Table 2.
Gonorrhea treatment performance and performance achievement among community practices by practice characteristics, Baltimore City, Maryland, January 2018 – December 2019 (n = 171 providers)
| Treated1 [Health Department Goal: ≥ 90%] | Appropriately Treated2 [Health Department Goal: ≥ 90%] | Promptly Treated3 [Health Department Goal: ≥ 85%] | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Practice Characteristics | N | Median % Diagnoses Treated per Practice (IQR) | % Practices achieving goal (n) | N | Median % Diagnoses Appropriately Treated per Practice (IQR) | % Practices achieving goal (n) | N | Median % Diagnoses Promptly Treated per Practice (IQR) | % Practices achieving goal (n) |
| Practice Type (n = 171) | |||||||||
| Sexual Health Clinics | 2 | 90.9 (90.6 – 91.2) | 100.0 (2) | 2 | 96.7 (96.2 – 97.2) | 100.0 (2) | 2 | 87.6 (86.7 – 88.4) | 100.0 (2) |
| FQHC | 19 | 69.1 (57.1 – 76.2) | 5.3 (1) | 19 | 94.4 (81.3 – 100.0) | 52.6 (10) | 18 | 86.1 (69.2 – 92.2) | 50.0 (9) |
| Private Sector | 88 | 72.9 (50.0 – 100.0) | 31.8 (28) | 73 | 100.0 (80.0 – 100.0) | 65.8 (48) | 68 | 100.0 (81.3 – 100.0) | 70.6 (48) |
| Hospital | 13 | 71.0 (61.1 – 88.9) | 23.1 (3) | 12 | 91.1 (84.0 – 93.1) | 58.3 (7) | 12 | 96.2 (93.9 – 99.5) | 100.0 (12) |
| Acute Care | 24 | 71.8 (66.4 – 90.6) | 25.0 (6) | 24 | 84.7 (84.6 – 100.0) | 58.3 (14) | 24 | 100.0 (100.0 – 100.0) | 100.0 (24) |
| HIV Specialty or Infectious Disease | 6 | 79.5 (57.1 – 100.0) | 33.3 (2) | 5 | 94.7 (92.5 – 100.0) | 80.0 (4) | 4 | 94.6 (82.1 – 100.0) | 75.0 (3) |
| Behavioral Health Clinics4 | 7 | 50.0 (0.0 – 100.0) | 28.6 (2) | 5 | 50.0 (0.0 – 66.7) | 0.0 (0.0) | 3 | (100.0 – 100.0) | 100.0 (3) |
| School-Based/ University Clinics | 12 | 95.0 (72.2 – 100.0) | 58.3 (7) | 11 | 100.0 (100.0 – 100.0) | 90.9 (10) | 11 | 100.0 (75.0 – 100.0) | 72.7 (8) |
|
| |||||||||
| Reporting STI Volume Diagnoses (n = 171) | |||||||||
| Low (≤ 22 cases) | 130 | 71.4 (50.0 – 100) | 35.4 (46) | 110 | 100.0 (75.0 – 100.0) | 65.5 (72) | 101 | 100.0 (83.3 – 100.0) | 73.3 (74) |
| High (> 22 cases) | 41 | 72.2 (69.2 – 81.3) | 12.2 (5) | 41 | 90.9 (86.2 – 94.6) | 56.1 (23) | 41 | 92.5 (88.0 – 96.4) | 85.4 (35) |
|
| |||||||||
| Funding Source (n = 171) | |||||||||
| Title X Funded | 15 | 86.2 (74.7 – 100) | 40.0 (6) | 15 | 100.0 (87.7 – 100.0) | 73.3 (11) | 15 | 88.9 (73.5 – 100.0) | 53.3 (8) |
| Not Title X Funded | 156 | 70.9 (50.0 – 92.3) | 28.9 (45) | 136 | 94.8 (80.0 – 100.0) | 61.8 (84) | 127 | 100.0 (88.7 – 100.0) | 79.5 (101) |
|
| |||||||||
| Population Served (n=128) | |||||||||
| Pediatric | 57 | 70.0 (50.0 – 86.2) | 24.6 (14) | 52 | 97.9 (81.5 – 100.0) | 63.5 (33) | 51 | 95.2 (75.0 – 100.0) | 66.7 (34) |
| Non-Pediatric | 71 | 72.2 (50.0 – 100.0) | 29.6 (21) | 64 | 96.2 (80.6 – 100.0) | 60.9 (39) | 59 | 100.0 (89.5 – 95.2) | 79.7 (47) |
|
| |||||||||
| Adult | 70 | 70.2 (50.0 – 85.7) | 21.4 (15) | 60 | 95.4 (82.6 – 95.4) | 63.3 (38) | 58 | 100.0 (85.7 – 100.0) | 77.6 (45) |
| Non-Adult | 57 | 73.6 (54.2 – 100.0) | 34.5 (20) | 56 | 98.7 (75.0 – 100.0) | 60.7 (56) | 52 | 100.0 (81.3 – 100.0) | 69.2 (36) |
|
| |||||||||
| Women’s Health | 52 | 75.6 (66.0 – 100.0) | 26.9 (14) | 51 | 92.9 (80.8 – 100.0) | 56.9 (29) | 48 | 89.9 (69.6 – 100.0) | 56.3 (27) |
| Non-Women’s Health | 76 | 66.7 (50.0 – 94.1) | 27.6 (21) | 65 | 100.0 (84.6 – 100.0) | 66.2 (43) | 62 | 100.0 (96.4 – 100.0) | 87.1 (54) |
Among 171 community healthcare practices that reported at least one gonorrhea diagnosis were included (Subset for population served included 128 practices). Treated was defined as health department documentation of any gonorrhea treatment.
Among 151 community healthcare practices with treatment documented for at least one reported gonorrhea diagnosis. (Subset for population served included 116 practices). Appropriate treatment was defined as documentation with a CDC-recommended treatment as per the 2015 CDC Treatment Guidelines, the guidance in place during the observation period.
Among 142 community healthcare practices with appropriate treatment documented for at least one reported gonorrhea diagnosis. (Subset for Population served included 110 practices). 3 Prompt treatment was defined as appropriate treatment prescribed within 14 days of specimen collection.
Behavioral Health Clinics include clinics that provide mental health treatment, substance use treatment, or both.
Bolded numbers indicate a p-value < 0.05