{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:46:32Z","timestamp":1777898792336,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100018484","name":"Institute for Healthcare Policy and Innovation, University of Michigan","doi-asserted-by":"publisher","award":["K23MH136923-01"],"award-info":[{"award-number":["K23MH136923-01"]}],"id":[{"id":"10.13039\/100018484","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institutes of Mental Health","doi-asserted-by":"crossref","award":["K23MH136923-01"],"award-info":[{"award-number":["K23MH136923-01"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Expedited partner therapy (EPT) provides treatment or prescriptions for the sexual partners of patients with sexually transmitted infections (STIs) without requiring a clinical visit, and it is recommended for partners who might not seek care otherwise. Despite its public health importance, EPT has had limited uptake in emergency departments (EDs). We assessed barriers to and facilitators of EPT that could assist in increasing its use in EDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From July 2020 through February 2021, we conducted semistructured virtual interviews with 18 ED medical directors and key medical personnel from US institutions that offer or were interested in offering EPT, as identified through previous research. We developed and piloted an interview guide based on the Consolidated Framework for Implementation Research. We recorded, transcribed, and analyzed interviews using thematic analysis. We developed themes through iterative coding and team discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participant-reported barriers to implementing EPT included perceived legal liability, unclear clinical workflows, electronic health record challenges when prescribing for a nonpatient, ambiguity about duty to the sexual partner, concerns about patient safety, and sexual health stigma. Facilitators were defined as task sharing, streamlined electronic health record processes, and leadership support. Participants emphasized the ED\u2019s potential to expand access to care for populations at high risk for STIs, provided that EPT implementation did not disrupt clinical operations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Understanding barriers to and facilitators of EPT in EDs can inform the development of effective implementation strategies. While nontraditional prescribing processes pose challenges to routine adoption of EPT, experiences from EDs with established protocols suggest that these obstacles can be overcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549261432089","type":"journal-article","created":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T14:47:55Z","timestamp":1777214875000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to and Facilitators of Expedited Partner Therapy in US Emergency Departments: A Qualitative Study"],"prefix":"10.1177","author":[{"given":"Rachel E.","family":"Solnick","sequence":"first","affiliation":[{"name":"Formerly at National Clinical Scholars Program, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Cortes","sequence":"additional","affiliation":[{"name":"University of Southern California, Los Angeles, CA, USA"},{"name":"Formerly at University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ethan","family":"Chang","sequence":"additional","affiliation":[{"name":"Formerly at University of Michigan, Ann Arbor, MI, USA"},{"name":"SUNY Downstate College of Medicine, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Dudas","sequence":"additional","affiliation":[{"name":"Formerly at University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Cetkovic","sequence":"additional","affiliation":[{"name":"Formerly at University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2514-6626","authenticated-orcid":false,"given":"Ricardo","family":"Londo\u00f1o-Barreras","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maaz","family":"Munawar","sequence":"additional","affiliation":[{"name":"Formerly at University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlin","family":"Pendell","sequence":"additional","affiliation":[{"name":"Formerly at University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisling Shi","family":"Zhao","sequence":"additional","affiliation":[{"name":"International Community Health Services, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith E.","family":"Kocher","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland C.","family":"Merchant","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Morsani College of Medicine at University of South Florida, Tampa, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Centers for Disease Control and Prevention. STI statistics: national overview of STIs in 2023. November 12 2024. Accessed February 2 2026. https:\/\/restoredcdc.org\/www.cdc.gov\/sti-statistics\/annual\/summary.html"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251113"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000928"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.04.028"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200306000-00004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181666adf"},{"key":"e_1_3_2_8_2","unstructured":"Centers for Disease Control and Prevention. Expedited partner therapy in the management of sexually transmitted diseases. 2006. 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