1 Summary of Proposal Click to edit Master subtitle style Advancing Health Equity in Online Sexual Health Services Gay Men’s Health Summit 2011 November 3, 2011 Janine Farrell, Simon Fraser University Travis Salway Hottes, BC Centre for Disease Control
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Transcript
1
Summary of Proposal Click to edit Master subtitle style
Advancing Health Equity in Online Sexual Health Services Gay Men’s Health Summit 2011 November 3, 2011
Janine Farrell, Simon Fraser University Travis Salway Hottes, BC Centre for Disease Control
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Acknowledgements
• Mark Gilbert, Online Services Lead • Devon Haag, Online Services Program Manager • Mark Bondyra, Business Analyst, Online Services • Internet Services Committee & Working Groups,
BC Centre for Disease Control • Jeannie Shoveller and colleagues, UBC Youth Sexual
Health Team • Community and health authority partners
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Outline
• GetCheckedBC and the BC Online Sexual Health Services Program
• Theory of Fundamental Causes • Health equity impact assessment (HEIA) • Application of HEIA to GetCheckedBC
§ Primary findings § Recommendations and actions
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Online Sexual Health Services
• Using online and other new technologies to: § Deliver innovative sexual health services § Reduce barriers to accessing appropriate sexual health care § Reduce overall burden of STI in BC
“Across the spectrum of sexual health care” Integrated with clinical services
Clients accessing online services
Clients accessing
clinic services
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GetCheckedBC
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Rationale
• Reduce barriers to accessing testing • Improve test uptake and frequency in high prevalence
populations • Reduce burden on in-person sexual health services
(clinics) • Respond to shifting expectations for client-centered care
… building on successful pilot programs elsewhere.
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Key Concerns
• Anonymity à limit collection of personal information
• Data security à secure web-browsing, remind clients to clear cache/history
• Pre-test discussion à detailed information on website, referrals to in-person care, where helpful
• Provision of test results à no positive results online, links and referrals to counseling, support, community services, etc.
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Timelines and Priority Groups 2009 - 2010 • Public health • Community partner organizations • End users (focus groups, usability testing of prototype)
2012 - 2013 • GetCheckedBC piloted at 2 BCCDC Clinics • Targeted promotion to gay men in Vancouver
2010 - 2011 • Ongoing consultation • Privacy and technical assessments • HEIA and other formative evaluation work
2013 - 2014 • Upon successful completion of pilot, expansion to other sites
throughout province
Establish Collaborations
Planning & Development
Phase I: Pilot & Evaluation
Phase II: Broader
Implementation
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Online Services and Health Equity
• Advancements in technology provide many opportunities to improve health access
• However, introducing new health technologies does not guarantee improved health access
• In fact, they may reinforce social inequities in health, for some.
Why?
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Theory of Fundamental Causes • Flexible resources à allow people to avoid/mitigate effects of
disease through access to health technologies
• Wealth, knowledge, skills, education, power, prestige, social capital
• Regardless of historical period, geographical area, disease, etc.
• Most salient with health outcomes that are preventable
• Novel health technologies can create new gradients in health distribution that did not exist before