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Patient-Led Decision-Making for HIV Preexposure Prophylaxis
Whitney C Sewell1, Patricia Solleveld2, Dominika Seidman3,4
1Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Dr, Ste 401, Boston, MA, 02215, USA.
Current HIV/AIDS Reports
|January 8, 2021
Summary
Patient-led decision-making for HIV preexposure prophylaxis (PrEP) is uncommon due to provider knowledge gaps. Interventions are needed to improve PrEP knowledge and support patient autonomy in healthcare choices.
Area of Science:
- Public Health
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision-making (SDM) enhances patient autonomy through information exchange.
- Patient-led decision-making (PLDM) represents a model maximizing patient autonomy in healthcare.
- HIV preexposure prophylaxis (PrEP) decisions require informed patient involvement.
Purpose of the Study:
- To review evidence on PLDM as a framework for PrEP decisions.
- To assess the current occurrence of PLDM for PrEP.
- To identify interventions that facilitate PLDM for PrEP.
Main Methods:
- Literature review of evidence on PLDM for PrEP.
- Assessment of factors influencing PLDM for PrEP.
- Description of potential interventions to support PLDM.
Main Results:
- PLDM for PrEP is likely infrequent.
- Healthcare providers often lack adequate knowledge and training regarding PrEP.
- Few evidence-based interventions currently exist to promote PLDM for PrEP.
Conclusions:
- There is a critical need for interventions to enhance PrEP knowledge among patients and providers.
- Developing and implementing interventions for PLDM is essential for informed PrEP decision-making.
- As PrEP options expand, supporting PLDM will become increasingly vital for patient care.
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