{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T10:32:14Z","timestamp":1763807534448,"version":"3.37.3"},"reference-count":10,"publisher":"BMJ","funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1150014"],"award-info":[{"award-number":["APP1150014"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Patient-delivered partner therapy (PDPT) describes the giving of a prescription or antibiotics by an index case with chlamydia to their sexual partners. PDPT has been associated with higher numbers of partners receiving treatment. In Australia, general practitioners (GPs) previously expressed negative views about PDPT. Health authority guidance for PDPT has since been provided in some areas. We investigated recent use and perceptions of PDPT for chlamydia among GPs in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 2019, we conducted an online survey comprising multiple-choice and open-ended questions to investigate GPs\u2019 chlamydia management practices, including PDPT. Logistic regression identified factors associated with ever offering PDPT. A directed content analysis of free-text data explored GPs\u2019 perceptions towards PDPT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey received responses from 323 GPs; 85.8% (n=277) answered PDPT-focused questions, providing 628 free-text comments. Over half (53.4%) reported never offering PDPT, while 36.5% sometimes and 10.1% often offered PDPT. GPs more likely to offer PDPT were aged \u226555 years (adjusted OR (AOR) 2.9, 95%\u2009CI 1.4 to 5.8), worked in non-metropolitan areas (AOR 2.5, 95%\u2009CI 1.5 to 4.4) and jurisdictions with health authority PDPT guidance (AOR 2.3, 95%\u2009CI 1.4 to 3.9). Qualitative data demonstrated that many GPs recognised PDPT\u2019s potential to treat harder to engage partners but expressed hesitancy to offer PDPT because they considered partners attending for care as best practice. GPs emphasised a case-by-case approach that considered patient and partner circumstances to determine PDPT suitability. To alleviate medicolegal concerns, many GPs indicated a need for professional and health authority guidance that PDPT is permissible. They also desired practical resources to support its use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>GPs appear to accept the place of PDPT as targeted to those who may otherwise not access testing or treatment. Availability of health authority guidance appears to have supported some GPs to incorporate PDPT into their practice.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2020-054933","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T17:42:41Z","timestamp":1625074961000},"page":"sextrans-2020-054933","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Patient delivered partner therapy for chlamydia infection is used by some general practitioners, but more support is needed to increase uptake: findings from a mixed-methods study"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5580-360X","authenticated-orcid":false,"given":"Jane L","family":"Goller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9520-5724","authenticated-orcid":false,"given":"Jacqueline","family":"Coombe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Bittleston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Bourne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1035-7110","authenticated-orcid":false,"given":"Deborah","family":"Bateson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaina","family":"Vaisey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Tomnay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"O'Donnell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameryn","family":"Garret","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5523-5630","authenticated-orcid":false,"given":"Claudia S","family":"Estcourt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith","family":"Temple-Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9329-8501","authenticated-orcid":false,"given":"Jane S","family":"Hocking","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,30]]},"reference":[{"key":"2021080510251432000_sextrans-2020-054933v2.1","unstructured":"Australasian Society for HIV Viral Hepatitis and Sexual Health Medicine . Australasian contact tracing guidelines. ASHM, 2016."},{"key":"2021080510251432000_sextrans-2020-054933v2.2","doi-asserted-by":"crossref","DOI":"10.3310\/hta18020","article-title":"Effectiveness and cost-effectiveness of traditional and new partner notification technologies for curable sexually transmitted infections: observational study, systematic reviews and mathematical modelling","volume":"18","author":"Althaus","year":"2014","journal-title":"Health Technol Assess"},{"key":"2021080510251432000_sextrans-2020-054933v2.3","doi-asserted-by":"crossref","unstructured":"Pavlin NL , Parker RM , Piggin AK , et al . Better than nothing? patient-delivered partner therapy and partner notification for Chlamydia: the views of Australian general practitioners. BMC Infect Dis 2010;10.doi:10.1186\/1471-2334-10-274","DOI":"10.1186\/1471-2334-10-274"},{"key":"2021080510251432000_sextrans-2020-054933v2.4","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2014-051994"},{"key":"2021080510251432000_sextrans-2020-054933v2.5","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1071\/SH20024","article-title":"Patient-delivered partner therapy for Chlamydia in Australia: can it become part of routine care?","volume":"17","author":"Goller","year":"2020","journal-title":"Sex Health"},{"key":"2021080510251432000_sextrans-2020-054933v2.6","unstructured":"Australian Department of Health . Fourth national sexually transmissible infections strategy 2018-2022. Canberra: Commonwealth of Australia, 2018."},{"key":"2021080510251432000_sextrans-2020-054933v2.7","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1071\/SH18169","article-title":"Adopting a new method of partner management for genital Chlamydia in New South Wales: findings from a pilot implementation program of patient-delivered partner therapy","volume":"16","author":"Lorch","year":"2019","journal-title":"Sex Health"},{"key":"2021080510251432000_sextrans-2020-054933v2.8","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"2021080510251432000_sextrans-2020-054933v2.9","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3182853c61"},{"key":"2021080510251432000_sextrans-2020-054933v2.10","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000151417.43230.18"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2020-054933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T17:25:50Z","timestamp":1628184350000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2020-054933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,30]]},"references-count":10,"alternative-id":["10.1136\/sextrans-2020-054933"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2020-054933","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"type":"print","value":"1368-4973"},{"type":"electronic","value":"1472-3263"}],"subject":[],"published":{"date-parts":[[2021,6,30]]}}}