From: How online sexual health services could work; generating theory to support development
Coding category | Sub-codes | Link to theory of change diagram |
---|---|---|
Changing user-provider relationships | • User empowerment/disempowerment • New opportunities for technology mediated support • Creating expectations of an online retail service within public sector • Loss of face to face contact | • Changes in user options and responsibilities • Expectations of provider driven, technology mediated contact • Targeting the online service beyond the autonomous consumer |
Impact on clinics | • Change to clinic systems • Changes to interaction between sexual health services • Changes to clinic staffing | • New patterns of service use • Changes in clinic processes, staff training • Potential for linking development of clinic based and online services |
Impact on STIs at population level | • Increased STI testing • Changes in sexual behaviour • Changes in access to sexual health promotion • Changes in access to services between different population groups | • Reduced STI transmission in the population |
Changes in cost of service provision across the whole sexual health economy | • Changes in cost per test • Changes in demand triggered by online service including creation of inappropriate demand • Movement between services/dual use • Changes to clinic capacity | • More cost effective sexual health services |