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Which factors affect access to STD care? A comparison of a hospital based clinic and an outreach service
  1. M G Brook1,
  2. S Tanner2,
  3. J Green2
  1. 1Patrick Clements Clinic, Central Middlesex Hospital, Acton Lane, London NW10 7NS, UK
  2. 2Department of Clinical Health Psychology, St Mary’s Hospital, London, UK
  1. Correspondence to:
    M Gary Brook, Patrick Clements Clinic, Central Middlesex Hospital, Acton Lane, London NW10 7NS, UK;
    gary.brook{at}nwlh.nhs.uk

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The national strategy for sexual health and HIV recommends that genitourinary medicine (GUM) outreach services be used as a means of expanding patient access to testing and advice for STDs.1 However, there is limited published work to demonstrate the effectiveness of outreach services in GUM.2,3 Having established an outreach GUM service in 1997 we reported initial data in 19984 and now we report a more in-depth examination of the factors that affect access to care and a further evaluation of the differences between patients attending the outreach and main clinics.

The Patrick Clements Clinic is a long established hospital based GUM clinic (about …

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