Evidence map›Paper›PMID 42035357›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2026

Barriers to and Facilitators of Expedited Partner Therapy in US Emergency Departments: A Qualitative Study.

Rachel E Solnick, Rafael Cortes, Ethan Chang, Paul Dudas, Alan Cetkovic, Ricardo Londoño-Barreras, Maaz Munawar, Carlin Pendell, Aisling Shi Zhao, Keith E Kocher and 1 more

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Article in Public health reports (Washington, D.C. : 1974), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Rachel E SolnickFormerly at National Clinical Scholars Program, University of Michigan, Ann Arbor, MI, USA.
Rafael CortesUniversity of Southern California, Los Angeles, CA, USA.
Ethan ChangFormerly at University of Michigan, Ann Arbor, MI, USA.
Paul DudasFormerly at University of Michigan, Ann Arbor, MI, USA.
Alan CetkovicFormerly at University of Michigan, Ann Arbor, MI, USA.
Ricardo Londoño-BarrerasDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.ORCID 0000-0002-2514-6626
Maaz MunawarFormerly at University of Michigan, Ann Arbor, MI, USA.
Carlin PendellFormerly at University of Michigan, Ann Arbor, MI, USA.
Aisling Shi ZhaoInternational Community Health Services, Seattle, WA, USA.
Keith E KocherDepartment of Emergency Medicine and Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA.
Roland C MerchantDepartment of Emergency Medicine, Morsani College of Medicine at University of South Florida, Tampa, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExpedited partner therapy (EPT) provides treatment or prescriptions for the sexual partners of patients with sexually transmitted infections (STIs) without requiring a clinical visit, and it is recommended for partners who might not seek care otherwise. Despite its public health importance, EPT has had limited uptake in emergency departments (EDs). We assessed barriers to and facilitators of EPT that could assist in increasing its use in EDs.

methodsFrom July 2020 through February 2021, we conducted semistructured virtual interviews with 18 ED medical directors and key medical personnel from US institutions that offer or were interested in offering EPT, as identified through previous research. We developed and piloted an interview guide based on the Consolidated Framework for Implementation Research. We recorded, transcribed, and analyzed interviews using thematic analysis. We developed themes through iterative coding and team discussion.

resultsParticipant-reported barriers to implementing EPT included perceived legal liability, unclear clinical workflows, electronic health record challenges when prescribing for a nonpatient, ambiguity about duty to the sexual partner, concerns about patient safety, and sexual health stigma. Facilitators were defined as task sharing, streamlined electronic health record processes, and leadership support. Participants emphasized the ED's potential to expand access to care for populations at high risk for STIs, provided that EPT implementation did not disrupt clinical operations.

conclusionsUnderstanding barriers to and facilitators of EPT in EDs can inform the development of effective implementation strategies. While nontraditional prescribing processes pose challenges to routine adoption of EPT, experiences from EDs with established protocols suggest that these obstacles can be overcome.

Indexed as

expedited partner therapyimplementation sciencesexually transmitted diseasessexually transmitted infection

Identifiers

PMID42035357
PMCPMC13111539

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