Performance Improvement 2013-2014. What Impact Does Closure of Publicly Funded Sexually Transmitted Disease Clinics Have on Disease Intervention Specialist Services?

01/01/2014

State budget shortfalls in Massachusetts altered the way in which Sexually Transmitted Disease (STD) intervention specialist services and STD partner services were delivered. Most clinics were closed in early 2009.

Changes adversely affected ability of disease intervention specialists to perform their primary functions. They expended more time finding places to conduct interviews, identifying providers who both knew how to treat STD patients and who had access to appropriate medications such as bicillin, and finding strategies to treat contacts to syphilis cases who in the past received free treatment from the clinic. In interviews with specialists and providers, both groups reported that obtaining these services had become more difficult for many patients. These challenges were amplified by management changes occurring within the Department of Public Health.

Report Title: Impact of Health Reform on STD Public Health Services in Massachusetts

Agency Sponsor: CDC, Centers for Disease Control and Prevention
Federal Contact: Thomas Chapel, 404-639-2116/MARION CARTER
Performer: DSTDP/HSREB
Record ID: 9595 (October 1, 2011)

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