{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T11:07:02Z","timestamp":1793876822488,"version":"4.7.0"},"reference-count":28,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n                  <jats:p>Rates of chlamydia and gonorrhea among adolescents continue to rise. We aimed to evaluate if a universal testing program for chlamydia and gonorrhea improved testing rates in an urban general pediatric clinic and an urban family medicine clinic within a system of federally qualified health care centers and evaluated the feasibility, cost, and logistic challenges of expanding implementation across 28 primary care clinics within a federally qualified health care centers system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A universal testing quality improvement program for male and female patient 14 to 18 years old was implemented in a general pediatrics and family medicine clinic in Denver, Colorado. The intervention was evaluated by using a controlled pre-post quasi-experimental design. The difference in testing rates due to the intervention was assessed by using a difference-in-differences regression model weighted with the inverse probability of treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>In total, 15\u2009541 pediatric encounters and 5420 family medicine encounters were included in the analyses. In pediatrics, the unadjusted testing rates increased from 32.0% to 66.7% in the intervention group and from 20.9% to 28.9% in the comparison group. For family medicine, the rates increased from 38.5% to 49.9% in the intervention group and decreased from 26.3% to 24.8% in the comparison group. The intervention resulted in an adjusted increase in screening rates of 25.2% (P &amp;lt; .01) in pediatrics and 11.8% (P &amp;lt; .01) in family medicine. The intervention was well received and cost neutral to the clinic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Universal testing for chlamydia and gonorrhea in primary care pediatrics and family medicine is a feasible approach to improving testing rates .<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2020-027508","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T08:30:14Z","timestamp":1634805014000},"source":"Crossref","is-referenced-by-count":6,"title":["An Intervention to Improve Chlamydia and Gonorrhea Testing Among Adolescents in Primary Care"],"prefix":"10.1542","volume":"148","author":[{"given":"Margaret M.","family":"Tomcho","sequence":"first","affiliation":[{"name":"Departments of General Pediatrics"},{"name":"Departments of General Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingbo","family":"Lou","sequence":"additional","affiliation":[{"name":"Ambulatory Care Services, Denver Health Medical Center, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja C.","family":"O\u2019Leary","sequence":"additional","affiliation":[{"name":"Departments of General Pediatrics"},{"name":"Departments of General Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah J.","family":"Rinehart","sequence":"additional","affiliation":[{"name":"Center for Health Systems Research, Denver, Colorado;"},{"name":"Internal Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Thomas-Gale","sequence":"additional","affiliation":[{"name":"Ambulatory Care Services, Denver Health Medical Center, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia M.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Departments of General Pediatrics"},{"name":"Departments of General Pediatrics"},{"name":"Internal Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence J.","family":"Wu","sequence":"additional","affiliation":[{"name":"Departments of General Pediatrics"},{"name":"Departments of General Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Penny","sequence":"additional","affiliation":[{"name":"Family Medicine"},{"name":"Family Medicine, School of Medicine, University of Colorado, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven G.","family":"Federico","sequence":"additional","affiliation":[{"name":"Departments of General Pediatrics"},{"name":"Departments of General Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly M.","family":"Frost","sequence":"additional","affiliation":[{"name":"Departments of General Pediatrics"},{"name":"Center for Health Systems Research, Denver, Colorado;"},{"name":"Departments of General Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","reference":[{"key":"2022012419531452900_B1","unstructured":"Centers for Disease Control and Prevention\n          . 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