombrowski","year":"2013","journal-title":"Sex Transm Dis"},{"key":"2025102617092296000_R2","doi-asserted-by":"publisher","first-page":"ii25","DOI":"10.1136\/sti.2010.048330","article-title":"Using information technology to control STIs.","volume":"87","author":"Fairley","year":"2011","journal-title":"Sex Transm Infect"},{"issue":"1","key":"2025102617092296000_R3","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1071\/SH10059","article-title":"The importance of striving for greater efficiency.","volume":"8","author":"Fairley","year":"2011","journal-title":"Sex Health"},{"unstructured":"Department of Health, Victoria (DoHV). Victorian Infectious Diseases Bulletin March 2103. Melbourne: DoHV; 2013. Available online at: http:\/\/docs.health.vic.gov.au\/docs\/doc\/1875EF4588A20682CA257C36006F0827\/$FILE\/DH-VIDB-16-1-web.pdf [verified 22 January 2014].","key":"2025102617092296000_R4"},{"unstructured":"Sexually Transmissible Infections in Gay Men Action Group (STIGMA). STI Testing Guidelines for MSM.Sydney: STIGMA; 2010. Available online at: http:\/\/www.stipu.nsw.gov.au\/page\/STIGMA\/STI_testing_guidelines_for_MSM\/ [verified 22 January 2014].","key":"2025102617092296000_R5"},{"key":"2025102617092296000_R6"},{"issue":"5","key":"2025102617092296000_R7","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1136\/sti.2004.014431","article-title":"The incidence of sexually transmitted infections among frequently screened sex workers in a decriminalised and regulated system in Melbourne.","volume":"81","author":"Lee","year":"2005","journal-title":"Sex Transm Infect"},{"unstructured":"Australian Department of Health and Ageing (DoHA). Chlamydia screening campaign. Canberra: DoHA; 2010. Available online at: http:\/\/www.sti.health.gov.au\/internet\/sti\/publishing.nsf [verified September 2013].","key":"2025102617092296000_R8"},{"unstructured":"Australian Department of Health and Ageing (DoHA). Second national sexually transmissible disease strategy 2010\u20132013. Canberra: DoHA; 2010. Available online at: http:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/ohp-national-strategies-2010-sti\/$File\/sti.pdf [verified August 2013].","key":"2025102617092296000_R9"},{"issue":"3","key":"2025102617092296000_R10","doi-asserted-by":"publisher","first-page":"e18456","DOI":"10.1371\/journal.pone.0018456","article-title":"Computer assisted self interviewing in a sexual health clinic as part of routine clinical care; impact on service and patient and clinician views.","volume":"6","author":"Vodstrcil","year":"2011","journal-title":"PLoS ONE"},{"issue":"3","key":"2025102617092296000_R11","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1258\/095646206775809114","article-title":"Use of the Delphi sorting technique to establish a core sexual history.","volume":"17","author":"Tideman","year":"2006","journal-title":"Int J STD AIDS"},{"issue":"6","key":"2025102617092296000_R12","doi-asserted-by":"crossref","first-page":"327","DOI":"10.5694\/j.1326-5377.2007.tb00925.x","article-title":"Characteristics of Australian women who test positive for HIV: implications for giving test results.","volume":"186","author":"Hopkins","year":"2007","journal-title":"Med J Aust"},{"issue":"4","key":"2025102617092296000_R13","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1071\/SH09088","article-title":"HIV is rare among low-risk heterosexual men and significant potential savings could occur through phone results.","volume":"7","author":"Bush","year":"2010","journal-title":"Sex Health"},{"issue":"1","key":"2025102617092296000_R14","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1097\/OLQ.0b013e3182793700","article-title":"New Xpress sexually transmissible infection screening clinic improves patient journey and clinic capacity at a large sexual health clinic.","volume":"40","author":"Knight","year":"2013","journal-title":"Sex Transm Dis"},{"issue":"4","key":"2025102617092296000_R15","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1097\/OLQ.0b013e31815ed7b2","article-title":"Evaluation of a testing-only \u201cexpress\u201d visit option to enhance efficiency in a busy STI clinic.","volume":"35","author":"Shamos","year":"2008","journal-title":"Sex Transm Dis"},{"issue":"3","key":"2025102617092296000_R16","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1071\/SH05018","article-title":"The prevalence of genital Chlamydia trachomatis in Australia 1997\u20132004: a systematic review.","volume":"2","author":"Vajdic","year":"2005","journal-title":"Sex Health"},{"unstructured":"Adam P, de Wit J, Hermans J. Story L, Edwards B, Murray C, et al. Understanding barriers to STI testing among young people: results from the online survey \u2018Getting Down To it\u2019. Monograph 2\/2011. Sydney: National Centre in HIV Social Research, The University of New South Wales; 2011. Available online at: https:\/\/csrh.arts.unsw.edu.au\/media\/NCHSRFile\/4_STI_testing_in_young_people_report.pdf [verified September 2013].","key":"2025102617092296000_R17"},{"unstructured":"Hillier L, Jones T, Monagle M, Overton N, Gahan L, Blackman J, et al. Writing themselves in 3. The third national study on the sexual health and wellbeing of same sex attracted and gender questioning young people. Melbourne: Australian Research Centre in Sex, Health and Society, La Trobe University; 2010. Available online at: http:\/\/www.glhv.org.au\/files\/wti3_web_sml.pdf[verified September 2013].","key":"2025102617092296000_R18"},{"issue":"7","key":"2025102617092296000_R19","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1136\/sextrans-2011-050002","article-title":"Replacement of conventional HIV testing with rapid testing: mathematical modelling to predict the impact on further HIV transmission between men.","volume":"87","author":"Wilson","year":"2011","journal-title":"Sex Transm Infect"},{"issue":"6","key":"2025102617092296000_R20","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1258\/ijsa.2010.009552","article-title":"Australian men who have sex with men prefer rapid oral HIV testing over conventional blood testing for HIV.","volume":"21","author":"Chen","year":"2010","journal-title":"Int J STD AIDS"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/11\/1\/37\/1254834\/sh13156.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/11\/1\/37\/1254834\/sh13156.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:09:31Z","timestamp":1761512971000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/11\/1\/37\/184908\/An-evaluation-of-an-express-testing-service-for"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,4]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,3,26]]}},"URL":"https:\/\/doi.org\/10.1071\/sh13156","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2014,3,4]]}}}