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- Title
Patient Perception and Impact of Home Test Kits on Health Care Utilization for Urinary Tract Infection.
- Authors
Billups, Sarah J.; Fixen, Danielle; Johnson, Kaci; Wettergreen, Sara A.; Schilling, Lisa M.
- Abstract
Urinary tract infection (UTI) is a common reason for emergency department (ED) utilization that could potentially be treated by a primary care provider (PCP). This study assessed patient perceived value of a home UTI test kit plus educational materials and its impact on ED utilization for a UTI symptom episode. Women aged 18–75 years with Medicaid insurance and a history of 1–3 uncomplicated UTIs in the past year were prospectively identified and randomized to the intervention, intervention plus (intervention plus a patient portal message before its delivery), or standard of care group. A telephone survey was conducted 3–5 months after the mailing. Site of care for each UTI symptom episode was measured 12 months before and 6 months after the intervention. Test kit packages were mailed to 266 intervention individuals, and 150 responded to the telephone survey. Utilization outcomes were compared between a combined intervention group and a control group. Approximately one-third of the intervention patients experienced UTI symptoms within 5 months, and 73% used the test kit. Of those who experienced UTI symptoms, 58% contacted their PCP to seek care and 96% reported that the test kit was helpful. ED utilization was not significantly different in the intervention groups before and after the intervention, nor between the intervention and control groups postintervention. A home UTI test kit plus educational materials mailed to patients with a history of uncomplicated UTI was deemed helpful but did not have a measurable impact on ED utilization.
- Subjects
URINARY tract infection diagnosis; HOME diagnostic tests; DIAGNOSTIC reagents &; test kits; HOSPITAL emergency services; PATIENTS' attitudes; MEDICAL care use; COMPARATIVE studies; RANDOMIZED controlled trials; TEACHING aids; DESCRIPTIVE statistics; RESEARCH funding; PATIENT education; MEDICAID; STATISTICAL sampling; LONGITUDINAL method; HEALTH self-care
- Publication
Population Health Management, 2024, Vol 27, Issue 1, p44
- ISSN
1942-7891
- Publication type
Article
- DOI
10.1089/pop.2023.0201