摘要
性传播感染在英国的发病率持续攀升，泌尿生殖医学（GUM）门诊疲于应付。英国国家性健康战略强调，在初级医疗保健的基础上，需要增加额外的一、二级医疗保健，然而在新的全科医疗服务机构（GMS）的全科医师合约中，对于性健康没有的条款特殊，在质量和效果框架中没有积分作为刺激。目前，更多的全科医师被鼓励去培养在性健康方面的特殊兴趣，而且要求加强医疗服务机构支持这方面的专科医疗。
The prevalence of STIs is increasing in the UK and GUM clinics are struggling to cope. The National Strategy for Sexual Health in England highlighted the need for additional primary care-based Level 1 and Level 2 services, but the new General Medical Services （GMS） GP contract contains no special provision for sexual health and there are no Quality and Outcomes Framework points as an incentive. More GPs are now to be encouraged to develop special interests in sexual health, and Enhanced Services are to be com- missioned to support specialist care.
