Article Text

Download PDFPDF

P047 The three Rs: recalls, reminders and retesting for chlamydia – views of GPs and young adults
  1. Alaina Vaisey1,
  2. Meredith Temple-Smith2,
  3. Anna Yeung3,
  4. Anna Wood2,
  5. Rebecca Lorch4,
  6. Rebecca Guy5,
  7. Basil Donovan5,
  8. Christopher Fairley6,
  9. Jane Hocking1
  1. 1University of Melbourne, Melbourne School of Population and Global Health, Carlton, Australia
  2. 2University of Melbourne, Department of General Practice, Carlton, Australia
  3. 3St. Michael’s Hospital, Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute,, Toronto, Canada
  4. 4South Eastern Sydney Local Health District, HIV and Related Programs Unit, Sydney, Australia
  5. 5University of New South Wales, The Kirby Institute, Sydney, Australia
  6. 6Melbourne Sexual Health Centre, Melbourne, Australia


Background Chlamydia reinfection increases the risk of pelvic inflammatory disease. Reinfection is common in Australia and while clinical guidelines recommend retesting 3 months post-treatment, less than 25% are retested. We aimed to examine general practitioner (GP) and patient views on retesting for chlamydia and recall/reminder systems to facilitate retesting.

Methods As part of a trial of chlamydia testing in general practice, GPs were provided with resources and support to implement recall/reminder systems to increase retesting. GPs’ attitudes and practices were examined pre- and mid-intervention using semi-structured interviews. Semi-structured interviews were also conducted with patients throughout the trial. Data were analysed thematically.

Results 44 GPs undertook a pre-intervention and 24 a mid-intervention interview; 22 patients were interviewed. GPs viewed recalls/reminders as essential to a formal chlamydia control program. There was disparity in whether systems to enable retesting were adopted during the intervention. Barriers to implementing these systems included concerns about costs and time required to ‘chase up’ patients; these barriers persisted during the intervention. Concerns about privacy were raised by most GPs but not patients. Over half of patients were not provided with advice about retesting at the time of their initial chlamydia test. Of the four patients who tested positive, two were retested as per guidelines. Patients were universally supportive of receiving reminders for chlamydia retesting, though retesting when at the clinic for another reason was viewed as ‘more practical’. Patients did not have strong preferences about reminder type (letter, SMS, email). Knowledge gaps were identified by both GPs and patients, and GPs identified a need to improve knowledge of the risks of chlamydia reinfection.

Conclusion GPs raised more concerns about retesting and reminders than patients. Increasing GP and patient knowledge of the risks of reinfection is crucial. GPs require additional support to implement strategies to increase re-testing.

Disclosure No significant relationships.

  • diagnosis
  • service delivery
  • Australia

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.